Health inspection·December 11, 2023

F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, resident and staff interview, and a review of facility documentation, it was determined that the facility was not maintaining an effective pest control program. Residents Affected - Few Findings include: During the entrance meeting with Administrator, Employee E1 on December 11, 2023, at 9:30 p.m. revealed facility has two pest control companies doing treatment at the facility. The local pest control company did twice a week treatment and a second pest control company was from out of state. Review of the pest control log it was confirmed that the last treatment was complete on December 8, 2023, treating room [ROOM NUMBER]. room [ROOM NUMBER] was last treated on November 8, 2023, from flies. There was no documentation of any residents refusing of having their room treated. On December 11, 2023, at 12:29 p.m. an interview with Resident R7 resigning in room [ROOM NUMBER] revealed that he/she saw a live roach in the middle of his room. On December 11, 2023, at 12:33 p.m. an interview with Resident R5 resigning in room [ROOM NUMBER] revealed that he/she saw a live spider in her room today. On December 11, 2023, at 12:43 p.m. an interview was held with Resident R3 resigning on room [ROOM NUMBER] reported that he had seen live roaches in his beside drawer. Observation were made of the room and in the right corner there was a total of 5 pest traps (3 mice traps & 2 roaches traps). First sticky roaches trap had 8 dead roaches; 2nd trap had 10 dead roaches. Surveyor asked Nursing Home Administrator, Employee E1 at the above date and time to make an observation in Resident R3's room. Upon opening the Resident's 3 bedside top drawer and there were many live roaches running around inside the drawer between the papers. The drawer was infested with German live roaches. On December 11, 2023, at 1:12 p.m. Maintenance Director, Employee E7 confirmed the above observation, the drawer was taken outside and treated. The roaches traps that were locate in the corner of the resident's room were there for a week and were not collected until December 11, 2023 with 18 roaches on both traps. A follow up interview with Resident R3 on December 11, 2023, at approximately 2:00 p.m. revealed that Resident R3 did report approximately two weeks ago to the Nursing Home Administrator and nursing aide (unknown) that his/her had live roaches bedside drawer. An interview with Nursing Home Administrator, Employee E1 on December 11, 2023, at approximately Page 1 of 2 395258 395258 12/11/2023 Bristol Health & Rehab Center 905 Tower Road Bristol, PA 19007

F 0925 Level of Harm - Minimal harm or potential for actual harm 2:45 p.m. revealed that room [ROOM NUMBER] couldn't been treated because Resident R3 refused to let them into the room when the pest control was in the building. Review of Resident R3's clinical record revealed no documented evidence that the resident had refused for the room to be treated for pest control. 28 Pa. Code 201.18(b)(1)(3) Management Residents Affected - Few 395258 Page 2 of 2