Health inspection·June 20, 2025

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 Based on observation, staff interview, and review of facility documentation, it was determined that the facility failed to maintain an effective pest control program so that the facility is free from pests in the main kitchen area. Residents Affected - Some Findings include: Observation of the facility's main kitchen on June 20, 2025, at 10:28 AM with Employee 1 (dietary clerk) and Employee 2 (dietitian) revealed the following: The dishwashing area had multiple smaller winged insects flying around. Two dead cockroach appearing insects were observed in the overhead wooden cupboards in the dishwashing area. These cupboards contained several loose unused trash bags and multiple boxes of surgical masks. An opening between the wall splash guard and the underlying wall was observed. This opening was located under the stainless-steel counter in the dishwashing area. Further observation of this area revealed the plastic splash guard was not securely affixed to the wall as noted while pushing in the center of the splash guard. While tapping on the splash guard, there was obvious insect activity noted as evidenced by a cockroach appearing insect being observed just inside the opening to the area between the splash guard and wall. Further observation revealed a thick, black colored, greasy, and sticky substance that coated the bottom of the stainless-steel table in the dishwashing area. Observation of the cook area located on the opposite side of the kitchen from the dishwashing area revealed three dead cockroach appearing insects on the floor behind various cooking appliances. There was unidentified debris on the floor. An interview with Employee 3, cook, on June 20, 2025, at 10:37 AM revealed sightings of cockroaches under the floor mats in the cook area in the morning. Further observation of this area revealed four live cockroach appearing insects coming from underneath a wheeled cart against the wall (adjacent to the floor mats) that was used for storing clean pots and pans. There was also a dead cockroach appearing insect on the floor and an extensive build-up of dirt and debris along the perimeter of the wall. Multiple air vents above a double set of egress doors to the kitchen contained a significant Page 1 of 2 395586 395586 06/20/2025 Bradford Hills Nursing & Rehabilitation Center 15900 Route 6 Troy, PA 16947

F 0925 build-up of dust. Level of Harm - Minimal harm or potential for actual harm Pest control documentation dated June 3, 2025, revealed a visit for general pest control - maintenance. Targeted pests included cockroaches with bait applicators, aerosol, and compressed sprayer in the steamer motor compartment and baseboards in food prep with noted activity found on June 3, 2025, at 12:22 PM. Residents Affected - Some Pest control documentation dated June 10, 2025, revealed a visit for general pest control - maintenance. The pest control company noted the dishwashing area was inspected for cockroach activity and treated the problem area as needed. The documentation noted pest control staff followed up on the last visit with an inspection of the elevator, hallway, and dishwasher area for cockroach activity and found no activity, but treated all areas noted above to prevent future problems from occurring and to resolve any current issues. The facility provided no further pest control documentation that the pest control service was notified of cockroach activity after their last visit. An interview with the Director of Nursing on June 20, 2025, at 2:05 PM revealed the pest control company was contacted again today to advise of the surveyor findings and the pest control company will return this Saturday. The facility failed to maintain an effective pest control program so that the facility is free of pests. There was no evidence that the facility sealed openings where pests can move or nest such as between the wall and splash guard in the dishwashing area, removed any dead insects, ensured a clean and sanitary environment (such as the floor and vents), and followed-up with staff to ensure current measures are effective at eradicating any pests. The above information was reviewed in a meeting with the Director of Nursing and Employee 4 (Assistant Director of Nursing) on June 20, 2025, at 2:15 PM. 28 Pa Code 201.14(a) Responsibility of licensee 28 Pa Code 201.18(b)(3) Management 395586 Page 2 of 2