Health inspection·April 10, 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 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interviews, and record reviews, the facility failed to maintain effective pest control for 1 of 1 kitchen reviewed for pests. Residents Affected - Few The facility failed to have pest control effectively treat the kitchen for roaches. This deficient practice could place residents at risk of exposure to pests, diseases, infections, and diminished quality of life. The findings include: During an observation and interview on 04/10/2025 at 06:07 a.m., revealed a live roach on the floor in the clean pots and pan storage room. This observation was pointed out to DA A, who immediately got a broom, swept the roach up, and removed it from the kitchen. DA A stated the roach was alive. DA A stated he knew that someone came and sprayed the kitchen twice a month for bugs. During an interview on 04/10/2025 at 02:39 p.m., the DS stated she was told about the water roach seen this morning. She stated that the facility kitchen did have stragglers but did not know how the water roach got in. She stated the kitchen had pest control treatment every month. During an interview on 04/10/2025 at 02:57 p.m., the Maint Dir stated the facility had monthly pest control services. He stated that the facility had recently changed pest control companies due to a concern that the prior company's chemical spray was not strong enough. He stated that the new company appeared to be working better for the facility's needs. He stated the new company had been treating the kitchen with a new chemical that seemed to be working. He stated he believed the small bug found that morning possibly entered the kitchen due to a clean out area that had flooded during the night by the kitchen grease trap. He stated that the clean out area and flooding were addressed and fixed that same morning. During an interview on 04/10/2025 at 04:05 p.m., the ADMIN stated the facility changed pest control companies recently due to a concern brought by the maintenance department regarding the prior company's solution not having been effective. The ADMIN stated the facility had not had pest control concerns reported since the change in companies. She stated pests in the kitchen would be an infection control concern and the bug found that morning was brought to her attention. She stated it was due to a backing up of the drainage system, which did not occur very often. She stated the facility maintenance and dietary department do regular rounds to check the environment and would report any concerns they found. Page 1 of 2 675532 675532 04/10/2025 Uvalde Healthcare and Rehabilitation Center 535 N Park St Uvalde, TX 78801

F 0925 Record review of Pest Control Service Proposal, dated as signed 03/18/2025, revealed: Level of Harm - Minimal harm or potential for actual harm PESTS TO BE CONTROLLED: Ants, Centipedes, American Roaches, Silverfish, Pill Bugs Earwigs, Millipedes, [NAME] Bugs, Spiders and Scorpions. Residents Affected - Few NOTE: Rodents including Mice & Rats, [NAME]/Ticks, [NAME] Destroying Insects, Flying Insects, Bed Bugs, German Roaches and Lawn Treatments require different procedures and are not covered by this agreement. [Pest Control Company Name] will provide all materials and labor to perform Monthly Pest Control Service at the above location . Roach Clean-Out Control (2 services 30 days apart) . Monthly Commercial Pest Control Charge (Includes roach bating). Record review of Pest Control Invoice, dated 03/19/2025, revealed the following service, ROACH CLEAN OUT (1 of 2 trips) NO WARRANTY FOR SERVICE. Under Target Pest: American Roach, Ant, German Roach, and Spider were marked. Remarks: German Roaches in the Dietary was noted on the invoice document. Record review of Pest Control Invoice, dated 03/25/2025, revealed the following service, MONTHLY COMMERCIAL SERVICE. Under Target Pest: American Roach, Ant, and Spider were marked. Remarks: German Roaches in the Dietary was noted on the invoice document. Record review of facility policy, Pest Control, dated as revised May 2008, revealed under Policy Statement, Our facility shall maintain an effective pest control program. Under Policy Interpretation and Implementation, 1. This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents. 675532 Page 2 of 2