Based on interview and record review, conducted during a site visit on 04/30/24, it was confirmed the facility did not take measures to prevent the entry of rodents, flies, mosquitoes, and other insects. Findings include, but are not limited to:

During an interview on 04/30/24, Staff 1 (Acting ED) indicated s/he had recently taken over the facility. Once aware of the bed bugs s/he had treated not only the hallway where the bed bugs had been, but the corridors, common areas, dining room, and high traffic areas. The facility had gotten rid of recliner in RM 202 and swapped out the bed frame in RM 213.

A review of the pest control invoices from 01/04/24 through 04/19/24, indicated the following;

·01/04/24- indicated live bed bug activity noted on seatbelt on RM 202 electric shooter.

·01/10/24- Bed bug follow-up service completed for rooms 202, 213, and 224. 220 had not been inspected. 202 had minimal activity around baseboards below bed. Room 213 and 224 had no activity of bed bugs.

·01/23/24- RM 202 had minimal activity.

·02/08/24- High activity noted in RM 204, recliner was infested.

·02/20/24- inspected rooms 202, 203, 204, 218, 219, and 220 with minimal activaty. RM 203 and 220 had no activity.

·03/04/24- Treated baseboards in common areas.

·03/27/24- RM 204 no activity, RM 202 live activity noted around bed frame.

·04/12/24- Minimal activity in RM 202.

·04/19/24- No activity in RM 202.

It was confirmed the facility did not take measures to prevent the entry of rodents, flies, mosquitoes, and other insects.

On 04/30/24, the findings were reviewed with and acknowledged by Staff 1.

Verbal plan of correction: The facility has a pest company coming out to treat the bed bugs and will continue the treatments until the facility and resident no longer has them.