Inspectors counted approximately 16 flies swarming Hall 300 on October 20. Minutes later, they found a live fly on Resident #21's blanket as he lay in bed, with four more flies on his wall.
"He sees flies in his room often," inspectors documented after interviewing the resident. He told them he believes "the flies come from the towels the staff use to wipe the tables in the rooms."
In another room, Resident #31 lay in bed with two live flies on his blanket and approximately two more flying around the room. The resident has moderately impaired cognition and requires substantial assistance with basic activities like bathing, dressing, and personal hygiene, according to his quarterly assessment.
The Regional Compliance Nurse acknowledged the fly infestation when confronted by inspectors. He said pest control had been called to make additional visits beyond their usual monthly schedule.
But service records revealed gaps in the facility's pest control approach. On October 7, exterminators treated the facility for "House/Fruit/Blow/Flesh/Stable Flies" along with German roaches and fire ants. They focused on dining areas and common spaces, installing and inspecting fly light traps.
A week earlier on September 30, pest control had visited again. That treatment targeted American roaches and bed bugs in interior areas. No fly treatment occurred during that visit, despite the ongoing infestation.
The facility's pest control policy, dating to 2012, promises to "maintain an effective pest control program in order to provide an insect and vermin free food service department." The policy requires arrangements with "a reputable company for regular spraying for insects which includes rodent control when required."
Yet flies continued swarming resident living areas despite these monthly treatments and policy requirements.
The inspection occurred following a complaint about conditions at the 200-bed facility. Federal regulators classified the fly infestation as causing "minimal harm or potential for actual harm" affecting "some" residents.
For Resident #21, the daily presence of flies in his living space had become routine. For Resident #31, who requires help with basic self-care and uses a wheelchair, the flies represented an additional indignity in a room where he spends much of his time.
The facility increased pest control frequency after acknowledging the problem to inspectors. But residents had already endured weeks of flies crawling across their blankets and buzzing around their rooms while they tried to rest and recover.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Afton Oaks Nursing and Rehabilitation Center from 2025-10-27 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Afton Oaks Nursing and Rehabilitation Center
- Browse all TX nursing home inspections