Clayton Rehabilitation And Healthcare Center

F 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

She had seen them in the sink and on belongings in that room also. She had mentioned the problem to dayshift staff and they were aware.Interview with the Maintenance Director on 8/25/25 at 11:00 AM revealed he was doing audits on rooms to make sure gaps were sealed to the outside and that the rooms were clean and things were stored away to prevent attraction to pests. No one had reported to him that there was a problem at nighttime in the facility with active roaches.Interview with the Administrator revealed

the facility was taking quality assurance measures to make sure they were taking effective action to control pests. As part of this she routinely looked at the maintenance log and audit books where the Maintenance Director was checking random rooms for cleanliness, gaps being sealed, and problems. When she had looked at the maintenance log and audits there was no information about the night shift staff or Resident # 5's room having problems at night with active roaches.Interview with the facility's Pest Control Technician on 8/25/25 at 3:00 PM revealed the following information. He had been in that day and had seen no evidence of an infestation. If there was an infestation, he felt they would be seeing them in the daytime as well as at night. He did know the facility had taken some corrective actions by putting new door sweeps on the doors and closing up gaps recently. They had done a good job with that. It had not been reported to him prior to 8/22/25 that there was still a problem with seeing active roaches at night to the degree that was being reported by night shift. This was very important to communicate to him so that he could better investigate and form a treatment plan. Given that Nurse # 2 had seen them in the sink, it was a possibility that the roaches were coming up from the drains and sewer system. Typically, the drains had P-traps which were filled with water and kept the roaches from coming up through the drains. If a sink or shower was not used for a week or so sometimes the water level would get low enough that the roaches could still come up through the drains. American Cochroaches tended to scavenge more at night when it was cooler and therefore the night shift might be seeing them more than other shifts. Items that the night shift were using needed to be checked to see if they were being carried around from one place to another at night. He also needed to identify what type of roaches they were seeing at night because the treatment for German roaches was different than for American Cockroaches. For German Cochroaches he needed to bait and for American Cochroaches he needed to spray for contact kill. If they were coming up from the drains, then there were things he could check to determine if the drains were problematic. There were also measures he could take if the drains and the sewer system were the problem. He had not done so yet given that he did not know there was a problem at night, or they had been spotted in a resident's sink. Another measure to be taken if a room was particularly bad was for the facility to talk to residents to see if they would cooperate with helping go through belongings and see if the roaches were hiding in belongings. As a contract pest control technician, he could not access residents' personal space but at times roaches did harbor in personal storage space. According to the Pest Control Technician, communication about what kinds of roaches, when they were seen, how often they were seen, and where they were seen was very important for him to know to effectively treat them.

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