Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff does not ensure resident is provided a bed in good repair.

It was alleged that the resident’s bed was removed due to the suspected infestation and that a replacement bed was not provided in a timely manner. As a result, the resident reportedly slept in a chair in a common area overnight. It was also alleged that the resident would not have an appropriate bed available upon returning to the facility after medical treatment.

On 04/28/2026 between the hours of 9:13am – 9:48am, the Department interviewed Administrator (A1) regarding the allegation. A1 denied the allegation and stated becoming aware of the bed bug concern in room 86B on 04/21/2026 when the resident reported it. A1 stated that during the night of 04/21/2026 going into the morning of 04/22/2026, staff removed the resident’s from their bedroom to address the infestation, laundered the resident’s clothing, provided a shower, and supplied clean clothing. A1 stated the resident was immediately offered a temporary room (87A) with a bed, but the resident refused and chose to remain in the common area. A1 stated the resident later requested to go to the emergency room at the direction of her social worker and was transported on 04/22/2026. A1 stated the resident returned on 04/24/2026 and agreed to stay in temporary room 87A until room 86B could be treated. A1 stated the facility’s protocol requires a replacement or temporary bed to be provided immediately when a bed is removed and that pest control services were contacted to conduct heat treatment in all affected rooms.

On 04/28/2026, between the hours of 11:48am – 1:16pm, the Department interviewed Staff (S1–S11) regarding the allegation. 2 out of 11 staff were unaware of the allegation. 9 out of 11 staff denied the allegation . Staff reported that the resident in room 86B was offered relocation to a temporary room with a bed. Staff stated the facility maintains multiple new replacement beds and that maintenance is responsible for bed replacement. Several staff reported that the resident chose to remain in the common area despite being offered a room with a bed. No staff reported that the resident was denied a bed or that a replacement bed was unavailable.