Complaint Investigation Report

LPA interviewed R1 at the facility. R1 stated that they have lived at the facility seven years and they like the facility a lot. R1 had no recollection of having scabies or any type of skin condition. R1 had no recollection of being isolated in their room for an extended period of time. R1 had no recollection of staff redirecting R1 back to their room during R1's period of quarantine.

LPA interviewed Staff 1 (S1) who stated that he has worked in the memory care unit for over two years. S1 stated that a facility Nurse informs the staff of the "contact precaution" for a resident with scabies. S1 stated that the staff are then provided with PPE including gloves and gowns. S1 stated that the resident is quarantined in their room until their treatment has ended. S1 stated that R1 in general is aggressive and tends to wander around the unit. S1 stated that when they would see R1 attempt to leave their room the staff would redirect R1 back to their room. S1 stated that R1 would remain in their room for a couple of hours and would try to exit again. S1 stated that again staff would redirect R1 back inside of their room. S1 stated that after PPE was used on R1 staff would remove the PPE and place it in the trash can outside of R1's room. S1 stated that the trash can was placed outside of the room due to R1's tendency to empty out any trash can that is left in their room. S1 stated that they are familiar with infection control procedures due to their work experience.

LPA interviewed Staff 2 (S2) who stated that they work directly with the memory care residents. S2 stated that whenever a resident is diagnosed with scabies the staff follow the "standard isolation precaution." S2 stated that they isolate the resident from other residents. S2 stated that this can be difficult to achieve with residents in the memory care unit. S2 stated that staff put on PPE every time they enter the isolated resident's room and also practice hand hygiene. S2 stated that when R1 was first placed on isolation for scabies their were no issues, but after several days in isolation R1 became more irritable. S2 explained that R1 normally has "behaviors" regardless if R1 is in isolation or not. S2 stated that these behaviors just increased due to R1 not understanding why they had to remain in their room. S2 stated that to help R1 facility staff would talk and comfort R1 and if possible the med tech would give R1 their "PRN."

LPA interviewed Staff 3 (S3) who stated that they work directly with the residents in the memory care unit. S3 stated that when a resident has scabies PPE is placed outside of their room. S3 stated that the staff are aware that the resident is on isolation, if the resident attempts to leave their room the staff redirect the resident. S3 stated that if the resident touches something outside of their room the staff clean and disinfect the area. S3 stated that staff are required to put on PPE before entering the resident's room and then dispose of the PPE in the bio hazard trash can outside of the room.