Complaint Investigation Report

The Montera Infection Control Plan states there should be a Post “Infection Outbreak” signs on the outside of the community to notify visitors of the outbreak. During an interview Staff 1 (S1) confirmed there were no sign posted “Infectious Outbreak” outside the community to notify visitors of the outbreak as per the facility infection control plan.

Staff 2 (S2) was interviewed and confirmed there were no sign posted “Infectious Outbreak” outside the community to notify visitors of the outbreak as per the facility infection control plan.

Staff 3 (S3) was interviewed and confirmed there were no sign posted “Infectious Outbreak” outside the community to notify visitors of the outbreak as per the facility infection control plan.

Outside source 1 (OS1) while visiting the memory unit observed two (2) residents that needed assistance with both hygiene needs and environmental cleaning needs. OS1 stated staff claimed there was only one (1) housekeeper for both buildings. OS1 stated on December 10, 2024, while in the activity room, staff was overheard stating that multiple residents had Gastrointestinal (GI) symptoms. The facility did not notify OS1 of the GI illness. There were no signs posted that alerted the visitors of an infectious illness.

Review of facility records revealed that housekeeping staffing hours were documented on a daily basis. The hours of housekeeping varied on weekdays and weekends. Staff 3 (S3) was interviewed and they stated the care giving staff would assist with environmental cleaning as needed. S3 stated they were in the process of hiring more staff.

S1 was interviewed and verified that housekeeping and care giving staff both assisted with environmental cleaning as needed. The records reviewed revealed adjustments were made with the housekeeping schedule to maintain the facility cleanliness as needed.