Complaint Investigation Report

Regarding the above-mentioned allegation, staff members and outside sources were interviewed. LPA attempted to interview several residents, however due to their major neurocognitive disorders, they were not considered reliable historians for the purpose of this investigation. Resident Power of Attorney(POA) interviews were conducted as all residents in the facility have some diagnosis of major neurocognitive disorder and reside in a secured memory care unit. Staff interviews did not corroborate the allegation, as staff consistently reported that infection control protocols were followed during the time of the outbreak, including the use of PPE, multiple in-service trainings on identifying and managing scabies, proper use of gowns and gloves, and handling contaminated clothing.

During the interview with the Executive Director(ED), it was stated that the same 3–4 residents who were initially infected experienced recurring cases of scabies. However, all other residents who contracted the disease were treated successfully and did not experience reinfection. The ED stated the facility consulted multiple physicians and specialists, followed public health guidance, and repeatedly treated and monitored affected residents.

Outside source interviews (Resident 1 and 2's POA's) did not corroborate the allegation, as Outside Source 1 and Outside Source 2 (OS1 and OS2) consistently stated that the facility had consistent communication during the outbreak and that they had no concerns. Outside sources consistently stated that the outbreak was addressed professionally and that the facility did an excellent job at monitoring and communicating the status of the outbreak at the time.