Complaint Investigation Report

On 08/20/2025, LPA interviewed two (2) staff members together (ADM and S1) and five (5) residents (R1–R5).

ADM and S1 stated that the facility had an agreement with HeatRX to provide heat treatment whenever bed bug activity was identified. They stated that monthly spray services for bed bugs were performed regardless of whether activity was reported. The Administrator further stated that bed bugs had been an ongoing issue for approximately five years. ADM also stated that, as of August 2025, the facility had not received any doctor’s After Visit Summary reports for any resident, nor had any residents been prescribed medication for bed bug bites.

R1 stated that there were a lot of bed bugs in R1’s room, clothing, towels, and drawers. R1 stated that R1’s room had been sprayed for bed bugs about three times and heat-treated twice since February 2025. R1 further stated that R1’s bedding had only been washed a total of three times and R1’s room was cleaned three to four times per week.

R2 stated that they occasionally saw bed bugs on their blanket and pillow, but had not received any bites. R2 stated that the facility washed R2’s bedsheets occasionally when deemed dirty and that R2’s room was cleaned daily.

R3 stated that they had experienced bed bugs, but after the facility heat-treated R3’s room, no further bed bugs were present. R3 stated that R3’s bed sheets were washed once a month and R3’s room was cleaned daily.

R4 stated that they experienced bed bug bites, observed bed bugs crawling on them every night, and continued to have bed bug bites. R4 stated that staff were aware of the bed bug issue. R4 further stated that staff washed R4’s bed sheets every other week and cleaned R4’s room daily.

R5 stated that they had seen bed bugs in the past, but the problem resolved after the facility sprayed R5’s room. R5 stated that staff washed R5’s bed sheets weekly and cleaned R5’s room daily.

On 08/20/2025, LPA obtained and reviewed a copy of R1’s doctor’s After Visit Summary report, dated 08/07/2025, which confirmed that R1 had been diagnosed with bed bug bites and had been prescribed medication for treatment.