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32 | At that time, there was a demand for hospital and medical-based services in the surrounding community due to the surge in COVID-19 cases. The facility thought it was best to mitigate additional risk and treat the residents in house. Interviews and records review revealed that on February 12, 2021, a tele-health visit was held with the facility Medical Doctor, in which there was a discussion of approximately five (5) residents whom had rashes. Documentation revealed that the Medical Doctor felt that one (1) out of five (5) residents (Resident #1) had the appearance of scabies. Interviews revealed the facility made the decision to treat the five (5) residents in-house rather than send residents to the hospital due to COVID-19. Per the tele-health visit, the Medical Doctor treated the five (5) residents as if they had scabies. Interviews with the Maintenance Director and Executive Director confirmed that a community-wide clean-up took place at the end of February, which included laundering all the resident clothing, washing the carpet, and sanitizing and cleaning all common spaces. In addition, all residents and staff were treated with topical cream for preventative measures.
The family of Resident #1 (R1) took R1 to see a dermatologist in April 2021, in which it was confirmed that R1 had scabies. Thereafter, the Executive Director contacted the local health department, whom did not open a case for the community as they only had one confirmed case at the time of the call.
Based on the investigation, there is insufficient evidence to support the claim that the facility had a scabies outbreak. When the facility had a confirmed case of scabies, it was reported to the Department and the local health department. This allegation is deemed Unsubstantiated at this time.
Regarding the allegation: Facility did not seek medical treatment for the residents
It was alleged that residents developed scabies and it was left untreated. Documentation confirmed that at the suspicion of the rash, the facility had a tele-health visit with the facility Medical Doctor on February 12, 2021 and sought treatment advice. Interviews confirmed that for precautionary reasons, the facility treated all residents and staff with topical cream. Interviews and documentation confirmed that the initial residents whom were identified with rashes in February 2021 received a prescription medication to treat the rashes. R1 was sent out to a dermatologist in April 2021 and was also prescribed topical medication. Based on the evidence obtained, there is insufficient evidence to support the claim that the facility did not seek medical treatment for residents. This allegation is deemed Unsubstantiated at this time.
No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.
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