Bickford of Middletown

Based on observation, resident interview, staff interview, and policy review, the facility failed to ensure residents were served food that was palatable and at an appropriate temperature and failed to serve food in a safe and sanitary manner. This had the ability to affect all residents at the facility. The facility census was 85.

Findings include:

Review of the Resident Council Notes, dated 01/29/26 revealed the residents complained of the cold food being served.

Observation of the kitchen on 02/02/26 at 10:02 A.M. with Dietary Aide (DA) #134 revealed the coffee pots and juice machines in the drink preparation area were situated across a large countertop. There was an unidentified substance splattering down the wall to the left of the countertop and over top of the drink preparation area. To the left of the countertop and on the ceiling revealed a large circular area of an identified black substance splattered on the wall. The door to the cabinet under the juice machine was missing and debris and dirt were scattered inside the cabinet. The countertop was heavily soiled with dirt and debris, and the countertop was cracked and peeling. The reach in refrigerator had dried red food splattered on the shelves and down the sides of the refrigerator. There were food crumbs and debris scattered inside the refrigerator. There was dirt, debris and dried food splattered down the sides of the trash cans in the food preparation area and on the trash cans near the sink. There was a large pile of cardboard boxes on the floor just inside the freezer. The dishwasher was heavily soiled with dried food splatter and debris all down the front and on top of the dishwasher machine. There was dried food splattered down the front of the ice machine. The food temperature logbook revealed the facility had no recorded food temperatures from 01/24/26 through 02/01/26. Interview at the same time with DA #134, verified the findings in the kitchen.

Interview on 02/02/26 at 10:11 A.M., Resident #48 stated her food was frequently cold when it was served to the table.

Interview on 02/02/26 at 10:35 A.M., DM #135 stated the facility prepared all meals in the main kitchen and transported the food for the Memory Care Unit (MCU) on carts. DM #135 stated the facility was supposed to obtain and log the food temperatures after being transported to the MCU kitchen. DM #135 stated an aide from the MCU unit was responsible for obtaining the food temperatures and serving the food. DM #135 verified the temperature logs were blank from 01/24/26 through 02/01/26. Observation at the same time revealed the refrigerator and dishwasher in the MCU were broken. The lights above the kitchen island in the MCU were broken and missing with exposed light fixtures. The steamers on the countertop in the MCU were broken. DM #135 confirmed the findings.

Observation of the tray line in the main kitchen on 02/02/26 at 11:42 A.M. revealed the MCU trays were being prepared. The MCU food cart left the kitchen at 12:14 P.M. and arrived at the MCU unit at 12:16 P.M. The trays of food were placed on the heavily soiled kitchen countertop that had dried food debris.

Observation of the MCU on 02/02/26 at 12:17 P.M. revealed Nurse Aide (NA) #118 began to obtain temperatures with gloves on. The chilled pear salad 's temperature was 67 degrees Fahrenheit (F), the fried chicken was 141.9 degrees F, the fish was 137 degrees F, mashed potatoes were 149 degrees F, vegetables 149 degrees F, and spinach was 135 degrees F. NA #118 plated the vegetables with a large plastic spoon and used her gloved hand to place the mechanical soft ground chicken onto the plates instead of a kitchen utensil. NA #118 touched numerous things while getting food temperatures with the same pair of gloves then used the same gloves to plate the mechanical soft ground chicken

Observation of a test tray on 02/02/26 at 12:46 P.M. with DM #135 and immediately after the last resident's was served revealed the chicken was 105 degrees F, the spinach was 92.6 degrees F, and the mashed potatoes were 112 degrees F. Interview with DM #135 at the same time, confirmed the test tray temperatures. DM #135 stated the chicken tasted very dry and cold, the spinach and mashed potatoes tasted cold, and the tray was not palatable. DM #135 confirmed food was removed from the food carts and placed on the heavily soiled countertop. DM #135 confirmed NA #118 scooped the ground mechanical soft chicken with her soiled gloved hand and on to the resident's plates. DM #135 confirmed the food was served at an inappropriate temperature.

Interview on 02/02/26 at 1:40 P.M., Resident #54 stated the food had no flavor, the meat was dry and so tough it was difficult to eat, and the food was frequently cold when served.

Review of the facility policy titled, Adherence to Correct Food Temperature, dated October 2016 confirmed all foods served to residents are held at correct temperatures to ensure palatability and minimal bacterial growth. Further review of the policy confirmed the process for hot food service. All hot food is placed in pans on the steam table wells.

This violation represents non-compliance investigated under Master Complaint Number OH00169473.

Based on medical record review, review of the facility fall investigation, review of staff witness statements, review of hospital records, staff interviews, and review of the facility policy, the facility failed to timely assess residents for injuries following a fall. This resulted in Actual Harm when Resident #77, who was severely cognitively impaired and at risk for falls, was found on the floor on 04/30/25 at approximately 2:00 A.M. Caregivers assisted Resident #77 off the floor but did not report the fall to the nurse. At approximately 7:15 A.M., Resident #77 was unable to bear weight, complained of severe pain to his left leg, was sent to the hospital, and required surgical repair to a left hip fracture sustained during a fall. This affected one (Resident #77) of three residents reviewed for falls. The facility census was 76 residents.

Findings include:

Review of the medical record for Resident #77 revealed an admission date of 01/10/23 with a diagnosis of dementia.

Review of the annual assessment for Resident #77 dated 01/21/25 revealed the resident was severely cognitively impaired due to advanced dementia and was at risk for falls.

Review of the facility fall investigation for Resident #77 dated 04/30/25 revealed at approximately 2:00 A.M. on 04/30/25 the resident was walking in the common area, lost his balance, and fell to the floor. At 2:05 A.M. Caregivers (CGs) #510 and #600 assisted the resident up from the floor and into a reclining chair. At 2:10 A.M. CG #510 notified LPN #102 Resident #77 was complaining of leg pain. At 2:17 A.M. LPN #102 administered one 500 milligram (mg) tablet of Tylenol to the resident. LPN #102 did not assess Resident #77 for injuries because CG #510 had assured the nurse the resident had not fallen. At 5:00 A.M. LPN #102 returned to the memory care unit to administer medications and noted Resident #77 was resting in the recliner watching television and exhibited no facial grimacing or other signs and symptoms of pain. At 7:15 A.M. when staff tried to assist the resident to the bathroom the resident was unable to bear weight to his left leg and his knee and left leg were swollen. Hospice Registered Nurse (HRN) #72 assessed the resident, and staff obtained an order to send the resident to the hospital via emergency medical services for an evaluation due to increased pain.

Review of the witness statement regarding Resident #77 per CG #600 dated 04/30/25 revealed when the caregiver tried to help the resident into the recliner, the resident lost his balance and fell to the floor. CG #600 then asked CG #510 to help assist Resident #77 back into the recliner. CG #510 helped CG #600 assist the resident into the recliner without waiting for the nurse to assess the resident for injuries. CG #600 then notified the nurse the resident was complaining of leg pain, and LPN #102 came back to administer pain medications to SR #77.

Review of the witness statement regarding Resident #77 per CG #510 dated 04/30/24 revealed that CG #600 asked for assistance because the resident was lying on his left side on the floor of the common area. CG #510 asked CG #600 if the resident had fallen and CG #600 said he had not. CG #510 then asked Resident #77 if he was hurt and the resident said he was not hurt but he wanted off the floor. CG #510 and CG #600 then assisted Resident #77 into the recliner without having the resident assessed by the nurse.

Review of the witness statement regarding Resident #77 per LPN #102 dated 04/30/25 confirmed CG #510 reported to her on nightshift that the resident was complaining of pain and she administered Tylenol with effect. Further review of the statement revealed neither CG #510 nor CG #600 reported to the nurse that Resident #77 had fallen and had to be assisted off the floor.

Review of the Medication Administration Record (MAR) for Resident #77 dated 04/30/25 revealed the resident received a 500 mg tablet of Tylenol for pain and it was effective.

Review of the late entry nurse progress note for Resident #77 dated 04/30/25 timed at 6:50 PM per Licensed Practical Nurse (LPN) #900 revealed the dayshift staff found the resident sitting in a recliner in the common area with his feet elevated. Resident #77 complained of left hip and leg pain and was unable to bear weight. LPN #900 asked HRN #72 to assess the resident, and the resident was sent to the hospital for an evaluation.

Review of the hospital records for Resident #77 dated 04/30/25 revealed an x-ray showed the resident had sustained an acute left hip fracture.

Review of the late entry nurse progress note for Resident #77 dated 05/02/25 timed at 5:16 P.M. per the Health and Wellness Director (HWD) revealed on 04/30/25 at approximately 2:00 A.M. Resident #77 was ambulating and started to sit down on a piece of furniture, lost his balance, and fell to the floor. Two caregivers assisted the resident into a reclining chair. When the day shift staff arrived Resident #77 was unable to bear weight without pain. Staff notified Resident #77's provider who gave an order to send the resident out to the emergency room for an evaluation.

Review of the hospital discharge summary for Resident #77 dated 05/03/25 revealed the resident was admitted to the hospital on 04/30/25 with a left hip fracture due to a fall. Resident #77 underwent surgical repair of the fracture on 04/30/25 and was discharged to a different facility on 05/03/25.

Interview on 06/11/25 at 11:21 A.M. with LPN #900 confirmed in the morning of 04/30/25 Resident #77 was soiled, and the nurse asked the dayshift caregivers to assist the resident to the bathroom. LPN #900 confirmed the resident cried out in pain and was unable to bear weight on his left leg. LPN #900 confirmed Resident #77's left knee was swollen, and she asked the HRN #72 to evaluate the resident. HRN #72 thought Resident #77 should be sent to the hospital for an evaluation due to increased pain, so they obtained an order to send the resident to the hospital. LPN #900 confirmed no one had reported the resident's fall which she later learned had occurred on 04/30/25 at approximately 2:00 A.M. LPN #900 confirmed she later learned the resident was diagnosed with a left hip fracture once he got to the hospital.

Interview on 06/11/25 at 12:01 P.M with the Assistant Health and Wellness Director (AHWD) confirmed the facility's investigation revealed Resident #77 had a fall on 04/30/25 at approximately 2:00 A.M. CGs #510 and #600 assisted the resident off the floor and into a recliner and did not report to the nurse the resident had fallen. The AHWD further confirmed when management initially asked CGs #510 and #600 if Resident #77 had fallen during the night of 04/30/25, the caregivers denied the resident had fallen. The AHWD confirmed CGs #510 and #600 did not admit the fall had occurred and that they had moved the resident off the floor without having him assessed by the nurse until after they learned Resident #77 had sustained a left hip fracture. The AHWD confirmed both CG #510 and #600 received disciplinary action for failing to report Resident #77's fall.

Interview on 06/11/25 at 12:28 P.M. with the Executive Director (ED) confirmed staff should never move residents found on the floor without having a nurse first assess the resident for injuries.

An interview on 06/11/25 at 3:00 P.M. with HRN #72 confirmed facility staff asked her to assess Resident #77 after the dayshift staff arrived on 04/30/25. HRN #72 confirmed Resident #77's left knee was swollen, and he was unable to bear weight to his left leg. HRN #72 confirmed she notified Certified Nurse Practitioner (CNP) #422 who gave an order to send the resident to the hospital.

Interview on 06/11/25 at 3:29 P.M. with CNP #422 confirmed the facility notified her in the morning of 04/30/25 that Resident #77 complained of increased pain and inability to bear weight to the left leg, and she gave an order to send the resident to the hospital. CNP #422 further confirmed the hospital evaluation determined Resident #77 sustained a left fracture which required surgical repair due to a fall.

Review of the facility policy titled Fall Policy dated October 2024 revealed residents are to be assessed immediately after each fall for injuries by the HWD or the nurse on duty.

This violation represents noncompliance investigated under Complaint Number OH00165938.

Based on record review and staff interview, the facility failed to ensure staff had physical examinations completed upon hire. This had the potential to affect all residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the personnel file for the Executive Director (ED) revealed a hire date of 09/18/24 with no physical examination completed upon hire.

Review of the personnel file for Licensed Practical Nurse (LPN) #98 revealed a hire date of 04/17/25 with no physical examination completed upon hire.

Review of the personnel files for Caregivers #99 and #123 revealed hire dates of 01/16/25 with no physical examinations completed upon hire.

Interview on 05/22/25 at 7:41P.M. with the ED confirmed the facility had no documentation of completion of physical examinations upon hire for the ED, LPN #98, and Caregivers #99 and #123.

Based on record review and staff interview, the facility failed to ensure unlicensed staff providing personal care received first aid training upon hire. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the personnel file for Caregiver #99 revealed a hire date of 04/27/25 with no documentation of first aid training.

Review of the personnel file for Caregiver #123 revealed a hire date of 01/16/25 with no documentation of first aid training.

Interview on 05/22/25 at 7:41 P.M. with the Executive Director (ED) confirmed the facility had not provided first aid training to Caregivers #99 and #123 upon hire and prior to providing personal care to residents.

Based on record review and staff interview, the facility failed to ensure unlicensed caregivers were trained and checked for competency in providing personal care per a licensed nurse prior to working with residents. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of personnel file for Caregiver #99 revealed a hire date of 04/27/25 with no training/competency in personal care services.

Review of the personnel file for Caregiver #123 revealed a hire date of 01/16/25 with no training/competency in personal care services.

Interview on 05/22/25 at 7:41 P.M. with the Executive Director (ED) confirmed the facility had not provided training and a competency check on personal care services per a licensed nurse upon hire for Caregivers #99 and #123.

Based on review of personnel records, staff interview, and review of the facility policy, the facility failed to ensure employees had appropriate tuberculosis (TB) testing upon hire. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the personnel file for Licensed Practical Nurse (LPN) #98 revealed a hire date of 04/17/25 with no documentation of TB testing completed upon hire.

Review of the personnel files for Caregivers #99 and #12 revealed hire dates of 01/16/25 with no documentation of TB testing completed upon hire.

Review of the personnel file for the Executive Director (ED) revealed a hire date of 09/18/24 with no documentation of TB testing completed upon hire.

Interview on 05/22/25 at 7:41 P.M. with the ED confirmed the ED, LPN #98, and Caregivers #99 and C#123 had no documentation of completion of TB testing upon hire.

Review of the facility policy titled Tuberculosis Screening dated April 2025 revealed all designated employees must undergo a two-step TB skin test upon hire to ensure they are not infected with tuberculosis.

Based on observation, staff interview and review of the facility policy, the facility failed to store food in a manner that protected against contamination and storage. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

1.Observation on 05/22/25 at 8:30 A.M. with Cook #106 revealed there were six opened and undated bags of bread on the counter, and the freezer contained thee undated and unlabeled bags of bagels and two unlabeled and undated bags of raisin break.

Interview on 05/22/25 at 8:30 A.M. with Cook #106 confirmed the unlabeled and undated bags of bread and bagels on the counter and in the freezer.

2. Observation on 05/22/25 at 4:43 P.M. with the Health and Wellness Director (HWD) revealed the following items in the memory care unit kitchen: two opened and undated three gallon containers of ice cream, one opened and undated one gallon container of ice cream, two unmarked frozen meals, one undated bag of lemon custard, one opened and undated bag of bread, two opened and undated sleeves of ice cream cones, three opened and unlabeled bags of chips, two large opened and undated boxes of cereal boxes, one bag of undated candy.

Interview on 05/22/25 at 4:43 P.M. with the HWD confirmed the opened, undated, and unlabeled items in the memory unit kitchen.

Review of the facility policy titled Food Storage Labeling and Dating undated revealed all food stored in the facility must include the following information: product name, date of preparation/opening, use-by or expiration date.

Based on observation and staff interview, the facility failed to place food scraps and trash from the kitchen in garbage cans with tightfitting lids. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Observation on 05/22/25 at 8:28 A.M. in the kitchen revealed there was a garbage can near the sink without a lid and a garbage can near the food preparation area without a lid.

Interview 05/22/25 at 8:28 A.M. with Cook #106 confirmed the garbage can near the sink and the garbage can near the food preparation area did not have lids.

Based on record review and staff interview, the facility failed to conduct fire drills once per shift, at least every three months. The facility also failed to ensure there was a record of signal transmission to the appropriate monitoring station for all of the fire drills conducted. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the fire drill records dated May 2024 to April 2025 revealed drills were completed on the first shift in September 2024 and April 2025 and on the second shift in November 2024, January 2025, February 2025, March 2025. There were no drills completed on the third shift. Further review of the fire drill records revealed there was no record of a signal transmitted by the facility and received by the appropriate monitoring station for the fire drills held September 2024, February 2025, and April 2025.

Interview on 05/22/25 at 2:28 P.M. with the Maintenance Coordinator (MC) confirmed the facility did not complete fire drills once per shift, at least every three months and did not receive signal confirmation for the drills conducted September 2024, February 2025, and April 2025.

Based on medical record review and staff interview, the facility failed to conduct emergency preparedness training for residents. This affected four (Residents #15, # 45, 67 and #73) of five residents sampled. The facility census was 74 residents.

Findings include:

Review of the medical record for Resident #15 revealed an admission date of 07/01/24 with diagnoses including diverticulosis, arthritis, hypothyroidism and cataracts. Resident #15's record did not include documentation of emergency preparedness training for the resident.

Review of the medical record for Resident #45 revealed an admission date of 05/16/25 with diagnoses including congestive heart failure, and stage three kidney disease. Resident #45's record revealed did not include documentation of emergency preparedness training for the resident.

Review of the medical record for Resident #67 revealed an admission date of 02/21/25 with diagnoses including dementia and depression. Resident #67's record did not include documentation of emergency preparedness training for the resident.

Review of the medical record for Resident #73 revealed an admission date of 02/08/25 with diagnoses including chronic kidney disease, neurogenic bladder, and congestive heart failure. Resident #73's record did not include documentation of emergency preparedness training for the resident.

Interview on 05/22/25 at 3:40 P.M. with the Health and Wellness Director (HWD) confirmed the facility had no documentation of emergency preparedness training for Residents #15, #45, #67 and #73.

Interview on 05/22/25 at 6:53 P.M. with the Executive Director (ED) confirmed the facility had no emergency preparedness training program in place for the residents.

Based on record review and staff interview, the facility failed to conduct monthly fire safety inspections recorded on the appropriate self-inspection form. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the fire drill records revealed they did not include monthly self-inspections recorded on the self-inspection form.

Interviews on 05/22/25 at 2:30 P.M. with the Maintenance Coordinator (MC) and at 6:02 P.M. with the Executive Director (ED) confirmed the facility had not completed a monthly self-inspection form for fire safety.

Based on observation and staff interview, the facility failed to install carbon monoxide detectors as appropriate. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Observation on 05/22/25 at 9:15 A.M. revealed there were no carbon monoxide detectors in the facility.

Interview on 05/22/25 at 6:08 P.M. with the Executive Director (ED) confirmed there were no carbon monoxide detectors anywhere in the facility. The ED further confirmed there should have been carbon monoxide detectors present and functioning in the facility due to the use of gas-powered clothes dryers in four different areas and multiple gas-powered fireplaces.

Based on observation and staff interview, the facility failed to provide a safe smoking environment for residents. This had the potential to affect the four facility-identified residents who were smokers (Residents #9, #12, #37, #48). The facility census was 74 residents.

Findings include

Observation on 05/22/25 at 5:28 P.M. revealed Resident #37 was smoking in an interior outdoor courtyard. There was a gallon-sized aluminum trash can with a plastic (flammable) liner available for the resident to ash and discard her cigarettes.

Interview 05/22/25 at 5:28 P.M. with Health and Wellness Director (HWD) confirmed the resident smoking area did not have a safe receptacle for residents to use to ash and discard cigarettes.

Based on record review and staff interview, the facility failed to maintain a properly executed transfer agreement with another facility. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Review of the transfer agreement for the facility undated revealed it did not include signatures per the facility administration nor the administration of the transferring facility.

Interview on 05/22/25 at 6:05 P.M. with the Executive Director (ED) confirmed the facility transfer agreement was undated and had not been signed per the facility administration nor the administration of the transferring facility.

Based on observation and staff interview, the facility failed to ensure laundry rooms were maintained in a safe manner. This had the potential to affect all of the residents residing in the facility. The facility census was 74 residents.

Findings include:

Observation on 5/22/25 at 6:40 P.M. with the Maintenance Coordinator (MC) revealed Wings 100, 200, 300, and 400 each had a laundry room with a dryer. There was an excessive buildup of lint in the lint traps of the four dryers in Wings 100, 200,300, and 400.

Interview on 05/22/25 at 6:40 P.M. with the MC confirmed there was an excessive buildup of lint in the lint traps of the dryers in Wings 100, 200, 300, and 400.

Based on observation, staff and resident interview, record review, and facility policy review, the facility failed to maintain an effective pest control program. This had the potential to affect all Residents at the facility. The facility census was 76.

Findings include:

Review of the Resident Council notes, dated 02/27/25, revealed an item of concern for the facility that was listed as, Mice Problems.

Review of the Resident Council notes, dated 03/27/25, revealed an item of concern for the facility that was listed as someone to check the mouse traps in each room.

Interview with Resident #39 on 04/09/25 at 9:33 A.M., revealed she had ongoing issues with mice in her apartment. Resident #39 stated she does not keep snacks in her room for fear of mice. Resident #39 stated she has found mouse droppings on her pillow. Resident #39 pointed to the rodent box in her living room and in her bedroom. Resident #39 stated the facility staff told Resident #39 to let them know if she smells an odor because that would indicate a deceased mice was in the rodent trap.

Interview with Resident #35 on 04/09/25 at 9:52 A.M. revealed she recently killed a mouse in her apartment with a broom.

Interview on 04/09/25 at 11:20 A.M. with the Maintenance Supervisor (MS) 111, revealed he has worked with the pest control company for several months to get the mice situation under control. MS #111 stated the mice have been an issue from late December 2024 to present. MS #111 confirmed the pest control company sat the large box traps throughout the facility and in some residents' rooms. MS #111 stated he does not have a list of resident rooms where the mouse traps were placed or logbook of which rooms and areas that were treated. MS #111 stated he contacted the pest control company, and they didn't have a list of resident rooms where the traps were placed.

Interview with the Activity Director (AD) 126 on 04/09/25 at 11:26 A.M. revealed she was present at the Resident Council meeting on 02/27/25 and the residents' voiced concerns about seeing mice in their rooms. AD #126 stated the facility contacted a pest control company and the company placed traps in various rooms. AD #126 stated during the Resident Council meeting held on 03/27/25, the residents voiced concerns that the mouse traps located in their rooms were not being monitored by the staff.

Interview with Resident #46 on 04/09/25 at 12:01 P.M. revealed she found a rat inside her room. Resident #46 pulled up a picture on her cell phone (dated 03/30/25) of a large, deceased rodent lying on the carpet of her room. Resident #46 pointed to the rodent traps in her bedroom and living room of her apartment and reported difficulty sleeping with the traps. Resident #46 stated she had witnessed rodents outside her room in the hallway.

Review of invoices from the pest control company dated 02/06/25, 02/25/25, 03/03/03/06/35, and 03/20/25, revealed none of the invoices listed what areas or residents' rooms where traps were placed. The invoice dated 03/20/25 revealed two rodents were observed in the resident hallways at the time of treatment to the hallway. The invoice dated 02/06/25 revealed several rodents were noted at the time of treatment in the resident hallways.

Interview with the Director of Nursing (DON) on 04/09/25 at 4:13 P.M. revealed sometime during the week of 02/19/25 through 02/25/25/25, Resident #78's family arrived at the facility to gather items from Resident #78's room for her hospital stay. The DON stated Resident #78's daughter was very upset to find torn paper and rodent droppings in Resident #78's room. The DON stated the facility had set rodent traps in Resident #78's room. The DON stated she saw a rodent in Resident #78's room once Resident #78's items were moved out.

Review of the facility policy titled, Healthcare Protect LTC Scope of Service Prepared for Bickford, dated 2022, revealed the facility will keep a logbook on site. The logbook will contain copies of service reports and other relevant information. Further review of the policy revealed the company, Rodent Program, this included installation of rodent traps and the inspection, and cleaning of the rodent trap. The rodent traps will have a date the rodent bait and trapping equipment and regular service visits.

This violation represents non-compliance investigated under Complaint Number OH00163441.