Secrecy of bed bugs at AL?!

Scabies are not common and are serious. At my daughters rehab the person who had them had to be quarantined. Bed bugs are not common either. Someone is bringing them in. Call ur county health department and ask what is the periodical when Bed Bugs and Scabies are found in an AL.

Thank you for saying they’re not common!! Since the dermatologist did not do a skin test to positively test for scabies, the assisted-living is saying that they can’t be certain that it is scabies. Dad’s primary doctor said the dermatologist was certain it was by looking at his bite tracks. I’m very aggravated they did not do a skin test, is that because he’s on Medicaid ? Primary doctor said he would have to be quarantined for at least a week in his room, but the assisted-living did not make him do that since they didn’t do a skin test 😖 I will do more phone calls on that again today... I have not spoken with my dad for several months, he does not want my help or my company so I leave him alone. He has a great nurse through his primary doctor that is facilitating his care for me. He does not want me to know anything that’s going on with him.
Then came this problem with bedbugs. The woman across the hall from my mom and her neighbor next-door “had” them. The housekeeper told my mom about it in secrecy, then mom told me (who I think has some sort of dementia) so I didn’t know whether to believe her or not. The administrator told me, “absolutely they do not have bedbugs” and my dad probably doesn’t have scabies since they didn’t do a skin test even though the bite marks were so obvious. He has been itching for several months. I finally had a conversation with the nurse and without speaking the words “yes we have bedbugs”, I got the silent message that they did or still do, who knows?! The administrator reassured me she has spoken with the health department and sounded a bit aggravated with me. I will call the health department today but I really doubt I will get anywhere with that either.
These nasty bugs do need to be taken seriously because there is a huge problem especially with bedbugs in my area.

Infestations and infections like these would be much easier to handle if people's reactions to them were less emotional. It's a bit of a chicken-and-egg problem.

In terms of publicising individual cases, you're going to run into confidentiality. No one has a right to know that another person has scabies, any more than they've a right to know that they've got syphilis or cancer or diabetes. The facility instead should have a protocol for putting out an alert that does not identify sources.

More widely, the reason that an ALF would want the issue hushed up is that if word gets out that there's a bed bug infestation it will damage them. People will leave. New residents won't come. And those repercussions will go on for months whether or not there does turn out in fact to have been an infestation. So, obviously, it's not something they're going to put in their marketing material; and then the effort of hushing things up, and the social shame involved in being a suspected victim, make it infinitely more difficult to eradicate the problem. Daft, isn't it?

Expressions like 'shock' 'nightmare' 'crawling around' 'right to know' and of course the emojis are completely natural in the situation and I do sympathise, but they are also perfect examples of why the reaction can do almost more harm than problem. You are talking about eminently treatable infections and not especially threatening - though highly undesirable - mini beasts. Why be shocked? What nightmare? These things happen, probably through no one's especial fault, and the only important thing is to get rid of them.

Is there an infestation? If so, what do we need to do about it? Could everyone please calm down and let's work together to get this dealt with.

PS Keep your granddaughter off the bed. The bugs would think it was their birthday.

Bella it's not a criticism of you personally and I'm sorry if it sounded like it. It's just the *frustration* of the whole boiling, that people's reaction to it - overreaction, and you must yourself agree surely that people do overreact - makes it ten times harder to deal with.

So, yes, protocol - are you in touch with anyone at the facility who should be responsible for putting one together?

I'm not sure what you want from the facility, people in an AL are supposed to have the wherewithal to take precautions about their own health conditions and to inform their guests. Is your father not competent to do this? Are you managing his care as his healthcare proxy?

Bella, I am with you, I don't want to go visit and bring home a stray that will ruin my peace of mind and checkbook.

You can do some checking on your own to determine if either parent has uninvited guests in there rooms.

These beasties do not like light so they hide, but they leave little black spots as the crap their way to your loved one. Look at the sheets, any little black spots? Pull up the bedding and look at the mattress, is there black spots along the seams, any evidence in the seams of cloth chairs? Buy a cheap pair of white gloves and wipe the back of night stand, head board, furniture where they spend a lot of time. You will see evidence if they are there, then you can proceed to get evidence. Pictures of all indications that you find.

I would not say another word to the jackazz administration, I would call the health department and APS and ask them who else should be notified. Then complain until it is resolved.

My brothers kids had head lice that I had to deal with for almost a year, I finally shaved heads because the parents were so unconcerned that they were infested and would not do anything to eradicate the problem. They wouldn't even leave the pillows and toys that I treated in the sealed plastic bags for 2 weeks. So I understand having PTSD, I still pay attention when people around me scratch their heads. I spent countless hours cleaning, treating and combing hair with a micro comb to get eggs, not to mention the money. Send them home and the next visit, repeat. It is traumatic to see bugs that are tough little beasts.

This experience taught me how to protect myself and not bring home any unwanted guests.

When you leave the facility, change clothes and wash everything you were wearing right away, if that is not possible, store them in a sealed plastic bag. Bathe if possible. Do not take anything in with you that you will be setting down, like a purse, satchel, etc. You can bring a flat sheet to cover where you will be sitting, then put in a sealed plastic bag to transport home for washing. Spray imitation vanilla on you and grandchildren, it is a great repellent, I have used it for 30 years because I was a mosquito magnet, it really works. (I dilute mine with vodka so it dries quickly and doesn't leave a sticky residue) spray your body not your clothes. If you have long hair, wear it up.

These are methods that I have found to be very effective, we found out after a hotel stay at the grand canyon that the hotel got shut down for a bed bug problem, ewww, we had no problems because I use this protocol when going any place that has a higher than normal chance of having issues. I know I seem anul but the head lice trauma will never go away. I did not get them, but I had my best friend checking my head everyday because I felt crawly from the experience. I don't want to go through anything like that again.

One more thing, changing the bedding and keeping fabrics clean goes a long ways in prevention, vacuuming any cloth furniture, moving items to vacuum under, cleaning front, sides and back with a citrus based cleaner, deep cleaning basically.

Sorry I am so long winded, but this can be dealt with and you can protect yourself and your loved ones with a bit of precaution. I am rooting for you that the health department reacts quickly and this gets dealt with.

Good advice "IsThis".

Someone brought these little buggers in. Either a new resident or a member of the staff.

And don't think that the housekeeper is doing a good cleaning. Moms didn't even dust.

Mt daughter had a patient in rehab who had just got out of a prolonged hospital stay. Complained she had itched the whole time and still was. My daughter took one look at her and was sure it was scabbies. They burro under the skin. Demand that Dad be tested by his dr. He will be quarantined.

In reply to the comments about preventing spread throughout common areas - the OP was specifically asking about visitors to the resident's rooms/apartment, we have no idea whether or not the AL is taking precautions to prevent spread within the facility. Short of posting a big red sign on the person's door - stop! infectious parasite//bug infestation - (something that is never going to happen, nor should it) I can't see how the AL can be expected to both inform guests and preserve their resident's right to privacy. Of course no apartment manager, AL or otherwise, is going to advertise this kind of problem or their efforts to deal with it!

It is common for these 'homes' to try to hide anything negative. Call your local health department, office for aging services, and the county ombudsman. For residents to be subject to and invasion of parasites is a health risk. No matter where they come from and how they got there it is the obligation of the facility to get this taken care of asap.

The IL apt complex my mom lives in has had an issue with bedbugs twice in the last several years....management will NOT admit it or do anything about it, due to “privacy” issues. As several have stated, the management is not going to admit there is a problem even if its staring them in the face....my mom was hysterical for quite a while, almost drive me nuts each day when i called her. Some elders associate lice, bedbugs or scabies with uncleanliness or people being”dirty”. Not the case. Someone, be it resident or staff, had to introduce them in the building and unless the problem areas and rooms are treated properly, they will remain. I also have an issue with residents not being told, I understand about privacy issues, but residents should be made aware. I was going to call the local health dept and report the issue but the management finally got the bedbug problem under control. But....all it takes is for one new person that has them to move in and it starts all over again.....my take is be vigilant, take the necessary precautions in common areas and check your bedding etc My mom also uses essential oils to spray bedding etc weekly...best of luck in dealing with these issues.

Scabies are reportable to the Health Department.
The problem with posting a note on a door, even if they did is many residents if not all of them would ignore such a warning. As to family, they could choose to gown and glove up if they wished but family would know if there is a problem in that particular room and families of one resident would probably rarely go to the room of another.
If there is a problem with bed bugs those should be reported as well. Even if the facility is "doing what they can" it is always a good idea to keep the Health Department in the loop. (The Local or County Health Department would be the one to call rather than the State. The Local or County would be able to respond faster)
I am sure that there are some things brought in by family or friends that wish to visit. How many people might be bringing in a Cold, Flu, communicable diseases like Chicken Pox, Measles, Whooping cough and a host of other problems.

Community living raises a host of problems. While a facility might be trying to solve issues if you notice a problem report it. If the Health Department is aware of it great, if not at least they know there is a problem that they can follow up on it. The more people that report the problem the better so do not assume someone has called.
Part of the problem getting rid of "critters" is it needs to be done in a safe manner using approved chemicals. So no person is harmed during the process. And the process can take a while.
Probably a good idea to ask the facility if they want you to take things home or leave them there to be treated, don't bring anything new in until the problem is solved.

It is always a hush-hush situation. Shouldn't be, but is.

Lived through a nightmare of them in a former home...brought home from the hospital. Then we moved to Florida and my son had to spend the night in a hospital and I find bedbugs on his belongings. He and I had to throw out everything we wore there and change in the center of the room; then treated our bedrooms with DE powder till I was sure the danger was past. The hospital played dumb and took zero responsibility so YES I believe people should be informed if any infestation is present.

This is the way to check the bed —

Roll back the blankets snd sheets from any one one corner until you can see the mattress. Small black “dots” will be visible along the seams. These are left behind by the bedbugs and will be visible to the naked eye.

No place wants to admit to having them.
Totally agree anyone entering has a right to know. Around here the Bd of Health has a task force that had meetings I would attend. They really don't perceive it as a huge health issue because although research continues, BB's are not known to spread disease the way other creatures can. They do cause itching and worse if scratching leads to sores etc and of course the emotional distress and loss of sleep and the huge cost to get rid of them
The amount of work it takes to even prepare a home to be treated...be it chemical or with heat is massive.
ANd sadly, they are out there and can happen ANYwhere and at ANYtime.
I know of a situation where an ill elder and spouse blocked off a room from the eyes of in-home help that I learned from the exterminating company looked like a crime scene due to blood from smacking the bugs that had eaten...one of those people had gone for an ambulance ride...and they were discovered on the patient there or at the hospital. In the end we determined the source was an adult child who had developmental problems and went to work in a sheltered environment during the day and came home on weekends for visits, living in a group home. The key to all is Education and Precautions.
My aunt in MI was moving from a private residence to AL. The AL had a company out to inspect her home prior to moving and continues to monitor the entire facility monthly.
As the BD of Health guys have told me...they can inspect a place and say all is well, and then a half hour later, someone walks in or drags an infested mattress through the lobby, into the elevator...and there you go.
In addition, it is so hard to prove, that the costs must be borne by those impacted...and the best methods, like heat (less toxic) are the most expensive...so you see people falling for these cheap do it yourself things and they will not have a complete resolution because eggs can still hatch.

People need to read HIPPA! Facilities use it as an excuse to not deal with things.
HIPPA does not apply to beds, linens, chairs, etc. It is like saying the can't disclose if patients or visitors are getting mosquito bites from torn screens. Or that there are bees nesting in the walls attacking people.

Also, it Is Standard Practice to post a sign, the ones I see most often are:
Reverse Protection in Place
Or
All Visitors Must Check in at Nurse's Station

These are used when the is Dx or risk of MERSA. That is a Disease where HIPPA rules apply.

Call Health Department!

I was in the hospitality business in Vegas and bed bugs were always a huge concern. We even have bed bug sniffing dogs to assist us in detecting them.

What follows is the unadulterated version of how hotels deal with them, and what you can do at home if you think you've been exposed to them.

During the period of 10 years I had 2 outbreaks. Fortunately at this time bed bugs do not carry any additional diseases with them, so other than for the inconvenience of dealing with the bites an infestation not live threatening. There is industry talk that bed bugs may carry other diseases in the future though, just not yet.

First off, bed bugs travel everywhere. They are in plane luggage compartments and of course hotels, often upscale ones too. As a matter of routine, housekeeping would check all beds between guests. Even then, they are quite clever, and iť's quite difficult to find an infestation.

They only feed at night, and not every night, in fact sometimes they can go a month without food. While they like to hide in beds and box springs, they most often crawl into the walls , especially into electrical outlets. They cannot crawl up metal based legs. If you're in a hotel use the metal based luggage racks to ensure your luggage is safe. Also note that many mattress frames are metal.... this is also because the bed bugs can't use them for access to the bed.

If you stayed in a hotel and got bitten how to know what type of bites are from bed bugs. In my experience they like children unfortunately. The bites can heal pretty quickly though. The bite marks will always be in a straight line, since bed bugs are pretty lazy.

What to do with your luggage when you get home? There's a bunch of choices here. Take every thing from the luggage and wash in hot water if you can. A hot drying cycle will also kill them. Another effective way is to take everything fabric and place it in a black plastic bag, and place it in the sun - seal the bag with duct tape. This includes luggage. The temperature in the bag should exceed 100 degrees for a period of 8 hours. If you're in a climate where this is not possible, you will have to use pesticides inside the bag instead. These are available from hospitality suppliers on line. You will need to leave the fabric items in the sealed bag until you receive the pesticides. Then leave the pesticides in the sealed bag for two weeks unopened. If there were any bugs in the luggage they will be dead. Btw you must leave iť for two weeks, because you need to kill the eggs as well. The pesticide is a special grade, so avoid trying to use others not designated for bed bugs.

In hotels we often dont have the two weeks available, so we have a company that comes in and heats the room to 100 degrees for 8 hours at a time.

Additionally, we always put on mattress and box spring covers that seal those items up and prevent re infestations.

In the end those bugs that came into a room on someone's luggage will cost a hotel approximately $1500 per room to get rid of not including the grief iť may cause to guests.

Ah, yes--the LOVELY bedbugs!!  I took bedbugs home with me caring for a child at work who was infested with them, and it took me MONTHS to get rid of them.  I was bitten by them just like the child was.  The job told me it was "part of the job" so there was no recourse but to just do the best I could.  I thought of how the child had to endure this on a continuing basis since DHS had been notified SEVERAL times about this situation with this child, and it was considered a "nuisance", but not a health problem.  Bedbugs are EVERYWHERE these days.  Notify the facility, and NOTIFY FAMILY MEMBERS who plan to visit.  They DO have a right to know ahead of time!  And DO TRY to eliminate them from your loved one's infestation!  They are like a child, and you have a responsibility to report and attempt to treat them since they are in a facility and are helpless on their own.

I don't know if they have a right to keep it secret but they would, in my opinion, be dam stupid if they told anyone about it. Who on earth would ever come there to live - no one would be that stupid. I am hoping they have an exterminator and I pray the place is clean and well cared for. Bug do exist and will come to just about anyplace. I think it is just a fact of life but let's hope it will be a long, long, long time before they come to you. So, again - the home will keep quiet to protect itself.

Yes, hiding issues happens, but with the number of people assigned to assist its difficult, the facility will blame visitors, which is why I suggest Diatomaceous Earth, to cure rid the area of the culprits. Diatomaceous earth kills bugs by dehydrating them, through its contact.

I'm pretty sure it's common for anyone to keep secret of having bedbugs. They were brought into our home and it took us at least two years to get rid of them. I never told anyone. We tried everything we could look up on the internet. I mean everything.
The diatomaceous earth is really messy and hard to clean up. Tried various essential oils. Both these methods they seemed to just detour around. Eventually what worked was a combo of steam treating and using Ortho Home Defense BedBug Killer at least twice a week around mattress, curtains, door jams, trim... Anywhere they might hide. Two years, at least! Yes, they are a freaking nightmare! Afraid to have hitch hikers travel to friends or family, work, church...
They can hide anywhere -- wall sockets, trim, appliances, clothing seams -- anywhere.
For a facility apartment building, I think the only way to eradicate bedbugs would be to burn it down.

Report the bed bugs to the town's BOH? Maybe then authorities will come to the AL to investigate.

Diatomaceous earth solved my bed bug problem quickly. It's a light powder that I threw in clumps onto the mattress, it's harmless unless you breath in the entire bag. My dog rolled around in it, bugs didn't survive. It's lighter than baby powder and was cleaned-up easily with one of my canister vacuum cleaners. It's a white powder, that reminds my grandmother of sawdust that she used to clean-sweep oil treated floors, in the early 1920s. It's easy and extremely effective. It can be slept on or eaten, since it's food grade stuff that is used to thicken salad dressing. Google will tell you more. I keep a bag always just in case something buggy arises. Nothing has happened since, no fleas or any bugs it took less than a week to get rid of bed bugs. had both carpeted and uncarpeted wood floors

Bugs of all kinds can "hitch" a ride into places. They could come in with other residents, visitors, staff, newly purchased items, etc. It is difficult to ensure no one and nothing brings pests/infections in. Once in, certainly it should be addressed and treated. Despite proper treatment and eradication, there is nothing to say that it cannot happen again.

I can understand not wanting to advertise that there might be an infestation, but so far it hasn't been acknowledged by the facility, and as far as I can see OP has no real proof that the bedbugs are there. Doing the searches suggested can determine if there are bugs and then (take pictures!) bring proof to the administration. Although he doesn't want you around, can you check his room while he is participating in activities or having a meal? Sounds like perhaps mom might benefit from checking her room while she is there, just for reassurance. If the facility choose to ignore any proof you have, contact BOH. While currently it is a nuisance (not life-threatening for most), no one wants to share their space with bugs and/or have itching sores! The facility should have the first opportunity to acknowledge and treat the issue.

If dad is still having issues, I would require dermo to actually do the scraping and find out what the cause is. Some people just have a condition called Formication, which is the sensation that resembles that of small insects crawling on (or under) the skin. Doing proper tests can determine if he has scabies. If so, thorough cleaning of all his clothing, bedding and other items is in order while he gets treatment. There was a resident in mom's MC facility who was constantly scratching himself, but he didn't have anything, just thought he did. They were only treating the scratching/itching and sometimes covering up his arms to prevent him scratching, which can lead to infection (same with scabies.)

We can't assume there is an issue or not just because no one wants to acknowledge it or refuses to answer (silent treatment.) Housekeeper saying it, mom repeating it, that isn't enough to say yes we have it (nor is it a reason to ignore anything.) Do what you can to check mom and dad's rooms - if you find bedbugs, pictures, catch them, whatever, as proof. Get dad's skin fully tested (now if still an issue, later if it comes back.)

My mom has in-home care provided by a nationally known "Home" care agency. About 2 years ago, my mom's house got bedbugs, brought in by one of the caregivers. It was an ordeal. We had my mom's place heat treated. I think the cost was something like $1,300 and the agency paid $800 or so. Because my mom had several helpers and the offending one would not self-disclose, the company was gracious enough to go out to several caregivers' homes free of charge to inspect for bedbugs. We figured out ultimately which caregiver was the problem because she quit when it was time for her to get her inspection. The agency would never admit they caused the problem, even though they paid for some of the treatment. I had a brief infestation because I ended up transferring some to my place. The company again was gracious to give me a free mini-treatment and that solved the problem. I still freak anytime I see a black dot on the wall and floor and don't have my glasses on, but there have been no recurrences. Agree with everyone who talked about inspecting hotel rooms when traveling. Good luck!

Screennamed: Why would you go under the radar?

Wrote here yesterday on comments made on June 2
...I couldn’t figure out how to make a fresh post

Since that post yesterday, my mom has a major infestation under her bed and in her recliner. After much ruckus they temporarily moved her to their show room, heat treatment not until Thursday.
This is two months later after I started complaining about the possibility of bedbugs in her room. It’s no wonder there are bedbugs almost everywhere you go nowadays and any store you walk in you see bedbug killer supplies, people really need to wake up and get educated about these little b..stards!!!

All she has in this temporary room with her is her phone and clean pajamas. Its heartbreaking and sad. I stayed in contact with her by phone throughout the day. She was handling it very well and was relieved she won’t be itching or in pain with these welts, now known as bed bug bites that she’s had for well over two months. Couldn’t stand the thought of her in this unfamiliar room all by herself so I took her McDonald’s and sat with her for several hours. She was thrilled to have a little picnic in her room with her only daughter, me. I am almost 57 but I felt like a child soaking in my mom’s full attention, realizing that I don’t need all my junky material things around me to be happy and content. I really still can’t comprehend why my mom has to go through this, it seems so unfair at this stage of her life. There is definitely something here God wants me to learn but right now do know that prayer helped me through it. I need to lean on that more and not go so bad sh.t crazy sometimes!! Also need to work on my bad language!
This is a nasty situation but I refuse to keep letting this sour of my life or my moms.
Yesterday crunching on french fries and sipping strawberry shakes my mom said, “do you think maybe I can help somebody else learn from this ?” There’s a possibility that my mom may be showing signs of Alzheimer’s. If she can think positive right now, how can I not?

And another positive, I was really excited to hear that the bug company will be using DEarth and they’re hoping to have a dog come in and sniff those little b..tards out!

Thank you for listening

Bella, WELL DONE!!!

This is the saddest creepiest experience for everyone involved. I understand being traumatized by a bug infestation and I find it reprehensible that any company would subject human beings to this. Our prison system would have never had the problem because it is considered a violation of basis human rights. Cruel and unusual punishment and torture.

How is your mom doing?