Adult Protective Services

At what point do you have to make a report. Obviously some things are straightforward and you immediately report. However, sometimes it is not as obvious. Situation: I have a patient who goes to a care center during the day. I see him at the center, so I have zero idea what his home life looks like. He is generally happy. No injuries or other straightforward concerns. What is concerning though, is I have found 2 ticks and 2 other bugs on him (his shoe, his back, and his wheelchair) in the last week. I talked to the center, and it seems the family says he got them at the center, which is highly unlikely as there are not outdoor areas with grass or other things that would appear to have an infestation. None of the other center clients have had any seen on them. The center nurse said she has tried to talk with the family (again they insist it is a center problem), and they don't seem concerned with fixing anything. She said she would reach out to them again today.

So, is this worth making a APS report?

I am thinking about waiting until I see him on Monday, so I can hear from the nurse what the family says again. If they don't address it, I am definitely filing something.