Larisa Sweet Home 1, LLC.

“Based on documentation review and interview, the health care institution's chief administrative officer failed to ensure implementation of tuberculosis infection control activities that included annually assessing the health care institution’s risk of exposure to infectious tuberculosis (TB). The deficient practice posed a potential TB exposure risk to residents. Findings include: 1. A review of facility documentation revealed no documentation of the health care institution's risk of exposure to infectious tuberculosis. 2. In an interview, E1 reported having TB documentation for all residents and employees; however, documentation of the health care institution's risk of exposure to infectious tuberculosis was missing.  3. In an exit interview, the findings were discussed with E1, and no additional information was provided.”

“Based on record review, observation, and interview, the manager failed to ensure a medication was administered in compliance with a medication order, for one of two residents sampled. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication.   Findings include: 1. A review of R2’s medical record revealed a current service plan dated March 2026. The service plan indicated R2 received medication administration.  2. A review of R2’s medical record revealed medication orders for Amiodarone 100 mg daily. The order was dated April 9, 2026.  3. The Compliance Officers observed the pill bottle for Amiodarone had the dosage for 200 mg. The Compliance Officers observed R2’s medication organizer and saw Amiodarone 200 mg tablets were not cut in half and were in the medication organizer as a whole tablet.  4. In an interview, E1 acknowledged Amiodarone 200 mg was being administered to R2. 5. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that medication administered to a resident was documented in the resident's medical record, for one of two residents sampled. The deficient practice posed a risk as medication could not be verified as administered against a medication order.     Findings include:      1. A review of R1’s medical record revealed a current service plan dated April 2026. The service plan indicated R1 received medication administration.  2. A review of R1’s medical record revealed no medication administration record (MAR) for the month of May 2026.  3. A review of R1’s medical record revealed signed medication orders dated April 16, 2026. This order revealed R1 received the following medications: Sertraline 50 mg Cholecalciferol 25 mg Levothyroxine 25 mg Omeprazole 20 mg 4. In an interview, E1 reported E1 did not have a MAR for R1 for the month of May 2026 and medications were administered to R1 for the month of May 2026. 5. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”