Lakehouse Three Rivers

Resident A's morning medications were administered in applesauce/yogurt despite physician orders specifying water; additionally, the hallway medication cart was found unlocked and unattended.

No records or documentation found to ensure hot water temperatures at resident plumbing fixtures were tested to be within the required 105 to 120 degrees Fahrenheit range.

Multiple garbage/rubbish containers in common areas (dining, spa, laundry, activities) were found without tight-fitting lids.

Hazardous/toxic chemicals and sharps were found in unlocked cabinets in the activities room, accessible to residents.

Multiple food items in the employee lounge and activities room were unlabeled with appropriate open dates, making safety/consumption status unidentifiable.

Resident A's TB screening could not be found; Resident B's TB screening was completed after the required 12-month pre-admission window.

Employee B's TB screening was not completed before occupational exposure.

Discrepancy in medication records: Resident A's MAR was blank for a 8:00pm Tramadol dose, while the narcotic log showed it was signed as administered.

Failure to maintain a record of the amount of food used for the meal census for the preceding 3-month period.

Industrial chemicals were found easily accessible under the sink in the common area kitchenette.

Medication Administration Record (MAR) was found to be incomplete.