Larson House South

Penalties

• — DQA enforcement letter ($10)

Inspection findings

Nursing homes: CMS Care Compare inspections (last three cycles), penalties and ownership. Assisted living: DHS directory data and statements of deficiencies DHS has posted since October 2026; older survey documents are on the DQA Provider Search. An absence of findings here does not mean a clean record.

1. Jul 21, 2026 DQA survey · 7 findings
   • Severity not stated

     N 164 83.12(4)(b) Reporting when law enforcement is

     Based on observation and interview, the provider did not submit a written report to the department within 3 working days when law enforcement personnel were called to the facility as a result of an incident that jeopardized the health, safety, or welfare of residents or employees. The provider did not submit a report to the department when law enforcement was called to the provider's facility due to the behavior of Resident 1's Power of Attorney for Health Care (POAHC). Findings include: On 07/21/2026 at 7:00 a.m., Surveyor reviewed the department's self-report records for the facility. Records did not include a self-report related to law enforcement presence at the facility in 2026. On 07/21/2026 at 10:40 a.m., Surveyor reviewed Resident 1's record. Resident 1 resided at the provider's facility from 06/30/2025 to 01/03/2026. Resident 1's progress notes included the following: - 12/25/2025 5:15 p.m. While assisting Resident 1 to the bathroom, there was a knock on the door by local law enforcement. After Resident 1 was done with the bathroom, Resident 1's POAHC invited local law enforcement into Resident 1's room. - 12/25/20206 8:30 p.m. Administrator A received multiple calls from

     Statement of deficiencies (PDF)

   • Severity not stated

     N 352 83.32(3)(h) Rights of Residents: Receive

     Based on record review and interview, the provider did not ensure 2 of 5 residents reviewed receiving their medications as prescribed. Resident 1 admitted to the provider's facility on 06/30/2026 with an order for Buprenorphine patch weekly but did not receive the Buprenorphine patch until 07/11/2026. Resident 4 did not receive his/her Latanoprost .005% eye drops on 9 dates in February 2026. Findings include: On 07/21/2026, Surveyor conducted a complaint investigation alleging medication administration concerns at the facility. Surveyor identified the following concerns: Example 1 - Resident 1's Buprenorphine Patch: On 07/21/2026 at 10:40 a.m., Surveyor reviewed Resident 1's record. Resident 1 resided at the provider's facility from 06/30/2025 to 01/03/2026. Resident 1's diagnoses included dementia. Resident 1's admission physician orders, dated 06/30/2026, included Buprenorphine 10 mcg/HR weekly patch - Apply 1 patch weekly. Resident 1's medication administration record (MAR), dated 06/30/2026 to 07/31/2026, indicated Resident 1 received his/her first Buprenorphine 10 mcg/HR patch at the provider's facility on 07/11/2026. Resident 1's progress notes included the following document

     Statement of deficiencies (PDF)

   • Severity not stated

     N 425 83.38(1)(a) Personal care.

     Based on observation and interview, the provider did not ensure personal care services provided by staff were adequate to meet resident needs. Resident 2 did not receive catheter cares appropriate to his/her needs. Findings include: On 07/21/2026 at 8:00 a.m., Surveyor observed Resident 2 in his/her bed with the head of the bed raised. Surveyor observed Resident 2's catheter bag attached to a bedrail at the head of the bed, resulting in the catheter bag being higher than the tubing. Surveyor observed a sign above Resident 2's bed instructing caregivers where to clip Resident 2's catheter bag to ensure proper drainage. On 07/21/2026 at 10:30 a.m., Surveyor reviewed Resident 2's record. Resident 2 was admitted to the provider's facility on 11/15/2021. Resident 2's individual service plan (ISP), dated 11/21/2025, documented that caregivers were to assist Resident 2 with personal cares, including transfers, dressing, incontinence cares and positioning. On 07/21/2026 at 1:30 p.m., Surveyor observed Caregiver C escort Resident 2 to activities in his/her wheelchair. Surveyor observed Resident 2's catheter bag exposed with the tubing dragging on the ground. On 07/21/2026 at 1:36 p.m., Surv

     Statement of deficiencies (PDF)

   • Severity not stated

     N 432 83.38(1)(h) Medication administration.

     Based on observation, interview and record review, the provider did not ensure medication administration services were provided to meet the needs of 3 of 5 residents reviewed. Resident 1 did not receive his/her bisacdoyl suppository on 2 occasions when s/he was constipated. Resident 1 did not receive his/her PRN Morphine when exhibiting pain. Resident 2 did not receive hydrocortisone cream to his/her hemorrhoids. Resident 3 received expired Refresh Liquigel 1 eye drops from 07/13/2026 through 07/20/2026. Findings include: On 07/21/2026, Surveyor conducted a complaint investigation alleging medication administration concerns at the provider's facility. The following concerns with medication administration were identified: Example 1 - Resident 1's Bisacodyl Suppository: On 07/21/2026 at 10:40 a.m., Surveyor reviewed Resident 1's record. Resident 1 resided at the provider's facility from 06/30/2025 to 01/03/2026. Resident 1's diagnoses included dementia. Resident 1's progress notes documented the following: - 12/12/2025 12:45 a.m. Staff reordered resident's suppository because s/he was impacted a great amount. Staff was having a hard time helping resident, so staff called coworker ove

     Statement of deficiencies (PDF)

   • Severity not stated

     N 452 83.41(3)(b) Food safety.

     Based on observation and interview, the provider did not ensure food was stored and served in sanitary conditions. The provider's ovens were observed with burnt food on the interior surface, a freezer had frozen liquid on the bottom, pudding was stored without a date and food that was stored on the ground. Findings include: On 07/21/2026 at 9:00 a.m., Surveyor toured the provider's memory care unit of the facility. Surveyor observed a kitchen that was used for warming and serving food that was prepared at the affiliated facility next door. Surveyor observed the interior surface of the oven, used to warm food prior to serving, was covered in burnt food, black and white in color. On 07/21/2026 at 9:05 a.m., Surveyor toured the provider's food storage area. Surveyor observed an open box of individually bagged coffee grounds stored on the ground. On 07/21/2026 at 12:58 p.m., Surveyor toured the provider's kitchen in the assisted living unit of the facility. Surveyor observed the freezer's interior surface was covered in frozen liquid that was gray, brown and clear. Surveyor observed the interior surface of the oven, used to warm food prior to serving, was covered in burnt food, black a

     Statement of deficiencies (PDF)

   • Severity not stated

     N 488 83.44(1)(c) Clothes dryers enclosed and vented

     Based on record review and interview, the provider did not ensure 2 of 4 dryers had vent tubing made of rigid material. The dryers located on the memory care unit of the facility had semi-rigid vents. Findings include: On 07/21/2026 at approximately 9:10 a.m., Surveyor observed the laundry room located in the provider's memory care unit. Surveyor observed 2 of 2 dryer vents were vented with semi-rigid material. "Flexible vents can twist, allowing lint to build up and catch on fire if it comes in contact with a sufficient amount of heat. If a fire starts beneath the dryer when the motor overheats, then the drafts from the dryer can pull the fire up into the duct, allowing a house fire to develop." ("Clothes Dryer Fires in Residential Buildings (2008-2010)", Topical Fire Report Series, Volume 13, Issue 7, August 2012, Page 7). On 07/21/2026 at 1:16 p.m., Surveyor interviewed Administrator A and RN B. Surveyor discussed concern that 2 of 4 dryers in the facility were vented with semi-rigid material. Administrator A responded, "Are you serious," and explained s/he thought the provider had recently checked the dryer vents in all their buildings.

     Statement of deficiencies (PDF)

   • Severity not stated

     N 525 83.47(2)(d) Fire drills.

     Based on record review and interview, the provider did not ensure at least 1 fire drill that simulated conditions during usual sleeping hours was conducted annually. The provider did not conduct a fire drill that simulated sleeping hours from 01/01/2025 to 07/21/2026. Findings include: On 07/21/2026 at 8:45 a.m., Surveyor reviewed the provider's environmental documentation, dated 01/01/2025 to 07/21/2026, provided by RN B. Documentation included the following fire drills: - 01/15/2025 11:30 a.m. - 02/04/2026 1:15 p.m. - 06/02/2026 10:30 a.m. On 07/21/2026 at 1:45 p.m., Surveyor interviewed Administrator A and shared that the environmental binder included only 3 fire drills, none of which simulated nighttime hours, from 01/01/2025 to 06/02/2026. Administrator A stated s/he was certain additional fire drills were completed. Administrator A checked his/her "virtual state binder," which is reportedly electronic records, and was unable to locate additional fire drills. On 07/21/2026 at 5:49 p.m., Surveyor received an email from Administrator A that stated s/he had located additional fire drills and provided documentation of fire drills completed on the following dates and times: - 04/16

     Statement of deficiencies (PDF)