A list of the most recent deficiencies for Majestic Care of Lafayette. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-12 | 2023-10-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-12 | 2023-10-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-31 | 2023-10-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-31 | 2023-09-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-31 | 2023-09-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-16 | 2023-09-11 | N |
| Post nurse staffing information every day. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide or obtain dental services for each resident. | Health | 2023-08-16 | 2023-09-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-16 | 2023-09-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-09-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-16 | 2023-09-11 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-16 | 2023-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-08 | 2023-05-24 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-08 | 2023-05-24 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-05-08 | 2023-05-24 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-20 | 2022-11-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Develop a communication plan. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-04 | 2022-09-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-19 | 2022-09-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-19 | 2022-09-16 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-06-24 | 2022-07-12 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-06-24 | 2022-07-12 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-06-24 | 2022-07-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-06-24 | 2022-07-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-06-24 | 2022-07-12 | N |
| Provide activities to meet all resident's needs. | Health | 2022-06-24 | 2022-07-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-24 | 2022-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-24 | 2022-07-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-24 | 2022-07-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-24 | 2022-07-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-06-24 | 2022-07-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-06-24 | 2022-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-24 | 2022-07-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-24 | 2022-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2021-12-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-08 | 2021-12-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-08 | 2021-11-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-10-22 | 2021-11-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-22 | 2021-11-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-23 | 2021-11-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-17 | 2021-09-20 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Develop a communication plan. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-25 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-14 | 2021-06-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-14 | 2021-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-14 | 2021-06-07 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-05-14 | 2021-06-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-03-25 | 2021-04-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-25 | 2021-04-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-25 | 2021-04-19 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-03-25 | 2021-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-25 | 2021-04-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-03-25 | 2021-04-19 | Y |
