Deficiency Records for Majestic Care of Lafayette
Updated as of September 01, 2022
This is not the most recent data for Majestic Care of Lafayette. For the most recent information, click here.
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? |
---|---|---|---|---|
Conduct testing and exercise requirements. | Fire Safety | 2022-08-04 | 2022-08-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-04 | 2022-08-25 | 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 | 2022-08-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-04 | 2022-08-19 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-04 | 2022-08-19 | 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 | 2022-08-19 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Develop a communication plan. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-04 | 2022-08-18 | 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 | 2022-08-18 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-04 | 2022-08-18 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-04 | 2022-08-12 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-04 | 2022-08-12 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-04 | 2022-08-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-04 | 2022-08-12 | N |
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 |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-11-12 | 2020-12-07 | Y |
Respond appropriately to all alleged violations. | Health | 2020-11-12 | 2020-12-07 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-12-10 | 2020-01-13 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-10-23 | 2019-11-20 | N |
Implement a program that monitors antibiotic use. | Health | 2019-10-23 | 2019-11-20 | N |