Deficiency Records for Majestic Care of Lafayette
Updated as of January 01, 2021
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? |
|---|---|---|---|---|
| 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 |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Be properly staffed | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-09 | 2019-06-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-05-09 | 2019-06-27 | 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 | 2019-03-14 | 2019-04-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-14 | 2019-04-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-03-14 | 2019-04-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-03-14 | 2019-04-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-14 | 2019-04-13 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-14 | 2019-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-14 | 2019-04-13 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-03-14 | 2019-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-03-14 | 2019-04-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-03-14 | 2019-04-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-03-14 | 2019-04-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-14 | 2019-04-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-14 | 2019-04-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-03-14 | 2019-04-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-14 | 2019-04-13 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-14 | 2019-04-13 | 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 | 2019-01-15 | 2019-02-14 | Y |
| Post nurse staffing information every day. | Health | 2019-01-15 | 2019-02-14 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-27 | 2018-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-11-27 | 2018-12-27 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-11-27 | 2018-12-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-27 | 2018-12-27 | 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 | 2018-01-31 | 2018-04-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-31 | 2018-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-17 | 2018-04-12 | 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 | 2018-01-17 | 2018-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-17 | 2018-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-17 | 2018-04-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-17 | 2018-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-01-17 | 2018-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-17 | 2018-04-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-01-17 | 2018-04-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-17 | 2018-04-12 | 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 | 2018-01-17 | 2018-04-12 | N |
| Meet other general requirements. | Fire Safety | 2018-01-30 | 2018-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-30 | 2018-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-30 | 2018-02-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-01-30 | 2018-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-31 | 2018-02-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-17 | 2018-02-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-17 | 2018-02-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-17 | 2018-02-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-17 | 2018-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-17 | 2018-02-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-17 | 2018-02-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-17 | 2018-02-16 | 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 | 2018-01-17 | 2018-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-17 | 2018-02-16 | N |
