A list of the most recent deficiencies for The Springs at 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-19 | 2023-09-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-19 | 2023-09-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-19 | 2023-09-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-19 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-09-08 | 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 | 2023-07-19 | 2023-09-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-08-21 | 2023-08-30 | 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 | 2022-08-09 | 2022-09-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-08-09 | 2022-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-09 | 2022-09-12 | 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 | 2022-08-09 | 2022-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-09 | 2022-09-12 | N |
| 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 | 2022-08-09 | 2022-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-09 | 2022-09-12 | 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 | 2022-08-09 | 2022-09-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-09 | 2022-09-12 | 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 | 2022-08-09 | 2022-09-12 | 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 | 2022-08-09 | 2022-09-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-09 | 2022-09-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-09 | 2022-09-12 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-09 | 2022-09-12 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-30 | 2022-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-30 | 2022-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-22 | 2019-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-25 | 2019-10-25 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-09-25 | 2019-10-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-25 | 2019-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-25 | 2019-10-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-25 | 2019-10-25 | 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 | 2019-09-25 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-25 | 2019-10-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-25 | 2019-10-25 | N |
| Post nurse staffing information every day. | Health | 2019-09-25 | 2019-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-25 | 2019-10-25 | 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 | 2019-09-25 | 2019-10-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-25 | 2019-10-25 | 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 | 2019-09-25 | 2019-10-25 | N |
