Deficiency Records for The Springs at Lafayette
Updated as of August 01, 2021
This is not the most recent data for The Springs at Lafayette. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2021-01-26 | 2021-02-15 | 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 |
| 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 |
| 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 |
| 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 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 |
| 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 | Y |
| 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 | Y |
| 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 | Y |
| Post nurse staffing information every day. | Health | 2019-09-25 | 2019-10-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-25 | 2019-10-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-25 | 2019-10-25 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have an externally vented heating system. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-09-04 | 2018-10-04 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-08-15 | 2018-09-14 | 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 | 2018-08-15 | 2018-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-15 | 2018-09-14 | 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 | 2018-08-15 | 2018-09-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-15 | 2018-09-14 | 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 | 2018-08-15 | 2018-09-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-15 | 2018-09-14 | 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 | 2018-08-15 | 2018-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-15 | 2018-09-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-07-31 | 2017-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-03 | 2017-08-02 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-03 | 2017-08-02 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-03 | 2017-08-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-03 | 2017-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-03 | 2017-08-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-03 | 2017-08-02 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-07-03 | 2017-08-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-03 | 2017-08-02 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-07-03 | 2017-08-02 | N |
| Provide or obtain dental services for each resident. | Health | 2017-07-03 | 2017-08-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-03 | 2017-08-02 | N |
