A list of the most recent deficiencies for Lafayette Center. 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2023-03-15 | 2023-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-15 | 2023-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-15 | 2023-05-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-20 | 2023-05-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-20 | 2023-05-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-20 | 2023-05-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-20 | 2023-05-05 | 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 | 2023-03-20 | 2023-05-05 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-03-20 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-05-05 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-03-20 | 2023-05-03 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-03-20 | 2023-04-24 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-20 | 2023-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-04-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-31 | 2022-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-31 | 2022-09-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-31 | 2022-06-15 | N |
| 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 | 2022-04-01 | 2022-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-01 | 2022-05-06 | 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 | 2022-04-01 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-01 | 2022-05-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-04-01 | 2022-05-06 | 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 | 2022-04-01 | 2022-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-01 | 2022-05-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-01 | 2022-04-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-05 | 2021-05-06 | 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 | 2021-03-05 | 2021-05-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-03-05 | 2021-05-06 | N |
