Deficiency Records for The Lafayette-Redeemer
Updated as of September 01, 2021
This is not the most recent data for The Lafayette-Redeemer. For the most recent information, click here.
A list of the most recent deficiencies for The Lafayette-Redeemer. 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-09 | 2019-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-07 | 2019-06-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-07 | 2019-06-28 | 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 | 2019-05-07 | 2019-06-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-05-07 | 2019-06-28 | 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 | 2019-05-07 | 2019-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-07 | 2019-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-07 | 2019-06-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-07 | 2019-06-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-05-07 | 2019-06-28 | N |
| Post nurse staffing information every day. | Health | 2019-05-07 | 2019-06-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-07 | 2019-06-28 | 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 | 2019-05-07 | 2019-06-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-07 | 2019-06-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-05-07 | 2019-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-07 | 2019-06-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-12-18 | 2019-02-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-08 | 2018-08-23 | 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 | 2018-08-08 | 2018-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-08 | 2018-08-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-08 | 2018-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-08 | 2018-08-23 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-08 | 2018-08-21 | N |
| Meet other general requirements. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Use approved construction type or materials. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-07-17 | 2017-09-17 | 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 | 2017-07-17 | 2017-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-17 | 2017-09-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-13 | 2017-08-30 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-13 | 2017-08-30 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-07-13 | 2017-08-30 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-13 | 2017-08-30 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-13 | 2017-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-13 | 2017-08-30 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-07-13 | 2017-08-30 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-13 | 2017-08-30 | N |
