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Deficiency Records for Lafayette Manor

View the most recent health deficiencies and inspection results for Lafayette Manor. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Lafayette Manor. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2026-03-25 2026-06-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-03-25 2026-04-20 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2026-03-25 2026-04-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-03-25 2026-04-14 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2026-03-25 2026-04-14 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 2026-03-25 2026-04-10 N
Provide care or services that was trauma informed and/or culturally competent. Health 2026-03-25 2026-04-09 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 2026-03-25 2026-04-09 Y
Provide properly protected cooking facilities. Fire Safety 2026-03-25 2026-04-08 N
Implement a program that monitors antibiotic use. Health 2026-03-25 2026-04-08 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 2026-03-25 2026-04-08 N
Install an approved automatic sprinkler system. Fire Safety 2026-03-25 2026-04-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-03-25 2026-04-07 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-03-25 2026-04-07 N
Provide and implement an infection prevention and control program. Health 2026-03-25 2026-04-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2026-03-25 2026-04-06 N
Provide a written emergency evacuation plan. Fire Safety 2026-03-25 2026-04-05 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 2025-10-15 2025-11-19 Y
Respond appropriately to all alleged violations. Health 2025-08-13 2025-09-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2025-08-13 2025-09-02 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-12-12 2025-03-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-12-12 2025-02-06 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 2024-12-12 2025-01-13 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-12-12 2025-01-13 N
Respond appropriately to all alleged violations. Health 2024-12-12 2025-01-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-12 2025-01-13 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-12-12 2025-01-13 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-12 2025-01-13 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 2024-12-12 2025-01-13 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-12-12 2025-01-13 N
Provide and implement an infection prevention and control program. Health 2024-12-12 2025-01-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-12-12 2025-01-13 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-12-12 2025-01-13 Y
Develop Emergency Preparedness policies and procedures. Fire Safety 2024-12-12 2025-01-13 N
Have power receptacles that are properly grounded. Fire Safety 2024-12-12 2025-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-12-12 2025-01-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-12-12 2025-01-08 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-12-12 2025-01-08 N
Have proper medical gas storage and administration areas. Fire Safety 2024-12-12 2025-01-08 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-12-12 2025-01-06 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-12-12 2025-01-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-12-12 2024-12-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-13 2024-09-05 Y
Respond appropriately to all alleged violations. Health 2024-08-13 2024-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-18 2024-02-19 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-11-09 2024-01-12 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-12-07 2024-01-12 Y
Respond appropriately to all alleged violations. Health 2023-11-09 2024-01-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-09 2024-01-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-11-09 2024-01-12 Y
Implement a program that monitors antibiotic use. Health 2023-11-09 2024-01-12 N
Provide and implement an infection prevention and control program. Health 2023-11-09 2024-01-12 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 2023-11-09 2024-01-12 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2023-11-09 2024-01-10 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 2023-11-09 2024-01-10 N
Have proper medical gas storage and administration areas. Fire Safety 2023-11-09 2024-01-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-09 2024-01-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-09 2024-01-10 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-11-09 2024-01-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-09 2024-01-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-09 2024-01-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-11-09 2024-01-10 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-09 2023-12-14 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-09 2023-12-14 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-09 2023-12-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-09 2023-12-14 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 2023-11-09 2023-12-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-13 2023-11-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-13 2023-10-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-13 2023-10-04 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-13 2023-10-04 Y
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 2023-09-13 2023-10-04 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-07-06 2023-08-09 Y
Provide training in compliance and ethics. Health 2023-07-06 2023-08-09 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-07-06 2023-08-09 Y
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2023-07-06 2023-08-09 Y
Respond appropriately to all alleged violations. Health 2023-07-06 2023-08-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-07-06 2023-08-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-06 2023-08-09 Y
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Health 2023-07-06 2023-08-08 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-15 2023-07-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-15 2023-07-31 Y

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