Lafayette Center

In the surveyor’s words

From the most serious findings on record at Lafayette Center, in the surveyor’s own words.

• Actual harm, isolatedF686May 27, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to provide care consistent with professional standards of practice to promote healing for 1 of 3 residents reviewed for pressure ulcers in a final sample of 16 residents. The lack of treatment orders over a six day period resulted in a small open area that worsened into an Unstageable pressure area. (Resident identifiers is #158). Findings include: Review on 5/23/25 of Resident #158's admission Minimum Data Set with an Assessment Reference Date of 3/3/25 revealed that Resident #158 admitted to the facility on 2/2025 and under Section M - Skin Conditions was coded in item M0210 Unhealed Pressure Ulcers/Injuries as No (indicating that the Resident had no pressure ulcers during the 7 look-back… […]

• No harm, potential for more than minimal, widespreadF880Jun 24, 2026

  Based on observation, interview, and record review, the facility failed to follow Centers for Disease Control and Prevention (CDC) guidelines for laundry services, failed to update their water management program to include information identified during a recent water infection control risk assessment, and failed to identify other potential risk areas in an effort to minimize the risk of Legionella that had the potential to effect the facility census of 58 residents.Findings include:Review on 6/24/26 of the CDC website titled Healthcare-Associated Infections (HAIs) Appendix D-Linen and Laundry management, retrieved from : https://www.cdc.gov/hai/prevent/resource-limited/laundry.html, revised on 3/27/20, revealed, .Best practice for linen (and Laundry) handling: .Always launder soiled linens… […]

• No harm, potential for more than minimal, widespreadF880May 27, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to implement policies and procedures for 2 of 2 residents observed for wound care and failed to develop a water management program to minimize the risk of Legionella that had the potential to effect the facility census of 56 residents who resided at the facility. (Resident Identifiers are #32 and #158). Findings include: Resident #32 Observation on 5/23/25 at approximately 12:00 p.m. with Staff G (Infection Preventionist/ Wound Care Nurse) and Staff D (Advanced Practice Registered Nurse) performing wound care for Resident #32 revealed the following: Staff G gathered their supplies outside of the room and placed them on a clip board without cleaning the clipboard or placing a clean field barrier. […]

• No harm, potential for more than minimal, patternF881Jun 24, 2026

  Based on interview and record review, the facility failed to implement their system for monitoring antibiotic use for 5 of 7 resident reviewed for antibiotic stewardship. (Resident identifiers are #6, #7, #35, #45 and #60.)Findings include:Review on 6/24/26 of the facility policy titled Antibiotic Stewardship Program, revised on 6/2025, revealed .iii. The facility uses .updated McGeer criteria.to define infections.Nursing will monitor the initiation of antibiotics on residents and conduct an antibiotic time out within 48-72 [hours] of antibiotic therapy to monitor the response to the antibiotic and review laboratory results and will consult with the practitioner to determine if the antibiotic is to continue or if adjustments need to be made based on the findings.Review on 6/24/26 of LOEB… […]

• No harm, potential for more than minimal, patternF656Mar 20, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to develop and implement a comprehensive care plan for 5 of 21 residents reviewed for care plans (Resident Identifiers are #24, #27, #31, #47 and #49). Findings include: Resident #49 Interview on 3/15/23 at 11:48 a.m. with Resident #49 revealed that Resident #49 does have pain and takes pain medication as needed. Review on 3/17/23 of Resident #49 March Medication Administration Record revealed that Resident #49 received Acetaminophen 650 milligrams (mg) for pain on 3/2/23, 3/13/23, 3/14/23 and 3/17/23. Further review revealed that Acetaminophen with Codeine 300-30mg was administered on 3/3/23, 3/4/23, 3/5/23, 3/9/23 and 3/16/23. […]