Lafayette Manor

In the surveyor’s words

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

• Actual harm, isolatedF689Mar 25, 2026

  Based on observation, interview, and record review, the facility did not ensure adequate supervision and safety to prevent accidents from occurring for 3 of 3 residents (R8, R42, and R44) reviewed for falls. R8 had a history of falls including one that resulted in a rib fracture. The facility did not complete a fall investigation, a thorough root cause analysis, or ensure that care planned interventions were appropriate and in place for R8.R42 had a fall that was not thoroughly investigated for a root cause and an intervention was not put in place to prevent further falls. […]

• Actual harm, isolatedF600Dec 12, 2024

  Based on interview and record review, the facility did not ensure that residents were free from abuse, perpertrated by a Certified Nusing Assistant (CNA) for 1 of 17 sampled residents (R40). R40 had voiced to a CNA to stop during cares as the CNA was hurting him. The CNA continued providing care despite the residents request and voicing discomfort. Addtionally, staff who overheard the interaction did not intervene to protect R40. Evidenced by: The facility policy entitled, Abuse, Neglect and Exploitation, dated [DATE], states, in part: . […]

• Actual harm, isolatedF686Dec 12, 2024

  Based on observation, interview, and record review, the facility did not ensure that a resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 3 residents reviewed for pressure injuries (R8). R8 developed a pressure injury, and the facility did not transcribe orders, did not ensure orders were being carried out, and did not put interventions in place to help improve and heal R8's pressure injury. Findings include. […]

• Actual harm, isolatedF689Jan 18, 2024

  Based on observation, interview, and record review, the facility did not ensure adequate supervision or fall interventions were in place for residents who required increased supervision to prevent accidents/hazards from occurring for 2 of 3 sampled residents (R3 and R1). R3 was to have an alarm on for a fall intervention according to her Plan of Care. R3 had a fall on 1/15/24 resulting in a right hip fracture. The facility did not have an alarm placed on R3 at the time of the fall. Evidenced by: The facility policy, entitled Fall Policy and Procedure, undated, states, in part: Policy: Staff shall assess for risk, provide preventative measures, and address falls in a safe and professional manner. Procedure: Fall risk assessment: 1) Upon admission, a fall risk assessment completed. […]

• Actual harm, isolatedF881Nov 9, 2023

  Based on interview and record review, the facility did not monitor antibiotic use for 1 of 2 residents (R2) reviewed for antibiotic use of a total sample of 15 residents. R2 began receiving prophylactic antibiotics for reoccurring Urinary Tract Infections (UTIs) in January of 2022. In August of 2023, R2's prophylactic antibiotic was changed to a different antibiotic without laboratory confirmation of its effectiveness and continued to receive this antibiotic prophylactically. R2 was prescribed an antibiotic to treat a UTI despite a sensitivity report indicating R2 had developed resistance to the antibiotic. […]