Lafayette Manor, Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Sep 6, 2024

  Based on a review of facility policies, observations and staff interviews it was determined that the facility failed to verify the washing temperature of the dish machine in the main kitchen, which created the potential for foodborne illness. Findings include: Review of the facility policy Automated Ware Washing Policy, dated 1/2/24, with a previous review date of 8/17/23, indicated that the dish machine will be checked prior to meals to assure proper functioning and appropriate temperatures for cleaning and sanitation. […]

• No harm, potential for more than minimal, widespreadF880Sep 6, 2024

  Based on review of facility policy, observations and staff interviews, it was determined that the facility failed to maintain infection control practices to prevent the potential for cross contamination during a dressing change. Findings include: Review of the facility policy Dry/Clean Dressings dated 1/4/24, indicated to clean the bedside stand before and after dressing change. Tape a biohazard bag or plastic bag on the bedside stand or use the waste basket below clean field. Pull glove over old dressing and discard into plastic or biohazard bag. Cleanse the wound with ordered cleanser. Clean for the least contaminated area to the most contaminated area (usually from center outward). […]

• No harm, potential for more than minimal, patternF755Sep 10, 2026

  Based on review of facility policy and clinical records and staff interviews it was determined that the facility failed to make certain controlled substances were accounted for accurately for five of nine residents (Resident R10, R11, R39, R49, and R91).Findings include: The facility policy Controlled Substances last reviewed 2/19/26, indicated The facility shall comply with all laws, regulations, and other requirements related to handling, storage, disposal, and documentation of Schedule II (medicines or substances that have a high potential for abuse) and other controlled substances. […]

• No harm, potential for more than minimal, patternF558Sep 26, 2025

  Based on review of facility policy, resident group meeting, clinical record review, observation, and staff interview, it was determined that the facility failed to accommodate the call bell needs for one of five residents (Residents R).Findings include:Review of facility policy Call Bell/Call Light dated 1/29/25, indicated to ensure resident has a means to summon assistance. To respond to a resident's call for assistance in a timely manner.During the resident group meeting held on 9/25/25, at 1:00 p.m., the resident consensus stated that the facility staff do not respond to call bells timely, they often have to wait, or staff turn off the call bell and say they'll come back and it's often and hour or longer before they return.Review of the clinical record indicated that Resident R1 was… […]

• No harm, potential for more than minimal, patternF584Sep 26, 2025

  Based on observations, facility policy and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment on one of two nursing units (first floor nursing unit).Findings included:Review of the facility policy Homelike Environment dated 1/29/25, indicated residents are provided with a safe, clean, comfortable and homelike environment.During an observation on 9/23/25 at 9:44 a.m., the left shower room had a broken wall and floor border tiles and the shower room on the right had uneven flooring and broken wall tiles.During an observation on 9/25/25, from 9:30 a.m., through 9:40 a.m., the following was observed:Hall of the 100-room numbers had flooring uneven and liftingResident R69's room had broken loose floor tiles under sink. […]