Lafayette Nursing and Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF812Jul 13, 2023

  Based on observation, interview, and record review, the facility failed to ensure foods were stored in a sanitary manner in the kitchen and in 1 of 2 nourishment rooms, Nourishment room [ROOM NUMBER] (100 Hall). Findings include: During an observation on 7/10/2023 at 9:20 AM, there were an unlabeled unidentifiable food item in a plastic bag and an undated pizza crust, lying open on the second shelf of the walk-in freezer. During an interview on 7/10/2023 at 9:20 AM, the Certified Dietary Manager (CDM) acknowledged there was no label or date on the plastic bag and/or the frozen pizza crust. During an observation on 7/10/2023 at 9:30 AM, there was 1/2 case of single serve bowls of cheerios with an expiration date of February 2023 on the bottom shelf of the storage room. […]

• No harm, potential for more than minimal, patternF761Feb 24, 2022

  Based on observation, interview, and record review the facility failed to ensure that all drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional standards, included expirations dates when applicable and ensured that no expired medication were available for use in 2 out of 3 medication carts observed. Findings: An observation on [DATE] at 9:48 AM of Hallway 100's medication cart revealed the following: [MEDICATION(S)] 1% 20 ML (Milliliter) multi dose vial showed no documentation of the date opened, [MEDICATION(S)] R Insulin opened on [DATE] and expired on [DATE], [MEDICATION(S)] Flex Pen showed no documentation of the date opened, another [MEDICATION(S)] 1% 20 ML multi dose vial showed documentation that it was opened [DATE],… […]

• No harm, potential for more than minimal, isolatedF640Apr 9, 2026

  Based on interview and record review the facility failed to encode and transmit the resident discharge assessment for 1 (Resident #1) of 6 residents reviewed for minimum data set [MDS] completion. Findings include:Review of Resident #1's physicians order dated 3/19/2026 read, [Resident #1's name] will discharge to [Facility's Name] in [Town's and State Name] on 3/19/26.Review of Resident #1's Discharge summary dated [DATE] read, Transferring to [Name of Facility]. Mode of Transportation: Transportation provided by facility. Date: 3/19/2026. Time: 11:00.Review of Resident #1's progress note dated 3/20/2026 read, [Resident #1's name] discharged to [Name of Facility] 3/19/2026 in [Town's and State's Name]. […]

• No harm, potential for more than minimal, isolatedF641Apr 9, 2026

  Based on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) accurately reflected the resident's active diagnoses for 1 (Resident #20) of 6 residents reviewed for weight and nutrition, by failing to code a thyroid disorder in Section I, resulting in inaccurate clinical data used for care planning, quality measures, and reimbursement. Findings include:Review of Resident #20's active medical diagnosis include thyrotoxicosis, also known as hyperthyroidism.Review of Resident #20's physician's order dated 1/25/2025 read, Methimazole tablet 10 milligrams (MG), give one tablet by mouth one time a day for hyperthyroidism.Review of Resident #20's Annual MDS dated [DATE] section I, subsection I3400 Thyroid disorder was coded as No.During an interview on 4/8/2026 at… […]

• No harm, potential for more than minimal, isolatedF692Apr 9, 2026

  Based on observation, interview and record review, the facility failed to provide care and services to ensure acceptable parameters of nutritional status for 2 (Resident #31 and Resident #61) of 6 residents reviewed for nutritional concerns.Findings include: 1.) Review of Resident #61's clinical record under Vital Signs documented the following weights: 4/1/2026: 122.3 lbs (pounds); 3/25/2026: 122.7 lbs; 3/22/2026: 124.9 lbs; 3/11/2026: 127.3 lbs; 3/8/2026: 133.9 lbs; 3/7/2026: 134.3 lbs; 3/6/2026: 133.2 lbs; 3/5/2026: 133.9 lbs. On 3/05/2026, Resident #61 weighed 133.9 lbs and on 4/01/2026, Resident #61 weighed 122.3 lbs which calculated to a -8.66% Loss. […]