Lafayette Pointe Nursing & Rehab CTR

In the surveyor’s words

From the most serious findings on record at Lafayette Pointe Nursing & Rehab CTR, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Jun 18, 2025

  2. Review of the infection control logs dated 04/2025 to 06/2025 revealed that in April 2025 there were five urinary tracts infections (UTI), one left knee infection, one left hand infection, one sacral wound infection, and one other infection. There was no evidence of the type of infection or organism. In May 2025 there was one nose infection, 10 UTI's, one eye infection, one toe infection, and one other infection. There was no evidence of the type of infection or organism. In June 2025 there were six UTI's and one eye infection. There was no evidence of the type of infection or organism. Review of the trending dated 04/2025 to 06/2025 revealed the facility was using maps of the building to trend the infections. The maps only indicated the site of the infection. […]

• No harm, potential for more than minimal, widespreadF727Mar 21, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, interview, and the facility submitted Payroll Based Journal (PBJ) tracking information, the facility failed to ensure a registered nurse (RN) for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 56 residents residing in the facility. Findings include: Review of the third quarter PBJ Staffing Data Report form submitted from 04/01/23 to 06/30/23 revealed the following dates the facility to not meet the RN staffing requirement: 04/01/23 Saturday (SA), 04/09/23 Sunday (SU); 04/15/23 (SA); 04/16/23 (SU); 04/29/23 (SA); 04/30/23 (SU) 05/06/23 (SA); 05/07/23 (SU); 05/20/23 (SA); 05/21/23… […]

• No harm, potential for more than minimal, patternF697Jun 18, 2025

  Based on medical record review, observation, interview, and policy review the facility failed to ensure pain medication was administered as ordered and non-pharmacological interventions were offered prior to the administration of as needed pain medication. This affected four (Resident #2, #12, #16, and #40) of seven residents reviewed for medication use. Findings included: 1. Medical record review revealed Resident #40 was admitted to the facility on [DATE] with diagnoses including chronic pain, breast cancer, lymphedema, migraines, history of venous thrombosis and embolism, chest pain, intervertebral disc degeneration, and lumbosacral region with discogenic back pain. […]

• No harm, potential for more than minimal, patternF684Aug 25, 2021

  Based on observation, record review, review of list of residents with rashes in the past 90 days and current rashes and interview the facility failed to adequately monitor, assess and treat skin alterations (rashes) for eight residents, Resident #14, #15, #37, #39, #40, #43, #51 and #53. This affected eight residents (#14, #15, #37, #39, #40, #43, #51 and #53) of nine residents reviewed for skin alterations (rashes). Findings include: Review of the list of residents with rashes in the past 90 days revealed the list contained eight current residents (#12, #14, #15, #37, #39, #41, #43, and #53) and one resident who had expired on [DATE]. Resident #15, #37, #43, and #53 were marked as currently being treated for [MEDICAL RECORD OR PHYSICIAN ORDER] Interview on [DATE] at 1:00 P.M. […]

• No harm, potential for more than minimal, isolatedF880Nov 19, 2025

  Based on observation, record review, interview and facility policy review the facility failed to maintain enhanced barrier precautions (EBP) during wound care for a resident with a pressure injury. This deficient practice affected one resident (Resident #35) out of three residents reviewed for infection control. The facility census was 58.Findings Include:Review of Resident #35's medical record revealed an admission date of 04/21/23 with diagnoses including but not limited to type two diabetes, Peripheral Vascular Disease (PVD), edema, and depression.Review of Resident #35's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #35 had intact cognition, had an unhealed stage three pressure injury and surgical wounds were present.Review of Resident #35's physician… […]