Lafayette Rehabilitation & Skilled Nursing

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF550Aug 28, 2024

  Based on observation, policy review and interview the facility failed to provide a dignified dining experience on two out of two units. Findings include: Review of the facility policy titled Dining/Nutrition Guidelines/Protocols, dated as revised 11/2021, failed to indicate that meals are to be provided in a dignified manner. On 8/27/24 at 8:11 A.M., the surveyor observed all meals served in the dining room on the first floor to be left on the trays. On 8/27/24 at 12:15 P.M., the surveyor observed all meals served in the dining room on the first floor to be left on the trays. On 8/27/24 at 8:15 A.M., the surveyor observed all meals served in the dining room on the second floor to be left on the trays. […]

• No harm, potential for more than minimal, patternF727Aug 28, 2024

  Based on the facility's PBJ (Payroll-Based Journal) report, licensed nurse staff schedules, punch cards and interviews, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week when no staffing waivers were in place for nine days for the period of January 1, 2024 to March 31, 2024. Findings include: Review of the PBJ Staffing Data Report, dated Quarter 2 2024 (January 1-March 31), indicated the following: - One star staff rating - Triggered. Review of the facility's payroll-based journal titled Preliminary PBJ Report Quarter 1 2024 (Fiscal Quarter 2) indicated the following: - Please note that if we have any three days without RN coverage, then we automatically receive a one-star rating. […]

• No harm, potential for more than minimal, patternF656Jul 21, 2022

  Based on observation, record review and interview, the facility failed to implement the comprehensive care plans for four sampled Residents, (#7, #6, #19, #37, ) out of a total of 15 sampled residents. Findings include: 1. For Resident #7, the facility failed to provide continuous supervision per his/her care plans resulting in a Resident to Resident altercation. Resident #7 was admitted to the facility in 7/5/21 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of Resident #7's most recent Minimum Data Set assessment dated [DATE] indicated he/she requires assistance with all activities of daily living and he/she was unable to complete the Brief Interview for Mental Status Exam, indicating significant cognitive impairment. […]

• No harm, potential for more than minimal, patternF812Jul 21, 2022

  Based on observation, record review, and interview, the facility failed to adhere to practices to prevent cross contamination and prevent foodborne illness in the kitchen and on one of two resident care units. specifically, two dietary staff failed to perform hand hygiene. Findings include: Review of the Facility's policy, titled Proper hand washing and glove wearing guidelines for kitchen staff, dated as revised 8/17/16 indicated at 1) Hands must be washed before and after glove use. Glove wearing guidelines, at 2) Change gloves and wash hands before beginning a different task., 3) After interruption (phone call, dirty dishes, touching contaminated services, after handling meats, after handling any food items. […]

• No harm, potential for more than minimal, patternF880Jul 21, 2022

  Based on observation, record review and interview the facility failed to adhere to infection control practices to prevent the transmission of infections, including Covid 19 on two of two Resident care units. Specifically, staff failed to wear appropriate PPE (Personal Protective Equipment) in a room with COVID positive Residents and perform hand hygiene appropriately. Findings include: Review of facility policy titled, Protocol for Hand Hygiene, dated 9/17, indicated: - Examples of situations when hand hygiene is indicated: - Before and after direct patient/resident contact - After completing tasks at one patient/resident area before moving to another station - Before procedures - Before and after dressing changes - After contact with items/surfaces at patient/resident areas - After… […]