Lafon Nursing Facility Of The Holy Family

In the surveyor’s words

From the most serious findings on record at Lafon Nursing Facility Of The Holy Family, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 31, 2024

  Based on observation, interviews, and record review, the facility failed to keep a resident's environment free of accidents/hazards by failing to ensure the facility's staff used mechanical lift slings that were in good condition for 2 (Resident #3 and Resident #R4) of 4 (Resident #1, Resident #2, Resident #3, Resident #R4) residents investigated for mechanical lift transfers. This deficient practice resulted in an Immediate Jeopardy situation on 04/12/2024 at 4:10 p.m. for Resident #3, when S6Certified Nursing Assistant (CNA) and S10CNA transferred Resident #3 using a mechanical lift, the mechanical lift sling's strap broke, and Resident #3, hit her head when she fell to the floor and had to be sent to the emergency room (ER). […]

• No harm, potential for more than minimal, widespreadF880Feb 2, 2023

  Based on observations, interviews, and record review the facility failed to maintain an infection prevention and control program to prevent the development and transmission of communicable disease and infections by failing to ensure: 1. Staff perform hand hygiene and/or wore personal protective equipment (PPE) when handling medications for 1 (Random Resident #1) of 17 residents who received medications on Hall X; 2. Staff properly clean and stored PPE used in 2 (Room b and Room m) of 5 rooms observed on Hall Y that contained Covid-19 positive residents; 3. Staff perform hand hygiene after handling PPE used in Covid-19 positive residents rooms on Hall Y; and 4. […]

• No harm, potential for more than minimal, patternF552Aug 19, 2026

  Based on interview and record reviews, the facility failed to provide informed consents for psychotropic medications to residents and/or their representatives for 4 (Resident #19, Resident #56, Resident #83, Resident #87) of 5 sampled residents reviewed for unnecessary medications. Findings: Review of the facility's undated Informed Consent for Psychotropic Drugs policy revealed, in part, a psychotropic medication was any drug that affected brain activities associated with mental processes and behavior, including but not limited to antipsychotics, antidepressants, anxiolytics, hypnotics, mood stabilizers, anticonvulsants, central nervous system agents, muscle relaxants, anticholinergics, and antihistamines. […]

• No harm, potential for more than minimal, patternF583Apr 23, 2026

  Based on interviews and record reviews, the facility failed to maintain the resident's right to confidentiality of their medical records for 80 (Resident #1, Resident #2, Resident #3, Resident #R4, Resident #R5, Resident #R7, Resident #R8, Resident #R9, Resident #R10, Resident #R11, Resident #R12, Resident #R13, Resident #R14, Resident #R15, Resident #R16, Resident #R17, Resident #R18, Resident #R19, Resident #R20, Resident #R21, Resident #R22, Resident #R23, Resident #R24, Resident #R25, Resident #R26, Resident #R27, Resident #R28, Resident #R29, Resident #R30, Resident #R31, Resident #R32, Resident #R33, Resident #R34, Resident #R35, Resident #R36, Resident #R37, Resident #R38, Resident #R39, Resident #R40, Resident #R41, Resident #R42, Resident #R43. […]

• No harm, potential for more than minimal, patternF627May 21, 2025

  Based on interviews and record reviews, the facility failed to: 1. Ensure a referral to home health was completed prior to a resident's discharge as ordered (Resident #1); and, 2. Clarify a resident's discharge order to ensure a resident had all the necessary supplies and equipment for Percutaneous Endoscopic Gastrostomy (PEG) tube (a feeding tube inserted directly into the stomach through a small incision in the abdomen) feeding before the resident was discharge home (Resident #1). This deficient practice was identified for 1 (Resident #1) of 3 (Resident #1, Resident #2, Resident #3) sampled residents investigated for discharge requirements. […]