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Deficiency Records for Lafayette Manor, Inc
A list of the most recent deficiencies for Lafayette Manor, Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Lafayette Manor, Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-06 | 2024-10-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-06 | 2024-10-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-09-06 | 2024-10-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-09-06 | 2024-10-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-06 | 2024-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-06 | 2024-10-21 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-06 | 2024-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-06 | 2024-10-21 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-09-06 | 2024-10-21 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-09-06 | 2024-10-21 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-09-06 | 2024-10-21 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-09-06 | 2024-10-21 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-09-06 | 2024-10-21 | N |
| Provide training in compliance and ethics. | Health | 2024-09-06 | 2024-10-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-09-06 | 2024-10-21 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2024-09-06 | 2024-10-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-09 | 2024-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-09 | 2024-10-11 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-09-06 | 2024-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-24 | 2024-07-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-24 | 2024-07-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-24 | 2024-07-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-24 | 2024-05-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-06 | 2023-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-06 | 2023-11-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-10-06 | 2023-11-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-06 | 2023-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-06 | 2023-11-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-10-03 | 2023-11-17 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-22 | 2022-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-22 | 2022-12-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-22 | 2022-12-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-22 | 2022-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-26 | 2022-11-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-26 | 2022-11-14 | N |
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