Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Rosewalk Village At Lafayette during CMS and state inspections, most recent first.
A resident with multiple chronic conditions, including type 2 DM with neuropathy and chronic bilateral knee pain, was found with a medicine cup containing a pill left on the bedside table. Staff, including the DON and ADON, confirmed there was no MD order, assessment, or care plan authorizing self-administration, and facility policy required staff to observe medication consumption and obtain an order for any self-administered meds. Multiple RNs stated that meds should not be left at bedside without such an order, indicating that the unattended pill at the bedside occurred in violation of facility policy and physician orders.
A resident with dementia, hypotension, and risk for fluid imbalance had a physician’s order for daily midodrine 5 mg with instructions to hold the dose if systolic blood pressure (SBP) exceeded 130. Review of the MAR showed the medication was administered multiple times when SBP readings were above the ordered hold parameter, and there was no indication the doses were held. An LPN and the DON stated that medications with hold parameters should not be given when vital signs are outside those parameters, and that held doses should be documented on the MAR, while the ADON noted there was no specific policy on medication parameters beyond a general medication administration policy requiring appropriate measures such as obtaining vital signs.
Surveyors found that employee food and drinks were improperly stored in the kitchen, expired food was present, and cardboard boxes were stored on the floor in both the walk-in freezer and food preparation areas. Interviews with the ED and DM confirmed these practices were not allowed and did not comply with facility policy, which requires food to be stored above the floor and in a manner that prevents contamination.
The facility did not hold timely care plan meetings with residents and their representatives as required, resulting in missed quarterly reviews for several residents with complex medical and psychiatric conditions. In each case, care plan meetings were not conducted in alignment with MDS assessment schedules, and staff confirmed the omissions.
A resident was prescribed new psychotropic medications and received new mental health diagnoses, but the facility did not complete an updated PASARR Level I assessment as required by policy. Interviews with the Executive Director and Social Service Director confirmed the oversight, despite facility policies mandating PASARR updates with significant changes in mental or physical status.
A dependent resident with severe cognitive impairment and incontinence was not provided timely incontinence care, resulting in the resident being observed in the dining room with a strong odor of urine and feces, soiled clothing, and bowel movement on his hand. Staff interviews confirmed that care was not provided according to the required two-hour schedule, and a family member reported repeated instances of the resident having dried feces on his hands during meals.
A resident with diabetes and chronic kidney disease received insulin doses despite blood glucose readings below the physician-ordered hold parameter. Nursing staff confirmed that insulin should have been withheld in these cases, but the facility lacked a specific policy on following such hold parameters at the time.
A resident with type 2 diabetes mellitus did not receive proper insulin management as per physician's orders. Insulin was administered despite blood sugar levels being below the specified threshold, and the hypoglycemic protocol was not followed when blood sugar levels dropped below 60 mg/dL. The facility failed to notify the physician promptly, contrary to their policies.
A resident with multiple health conditions experienced significant weight loss, but the facility failed to notify the physician in a timely manner. Despite a care plan directive, the physician was informed 10 days after a 13% weight loss was noted. The facility's policy requires prompt notification of significant weight changes, which was not followed.
A facility failed to properly label OTC medications on a medication cart, affecting two residents. The medications, including aspirin and turmeric, lacked labels, instructions, and physician names, despite existing physician orders. The DON and facility pharmacist were initially unable to confirm labeling regulations, but later clarified requirements for proper identification.
Medication Left at Bedside Without Self-Administration Order
Penalty
Summary
Surveyors observed that a clear plastic medicine cup containing a white oblong pill was left on a resident's bedside table, and the DON later removed it, stating it should not have been left there. The resident's clinical record showed diagnoses including type 2 diabetes mellitus with diabetic neuropathy, chronic pain, bilateral knee pain, abnormal posture, and muscle weakness. The record contained a physician's order for hydrocodone-acetaminophen 7.5/325 mg every four hours and a pain management care plan directing staff to administer medications as ordered. However, there was no physician's order, self-medication administration assessment, or care plan authorizing the resident to self-administer medications. Multiple staff interviews confirmed that medications were not to be left at the bedside unless there was an order for self-administration and that staff were required to observe residents consuming all medications before leaving the room. The ADON, DON, and several RNs each stated that the resident did not have an order to self-administer medications and that the pill cup should not have been left in the room. Facility policies on General Dose Preparation and Medication Administration required staff to observe residents' consumption of medications, and the Self-Administration of Medications policy required a physician order specifying a resident's ability to self-administer medications. The presence of the unattended pill at the bedside without the required order or assessment constituted the deficiency.
Failure to Follow Blood Pressure Hold Parameters for Midodrine
Penalty
Summary
The deficiency involves the facility’s failure to follow a physician’s order for holding a blood pressure medication according to specified parameters for one resident. The resident had multiple diagnoses, including Alzheimer’s disease, vascular dementia with psychotic disturbance, psychotic disorder with delusions, adjustment disorder with anxiety, muscle weakness, and hypotension, and was care planned as being at risk for fluid imbalance due to blood pressure issues, with an intervention to administer medications as ordered. A physician’s order directed that 5 mg of midodrine be given every morning and held if the systolic blood pressure (SBP) was greater than 130. Review of the Medication Administration Records over several months showed that midodrine was administered despite SBP readings above the ordered hold parameter on multiple occasions: SBP 155 and 135 in December, SBP 138 and 137 in January, and SBP 153 in February. Interviews with an LPN and the DON confirmed that medications with hold parameters should be withheld when vital signs fall outside those parameters, and that held medications should be documented with initials in parentheses on the MAR. The ADON reported there was no specific facility policy addressing medication parameters, while the general medication administration policy required staff to take necessary measures, including obtaining vital signs, prior to administration.
Deficient Food Storage and Handling Practices in Kitchen
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's kitchen related to food storage and handling. Employee lunches were found stored in brown plastic grocery sacks inside the reach-in refrigerator, and two half-empty clear plastic water bottles were stored on a shelf in the food preparation area. Additionally, a large clear container of diced ham with a use-by date that had passed was found in the food preparation refrigerator. Cardboard boxes, including one containing a bag of frozen blueberries and others stacked on top, were stored directly on the floor of the walk-in freezer, and four empty cardboard boxes were found on the floor under the food preparation sink. Interviews with the Executive Director and Dietary Manager confirmed that employees were not permitted to store personal food or drinks in the kitchen, and that food and cardboard boxes should not be stored on the floor. The facility's policy on food storage requires that food be stored at least six inches above the floor and in a manner that prevents contamination, with all items clearly labeled and dated. These observed practices were not in compliance with the facility's stated policies and professional standards for food safety.
Failure to Conduct Timely Care Plan Meetings with Residents and Representatives
Penalty
Summary
The facility failed to ensure that care plan meetings were held with residents and their representatives in a timely manner for four residents. For one resident with multiple diagnoses including Parkinson's disease, dementia, and diabetes, there was no care plan meeting held during the second quarter between two documented meetings. Another resident with chronic conditions such as COPD, diabetes, and end stage renal disease did not have a care plan meeting for the fourth quarter between two documented meetings. In both cases, facility staff confirmed that the required meetings were not conducted during the specified periods. Additionally, a resident with Alzheimer's disease and other psychiatric and medical conditions did not have a care plan meeting during the second quarter, despite an MDS assessment being completed. The family was invited to a meeting but did not attend, and the facility did not reschedule or conduct the meeting. Another resident with respiratory failure, dementia, and other chronic illnesses did not have a care plan review meeting during the third quarter, even though an MDS assessment was completed. Facility policy required care plan reviews and revisions by the interdisciplinary team following each MDS assessment, but this was not followed for these residents.
Failure to Update PASARR After New Psychotropic Medications and Mental Health Diagnoses
Penalty
Summary
The facility failed to ensure that a preadmission screening and resident review (PASARR) was updated when a resident was prescribed new psychotropic medications and received new mental health diagnoses. The resident's clinical record showed diagnoses of anxiety disorder and depressive disorder. The initial PASARR, completed prior to these changes, indicated no mental health diagnoses or medications. Subsequently, the resident was prescribed sertraline, an antidepressant, and clonazepam, an antianxiety medication, but no new PASARR Level I was completed after these changes. Interviews with the Executive Director and Social Service Director confirmed that a new PASARR Level I assessment was not conducted when the resident's mental health status and medication regimen changed. Facility policy requires PASARR assessments to be updated with significant changes in mental or physical status, and the policy on psychotropic management emphasizes the importance of assessment and person-centered intervention when such medications are prescribed. The failure to update the PASARR assessment was contrary to these policies.
Failure to Provide Timely Incontinence and Hygiene Care
Penalty
Summary
A dependent resident with severe cognitive impairment and multiple psychiatric diagnoses was not provided timely incontinence care. During an observation, the resident was found in the dining room sitting in a wheelchair, leaning to one side, with a strong odor of urine and bowel movement. The resident's sweatpants were partially pulled down, and there was visible bowel movement on his right hand. Staff confirmed that the resident had last been checked and changed at 10:00 a.m., despite facility policy and care plans requiring checks and changes every two hours. At the time of observation, it had been over three hours since the last care was provided. Interviews with staff and a family member revealed that the resident was frequently found with dried bowel movement on his hands during mealtimes, and staff did not consistently clean his hands before meals. The resident's care plans indicated a need for assistance with all activities of daily living, including toileting and hygiene, and required staff to check and change the resident every two hours. Facility policy and CNA job descriptions also outlined the expectation for prompt and regular incontinence care, which was not followed in this instance.
Failure to Hold Insulin Doses per Physician Order
Penalty
Summary
The facility failed to ensure that insulin doses were withheld when blood glucose readings were below the physician-ordered hold parameter for a resident with type 2 diabetes mellitus, diabetic nephropathy, and chronic kidney disease. The physician's order specified that 35 units of Fiasp FlexTouch U-100 Insulin should be administered three times daily, but included instructions to hold the dose if the blood sugar was below 130. Despite this, the Medication Administration Records showed that insulin was administered multiple times when the resident's blood sugar was below the specified threshold. Interviews with nursing staff confirmed that insulin should have been held according to the order, and the facility did not have a specific policy regarding insulin administration or adherence to physician-ordered hold parameters at the time of the incidents. The facility's general medication administration policy referenced the 'right dose' but did not address the specific issue of holding medications based on blood sugar readings.
Failure to Follow Insulin and Hypoglycemic Protocols
Penalty
Summary
The facility failed to adhere to physician's orders regarding insulin administration and hypoglycemic protocol for a resident with type 2 diabetes mellitus. The resident had specific orders to hold insulin if blood sugar levels were below 110 mg/dL. However, insulin was administered on multiple occasions when the resident's blood sugar was below this threshold, including readings of 109 mg/dL, 83 mg/dL, and 95 mg/dL. The Assistant Director of Nursing indicated that nurses should be aware of when to hold medication by checking the Medication Administration Record, but this was not followed. Additionally, the facility did not follow the hypoglycemic protocol or notify the physician in a timely manner when the resident's blood sugar fell below 60 mg/dL. On two occasions, the resident's blood sugar was recorded at 56 mg/dL and 58 mg/dL, but there was no immediate recheck or notification to the physician as required. The Director of Nursing stated that the protocol was to administer juice and recheck the blood sugar in 15 minutes, which was not done. The facility's policies required prompt documentation and communication of such conditions to the attending physician, which was not adhered to in this case.
Failure to Timely Notify Physician of Significant Weight Loss
Penalty
Summary
The facility failed to notify the physician about a significant weight loss in a timely manner for a resident with multiple health conditions, including end-stage renal disease, chronic heart failure, and a below-the-knee amputation. The resident's care plan required notifying the medical doctor or family of significant weight changes. The resident experienced a 9% weight loss over 36 days, which was attributed to the amputation, and the physician was notified. However, a subsequent weight loss of 13% from August to October was not communicated to the physician until 10 days after the significant change was noted. The resident's weight log showed fluctuations and refusals to be weighed, with a notable drop from 198 pounds in August to 171 pounds in October. Despite the care plan's directive, the physician was not informed of the significant weight loss until late October, as confirmed by the Director of Nursing. The facility's policy on resident weight monitoring, last reviewed in July, mandates notifying the physician of unplanned significant weight changes, which was not adhered to in this case.
Improper Labeling of OTC Medications
Penalty
Summary
The facility failed to ensure that over-the-counter (OTC) medications were properly labeled with directions for use and the physician's name on one of the medication carts reviewed. During an observation of medication storage, several bottles of OTC medications, including aspirin and turmeric capsules for two residents, were found without proper labeling. The bottles were either unopened or opened, with the residents' names handwritten on them, but lacked labels, instructions for use, and the physician's name. The clinical records for the residents involved indicated that there were physician's orders for the medications found on the cart. However, the facility's Director of Nursing (DON) and the facility pharmacist were unable to confirm the specific regulations for labeling OTC medications in a long-term care setting. An email from the facility pharmacist later confirmed that OTC medications should be identified with the resident's name, physician's name, expiration date, drug name, and strength. The facility's policy on medication storage and expiration, revised earlier in the year, also emphasized the need for proper labeling and storage of medications.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Lafayette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Mary Healthcare Center | 0.3 mi | ★★★★★ | 5 | 0 |
| Saint Anthony Rehab And Nursing Center | 0.4 mi | ★★★★★ | 5 | 0 |
| Springs At Lafayette, The | 0.6 mi | ★★★★★ | 9 | 0 |
| Majestic Care Of Lafayette | 2.4 mi | ★★★★★ | 16 | 0 |
| Creasy Springs Health Campus | 3 mi | ★★★★★ | 13 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.