Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Springs At Lafayette, The during CMS and state inspections, most recent first.
Failure to notify the physician of significant weight gains for a resident with edema and CHF. The resident had repeated daily weight increases that met the cardiology notification threshold, but the record showed no documentation that the cardiologist was notified. An LPN stated staff were to call the physician for a gain of more than 3 pounds in one day, and the DON said the facility did not have a policy for physician notification.
A resident with CKD, CVA, gastrostomy, COPD, HTN, CHF, and bipolar disorder was sent to the hospital after minimal improvement with IV fluids and the son requested transfer. The EHR had no documentation that the bed hold policy was provided to the resident or representative at the time of transfer, and the Clinical Support nurse acknowledged the missing documentation. Facility policy required written bed-hold information to be given to the resident and/or representative.
The facility failed to ensure accurate PASARR screenings for two residents. One resident had major depressive disorder and was receiving Depakote for increased moods due to paranoia, but the PASARR did not include the diagnosis or medication. Another resident had depression, anxiety, and ADHD, and was ordered alprazolam for anxiety and sertraline for depression, but the PASARR did not include any mental health diagnoses or medications. The SSD stated in both cases that another screening should have been implemented.
Failure to Follow Ordered Fluid Restriction: A resident with edema, CHF, AFib, vascular dementia, and DM had a physician-ordered 1500 mL daily fluid restriction, but the MAR showed repeated days when intake exceeded the ordered amount. Surveyors observed ongoing bilateral lower-extremity edema, and the resident's family member reported concern that staff were not taking the fluid restriction and daily weights seriously. An LPN stated she gave the resident more water than ordered during medication passes.
A resident with Parkinson's, Alzheimer's, and dementia fell during a transfer, hitting her head. The facility failed to notify the resident's representative until several days later, contrary to their policy requiring immediate notification of such incidents.
A cognitively impaired resident with a history of exit-seeking behaviors was found outside the facility unattended, despite wearing a roam alert band. The alarm did not sound when the resident exited, indicating a failure in the monitoring system. The resident was discovered by a QMA near a dumpster, highlighting lapses in supervision and safety device functionality.
The facility failed to secure medications for two residents who self-administer. One resident had Flonase nasal spray unsecured on her over-the-bed table, and another had multiple eye drop medications in her walker basket. The facility's policy requires medications to be stored securely, but this was not adhered to, resulting in unsecured medications.
A cognitively impaired resident with PTSD was verbally and mentally abused by two staff members, who used derogatory language and raised voices during care. The abuse was witnessed by other staff, leading to the termination of the involved staff members. The resident, who had severe cognitive impairment, expressed emotional distress but felt safer after the staff members were removed.
Failure to Notify Physician of Significant Weight Gains
Penalty
Summary
The facility failed to ensure the physician was notified of ordered weight gains for Resident 9, who had diagnoses including edema, hemiplegia and hemiparesis following a cerebral infarction, atrial fibrillation, bipolar disorder, heart failure, vascular dementia, Alzheimer's disorder, and diabetes mellitus. The resident's care plan, dated 6/30/25, noted significant weight gain related to edema and congestive heart failure and included obtaining weights as ordered. A physician's order, dated 8/20/25, directed staff to weigh the resident daily and notify the cardiologist if the weight increased by more than 3 pounds in 24 hours or more than 5 pounds in 1 week. The record showed multiple weight gains that met the notification threshold without documentation that the cardiologist was notified. On 6/26/25 the resident weighed 304.0 pounds and on 6/27/25 weighed 307.2 pounds, a 3.2-pound gain in 24 hours. On 7/6/25 the resident weighed 300.0 pounds and on 7/7/25 weighed 304.2 pounds, a 4.2-pound gain in 24 hours. On 9/23/25 the resident weighed 291.8 pounds and on 9/24/25 weighed 295.2 pounds, a 3.4-pound gain in 24 hours. During interview, an LPN stated staff were to follow physician orders and call the physician for a weight gain of more than 3 pounds in one day, and the DON stated the facility did not have a policy related to notifying the physician.
Missing Bed Hold Policy Documentation at Transfer
Penalty
Summary
The facility failed to ensure there was documentation that a bed hold policy was provided to the resident or the resident's representative when Resident 3 was transferred to the hospital. Resident 3's clinical record showed diagnoses including chronic kidney disease, cerebral infarction, gastrostomy, COPD, hypertension, CHF, and bipolar disorder. A nursing progress note dated 9/8/25 stated the resident had received 1000 ml of IV fluids with minimal improvement, and the resident's son wanted the resident sent to the hospital. Review of the EHR found no documentation that a bed hold policy was given to the resident or the resident's representative at the time of transfer. During interview, the Clinical Support nurse stated she was aware the bed hold policy needed to be given when a resident was transferred and acknowledged there was no documentation that it had been given to the resident's representative when Resident 3 was sent to the hospital. The facility's Transfer and Discharge policy stated written information regarding the bed-hold policy would be provided to the resident and/or representative, and the Bed Hold Policy stated residents should be informed in advance of the option to make bed-hold payments and the facility's charge to hold a bed.
Inaccurate PASARR screenings for residents with mental health diagnoses and related medications
Penalty
Summary
The facility failed to ensure an accurate Preadmission Screening and Resident Review (PASARR) was completed for 2 of 3 residents reviewed. Resident 2 had diagnoses including major depressive disorder, congestive heart failure, and cardiac arrhythmia. A PASARR level I dated 2/27/19 did not include the major depressive disorder diagnosis or a mood stabilizing medication. A physician’s order dated 11/11/24 directed Depakote 125 mg twice daily for increased moods due to paranoia. During interview, the Social Services Director stated the resident had a PASARR level I completed without the diagnosis or medication and that another screening should have been implemented. Resident 35 had diagnoses including metabolic encephalopathy, depression, anxiety, and attention-deficit/hyperactivity disorder. A PASARR level I dated 9/8/25 did not include any mental health diagnoses or medications. Physician orders dated 9/10/25 directed alprazolam 0.5 mg as needed once daily for anxiety and sertraline 50 mg daily for depression. During interview, the SSD stated the resident had a PASARR level I completed without the diagnosis or medication and that another screening should have been implemented. The facility policy titled State Required Pre-admission Screening stated PASRR is a federal requirement to help ensure individuals are not inappropriately placed in nursing facilities for long term care.
Failure to Follow Ordered Fluid Restriction
Penalty
Summary
The facility failed to ensure a physician-ordered 1500 mL daily fluid restriction was followed for a resident with edema, hemiplegia and hemiparesis following a cerebral infarction, atrial fibrillation, bipolar disorder, heart failure, vascular dementia, Alzheimer's disorder, and diabetes mellitus. The resident's care plan noted use of a diuretic for congestive heart failure and included interventions to encourage fluids throughout the day if not contraindicated and to observe cardiovascular status and fluid status to determine the effectiveness of diuretic therapy. A physician's order dated 9/11/25 directed staff to encourage a 1500 mL daily fluid restriction, with specific amounts allotted across meals and shifts. The MAR showed the resident received more than 1500 mL on multiple days, including 1540 mL, 1620 mL, 1600 mL, and 1680 mL. Survey observations documented bilateral lower-extremity edema on 9/19/25, 9/22/25, and 9/24/25. The resident's family member stated the facility was not taking the fluid restriction and daily weights seriously and reported concern about prior fluid overload and hospitalization in June 2025. An LPN stated she used a 240 mL cup for medication administration, filled it nearly to the top, and gave the resident pills three times during her shift, resulting in more water than ordered.
Failure to Notify Resident's Representative of Fall Incident
Penalty
Summary
The facility failed to notify the resident's representative about a fall incident involving a resident. The resident, who had diagnoses including Parkinson's disease, Alzheimer's disease, dementia, and cognitive communication issues, experienced a fall during a transfer to bed, hitting her head on the dresser. Despite the incident occurring on February 1, 2024, the resident's representative was not informed until February 6, 2024. This delay in notification was confirmed during an interview with the resident's representative, who was unaware of the fall until much later. The clinical records and progress notes reviewed did not show any immediate notification to the resident's representative at the time of the fall. An interdisciplinary team fall note also indicated that the responsible party was not notified at the time of the incident. The facility's policy on Notification of Change in Condition requires that the resident, their physician, and legal representative be informed of any accidents resulting in injury and potential need for physician intervention on the day of the event. However, this protocol was not followed in this case, leading to the deficiency.
Failure to Prevent Elopement of Cognitively Impaired Resident
Penalty
Summary
The facility failed to ensure the safety of a cognitively impaired resident, identified as Resident 27, who was at risk of elopement. The resident had a history of exit-seeking behaviors and was supposed to be monitored with a roam alert band. However, on the evening of 8/4/24, the resident was found outside the building unattended, barefoot, and wearing pajamas. The roam alert band, which was intended to prevent such incidents, did not sound an alarm when the resident exited the building. The resident was discovered by a Qualified Medication Aide (QMA) near a dumpster, approximately 200 feet from the main entrance. Interviews and record reviews revealed that the roam alert system was not functioning as intended, and the code to the alarm was posted by the keypad, potentially compromising its security. The facility's policy for handling elopement risks was not effectively implemented, as evidenced by the resident's unsupervised exit. The incident highlighted a lapse in the facility's supervision and monitoring systems for residents with known elopement risks, as well as a failure to ensure the proper functioning of safety devices designed to prevent such occurrences.
Failure to Secure Self-Administered Medications
Penalty
Summary
The facility failed to ensure that medications were properly secured for residents who self-administer medications. During an observation, it was noted that Resident 23 had Flonase nasal spray on her over-the-bed table while she was asleep. The physician's order allowed the medication to be kept at the bedside, but it was not secured, which is a requirement for self-administered medications. Similarly, Resident 6 had multiple eye drop medications stored in the basket of her walker, which were not secured in a locked container. The physician's orders for these medications also indicated they could be kept at the bedside. The Clinical Support nurse confirmed that medications for self-administration should be secured. The facility's policy requires that medications be stored in a manner that prevents access by other residents, and lockable storage is necessary if unlocked storage is inappropriate. However, this policy was not followed, leading to unsecured medications for these residents.
Verbal and Mental Abuse of Cognitively Impaired Resident
Penalty
Summary
The facility failed to protect a cognitively impaired resident, diagnosed with post-traumatic stress disorder, from verbal and mental abuse. The incident involved two staff members who verbally assaulted the resident during care. The abuse was substantiated through interviews and record reviews, revealing that the staff members used derogatory language and raised their voices at the resident, causing her emotional distress. The resident, who had a Brief Interview for Mental Status (BIMS) score indicating severe cognitive impairment, was able to express her distress and fear during interviews. Multiple staff members witnessed the inappropriate behavior, with one staff member overhearing derogatory remarks made about the resident within her hearing distance. Another staff member reported the incident to a supervisor after witnessing the verbal abuse. The facility's investigation confirmed the abuse, leading to the termination of the involved staff members. The resident expressed relief that the abusive staff members were no longer employed at the facility, indicating she felt safer with the support of other staff members.
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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 |
| Rosewalk Village At Lafayette | 0.6 mi | ★★★★★ | 2 | 0 |
| Saint Anthony Rehab And Nursing Center | 1 mi | ★★★★★ | 5 | 0 |
| Majestic Care Of Lafayette | 2.2 mi | ★★★★★ | 16 | 0 |
| Creasy Springs Health Campus | 2.4 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.