Above average — CMS composite of the measures below.
The next survey window likely opens 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 Courtyard Manor Nurse Care Center & Assisted Liv during CMS and state inspections, most recent first.
Food was not stored per policy and sanitary conditions were not maintained in the kitchen. The ice machine covering had debris and a red sticky substance, uncovered and expired items were found in the refrigerator, and a Dishwasher and a Maintenance staff member were observed with exposed hair and facial hair without hair nets or beard restraints.
Failure to notify the physician of a change in skin condition: A resident with cerebral infarction, prediabetes, and vascular dementia was observed with an uncovered, open abrasion on the left facial cheek over multiple days. An LPN and the DON both confirmed the abrasion was a change in condition that required physician notification, but the record showed no evidence that the MD was notified.
A resident with dementia, agitation, and unspecified psychosis was later diagnosed with major depressive disorder after admission. The facility did not resubmit for a Level II PASARR evaluation and determination to include the new qualifying diagnosis, and the Administrator confirmed the omission during interview.
PASARR screening for mental disorders or ID was not accurately completed for a resident on admission. The resident had diagnoses including unspecified dementia, unspecified psychosis, depression, and GAD, but the PASARR left the box for Other Psychotic Disorder blank. The ADM confirmed the PASARR was the most current form and should have reflected the psychosis diagnosis.
Failure to provide an ordered concave mattress for a resident with dementia, psychotic disorder, Alzheimer’s disease, bipolar disorder, and fall risk. The care plan and MD order required a concave mattress every shift, but staff observed the bed with a flat, regular mattress, and the CNA and DON both confirmed it was not concave.
A resident with a JP drain post-mastectomy was not properly monitored by nursing staff, who lacked training in drain management. The JP drain was found uncompressed, and output was inconsistently recorded, indicating a deficiency in staff competency and oversight.
A resident with Hemiplegia and bilateral hand contractures was unable to reach their call bell, despite orders and care plans requiring it to be within reach. Observations revealed the call bell was improperly positioned, and the facility's administrator confirmed it should have been clamped to the resident's sheet.
A resident with cerebral infarction, aphasia, and Alzheimer's disease experienced multiple episodes of vomiting, which were documented by an LPN. However, the LPN failed to notify the resident's representative of these significant changes in condition, as required by the facility's policy. The DON confirmed that the responsible party should have been informed after each incident.
A resident with multiple health conditions, including Alzheimer's and hemiplegia, was not repositioned every two hours as required by her care plan and physician's orders. Observations showed the resident remained in the same position without necessary positioning aids, and staff interviews confirmed the failure to adhere to the turning schedule.
A resident with Hemiplegia and contractures, requiring total assistance with perineal care, did not receive necessary hygiene services as per their care plan. The resident was left without perineal care from early morning until after lunch, resulting in a strong odor of urine and feces. The CNA confirmed that care was not provided as required, highlighting a failure to adhere to the care plan.
A facility failed to provide proper respiratory care by not labeling and storing a resident's CPAP mask correctly. The resident, with multiple health issues including respiratory failure and sleep apnea, had a physician's order for CPAP use. An observation revealed the CPAP mask was unlabeled and stored improperly, which was confirmed by the ADON.
The facility did not ensure that the daily posted nurse staffing information was accurate and current. The Ward Clerk confirmed that the information was always posted for the previous day, and the Administrator acknowledged this practice.
The facility failed to accommodate food preferences for two residents, one with moderately impaired cognition who was served lettuce against his preference, and another with severely impaired cognition who did not receive milk with her lunch as required by her care plan. These deficiencies were confirmed by the Dietary Manager and had the potential to affect 78 residents.
Food Storage and Kitchen Sanitation Deficiencies
Penalty
Summary
Food was not stored in accordance with professional standards, and sanitary conditions were not maintained in the kitchen. During a tour of the kitchen with the Dietary Manager, the covering of the ice machine was observed to have multiple spots of build up debris and a red sticky substance. The Dietary Manager confirmed the covering should have been cleaned and was not. In the refrigerator, a container of thickened water was observed without a screw top covering attached, and a container of thickened orange juice was found with an opened date of 12/03/2025. The Dietary Manager confirmed the thickened water should have had a screw top covering and that the thickened orange juice was expired and should have been removed and discarded. In addition, a Dishwasher and a Maintenance staff member were observed in the kitchen with exposed hair and facial hair and without hair nets or beard restraints, and the Dietary Manager confirmed both should have been wearing them.
Failure to Notify Physician of Change in Skin Condition
Penalty
Summary
The facility failed to ensure that a resident’s physician was immediately notified of a change in the resident’s skin condition. Resident #17 was admitted with diagnoses including cerebral infarction, prediabetes, and vascular dementia. During observations on 01/05/2026, 01/06/2026, and 01/07/2026, the resident was noted to have an uncovered, open abrasion on the left facial cheek. The record review showed no evidence that the physician had been notified of this change in condition. During a concurrent observation and interview on 01/06/2026, the LPN observed the open abrasion and stated she had not noticed it earlier that day, but confirmed it was a change in condition and that the physician should be notified to obtain treatment orders. A later concurrent observation, record review, and interview with the DON on 01/07/2026 confirmed the abrasion was a change in condition that should have been reported when it was identified on 01/06/2026, and the medical record still showed no evidence of physician notification.
Failure to Refer for Level II PASARR After New Mental Health Diagnosis
Penalty
Summary
The facility failed to refer Resident #33 for a Level II PASARR evaluation and determination after she was diagnosed with major depressive disorder following her admission. Her record showed an admission diagnosis that included dementia with agitation and unspecified psychosis, and a Level I PASARR completed before the new diagnosis listed an empty box next to major depressive disorder. A Medicaid Program Notice of Medical Certification later indicated that a Level II decision was not required. During interview, the Administrator confirmed that the resident received a qualifying diagnosis after admission and after the last PASARR was completed, and that the facility did not resubmit for a Level II PASARR to include the new diagnosis of major depressive disorder.
Inaccurate PASARR Completion for Resident with Psychosis Diagnosis
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not accurately completed for one resident on admission. Resident #57 was admitted with diagnoses including unspecified dementia, unspecified psychosis not due to a substance or known physiological condition, depression, and generalized anxiety disorder. Review of the resident’s PASARR dated 02/24/2025 showed an empty box next to Other Psychotic Disorder in Section III, 1, and the Medicaid Program Notice of Medical Certification dated 02/28/2025 stated that a Level II decision was not required. During interview and record review, the Administrator confirmed that the PASARR had been completed by another facility before admission, was the most current PASARR for the resident, and should have included the diagnosis of unspecified psychosis by checking the box for Other Psychotic Disorder. The Administrator also confirmed that the PASARR dated 02/24/2025 had not been accurately completed to include this diagnosis upon admission.
Failure to Provide Ordered Concave Mattress
Penalty
Summary
The facility failed to implement Resident #76’s comprehensive person-centered care plan and physician order for a concave mattress. Resident #76 was admitted with diagnoses including anxiety disorder, unspecified dementia, psychotic disorder with delusions, Alzheimer’s disease, and bipolar disorder. The record showed a physician order dated 10/14/2024 for a concave mattress every shift, and the care plan included maintaining a concave mattress to the bed for fall risk related to impaired mobility, generalized weakness, and multiple medication use. However, on 01/06/2026 and again on 01/07/2026, observations of the resident’s empty bed showed the mattress looked flat and not concave. During an observation with the CNA, the mattress was confirmed to be a regular mattress and not a concave mattress. The DON later reviewed the record and observed the bed, confirming that the mattress was not concave and that the resident should have had a concave mattress according to the physician order and care plan.
Inadequate Competency in JP Drain Management
Penalty
Summary
The facility failed to ensure that nursing staff possessed the necessary competencies and skills to provide appropriate care for a resident with a Jackson Pratt (JP) drain. The resident, who had a history of breast cancer and other significant health issues, was admitted with a JP drain following a mastectomy. The facility's records indicated that the nursing staff did not consistently monitor and record the output from the JP drain as required. Observations revealed that the JP drain was not properly compressed, and there were multiple instances where the output was not recorded during specific shifts. Interviews with the nursing staff and a review of the staff skills checklist showed that the staff lacked training and knowledge regarding the care and maintenance of a JP drain. The Director of Nursing confirmed that no in-service training had been conducted on this topic. This lack of training and oversight led to the improper handling of the JP drain, as evidenced by the uncompressed bulb and the failure to record drainage output consistently.
Failure to Ensure Call Bell Accessibility for Resident
Penalty
Summary
The facility failed to reasonably accommodate the needs of a resident by not ensuring that the resident's easy touch call light device was within reach. The resident, who was admitted with diagnoses including Hemiplegia, Hemiparesis, and bilateral hand contractures, had a physician's order and a comprehensive care plan directive to have a flat soft touch call bell within reach at all times. However, during observations on two separate occasions, the call bell was found to be out of the resident's reach, once near the resident's hip and another time hanging on the bed rail. During an interview, the facility's administrator acknowledged that the call bell should have been clamped to the resident's sheet to ensure accessibility. The resident was unable to locate or reach the call bell when asked, indicating a failure by the staff to comply with the care plan and physician's orders. This oversight resulted in the resident not having the means to call for assistance, as required by the facility's policy.
Failure to Notify Resident's Representative of Change in Condition
Penalty
Summary
The facility failed to notify a resident's representative of a significant change in the resident's condition, which is a requirement according to their policy. The policy mandates that the resident, their attending physician, and the resident's representative be promptly informed of any changes in the resident's medical or mental condition. In this case, the resident, who was admitted with diagnoses including cerebral infarction, aphasia, and Alzheimer's disease, experienced multiple episodes of vomiting over a period of time. These episodes were documented by an LPN in the resident's progress notes. Despite the documentation of these episodes, the LPN did not notify the resident's responsible party about the change in condition, which was confirmed during a phone interview. The Director of Nursing also confirmed that the episodes of vomiting were considered a change in condition and acknowledged that the responsible party should have been notified after each incident. This oversight represents a failure to adhere to the facility's policy on notifying relevant parties of significant changes in a resident's condition.
Failure to Follow Care Plan for Resident Repositioning
Penalty
Summary
The facility failed to provide services as outlined in the comprehensive care plan for a resident, resulting in a deficiency. The resident, who was admitted with multiple diagnoses including malignant neoplasm, aphasia, contractures, hemiplegia, and Alzheimer's disease, had a physician's order to be turned every two hours to prevent impaired skin integrity due to incontinence and immobility. However, observations on multiple occasions revealed that the resident was not repositioned as required, remaining on her back with elevated stumps and no additional positioning cushions or pillows available. Interviews with facility staff, including a CNA, a treatment nurse, and the Assistant Director of Nursing, confirmed that the resident was on a turn schedule but was not being repositioned every two hours as per the care plan and physician's orders. The LPN also acknowledged the failure to adhere to the turning schedule, indicating a lapse in following the prescribed care plan for the resident, which was necessary to address her risk for impaired skin integrity.
Failure to Provide Adequate Perineal Care for a Resident
Penalty
Summary
The facility failed to provide necessary services for a resident who was unable to perform Activities of Daily Living (ADLs), specifically in maintaining good grooming and personal hygiene. Resident #57, who was admitted with diagnoses including Hemiplegia, Hemiparesis, and contractures, required total assistance with perineal care due to immobility and incontinence. The care plan indicated that the resident should receive perineal care every two hours and as needed. However, observations and interviews revealed that the resident did not receive perineal care from the time he was placed in his geri chair at 5 a.m. until after lunch, resulting in a strong odor of urine and feces. During the lunch meal, the resident was observed with a strong odor, and it was confirmed by the Certified Nursing Assistant (CNA) that perineal care had not been performed prior to taking the resident to the dining room. The resident was found soiled with a large amount of urine and feces when assisted back to bed. The CNA confirmed that the resident should have received perineal care before being brought to the dining room and every two hours as needed, indicating a failure to adhere to the care plan and provide necessary assistance for ADLs.
Failure to Properly Label and Store CPAP Mask
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards of practice for a resident who required the use of a CPAP mask. The resident, who was admitted with diagnoses including cerebral infarction, congestive heart failure, acute and chronic respiratory failure with hypercapnia, sleep apnea, and morbid obesity, had a physician's order to change the CPAP humidifier chamber and full mask with headgear every six months and as needed. The care plan indicated the resident was at risk for respiratory complications and required CPAP use during sleep. However, during an observation and interview, it was found that the resident's CPAP mask was unlabeled and stored in an unlabeled plastic bag, which was confirmed by the Assistant Director of Nursing as not meeting the required labeling standards.
Inaccurate Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily posted nurse staffing information was accurate and current. During an observation on 10/29/2024 at 10:15 a.m., it was noted that the staffing information displayed was dated 10/28/2024. An interview with the Ward Clerk, who was responsible for posting the staffing information, confirmed that the information was always posted for the previous day. The Administrator also confirmed that the staffing information was from the prior day and stated that this had been the facility's practice.
Failure to Accommodate Resident Food Preferences
Penalty
Summary
The facility failed to honor and accommodate food preferences for two residents, which was identified during a survey. Resident #17, who has a moderately impaired cognition with a BIMS score of 8, was served iceberg lettuce on his meal tray despite his meal ticket indicating a preference for no green leafy foods. This was confirmed by the Dietary Manager, who acknowledged that the resident's preference was not followed, leading to the resident having to remove the lettuce from his hamburger. Similarly, Resident #23, with a severely impaired cognition and a BIMS score of 4, was not provided milk with her lunch meal as per her meal ticket instructions. The resident expressed her desire for milk, which was confirmed by both an LPN and the Dietary Manager. The failure to provide milk was contrary to her comprehensive care plan, which emphasized the importance of dairy intake due to her osteoporosis diagnosis. These deficiencies had the potential to affect 78 residents who consumed meals from the kitchen.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 132 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lafayette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Evangeline Oaks Guest House | 2.2 mi | ★★★★★ | 7 | 0 |
| Amelia Manor Nursing Home | 3.4 mi | ★★★★★ | 5 | 0 |
| River Oaks Retirement Manor | 4.4 mi | ★★★★★ | 3 | 0 |
| Lady Of The Oaks Retirement Manor | 4.4 mi | ★★★★★ | 0 | 0 |
| Louisiana Extended Care Hospital Of Lafayette | 5.6 mi | ★★★★★ | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Courtyard Manor Nurse Care Center & Assisted Liv.
100% money-back within 48 hours.
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.