Average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Lady Of The Oaks Retirement Manor during CMS and state inspections, most recent first.
Staff did not follow care plans and physician orders for three residents, including not providing a prescribed thickened diet to a resident with dysphagia, failing to assist another resident with meal setup and serving inappropriate fluids for a renal diet, and not maintaining required ear cushions on a nasal cannula for a resident with respiratory conditions. Multiple staff confirmed these lapses during interviews and observations.
Surveyors found that kitchen staff did not label or date opened food items in the walk-in cooler, and expired or spoiled foods were not discarded as required by facility policy. The Dietary Supervisor confirmed these lapses, which included unlabeled cheese, milk, and lettuce, as well as expired taco shells, red liquid, hash browns, and cut okra.
Two residents who were unable to perform their own ADLs did not receive timely incontinence care as required by their care plans and facility policy. One resident was left in a wet brief from the previous night until the following morning, despite requesting assistance, and another was found in a wet brief late in the morning after not being checked or changed since early morning. Staff interviews confirmed that required checks and changes were not performed.
A resident with impaired cognition and multiple health conditions was found with an exposed black wire hanging from the ceiling over her bed for several weeks. Staff were aware of the issue but failed to report or address it, and the Maintenance Supervisor only responded to logged requests, resulting in an unsafe and non-homelike environment.
A resident with hemiplegia and aphasia, requiring two-person assistance for toileting, was neglected when a CNA failed to provide timely incontinence care. The CNA did not perform scheduled rounds or seek help from available staff, leaving the resident in distress. Despite a grievance being filed, the resident reported no improvement in care.
The facility failed to accurately complete the MDS for a resident with multiple diagnoses, including Cerebral Infarction and Hemiplegia. Despite a physician order to maintain a bed alarm every shift, the Quarterly MDS assessment incorrectly indicated that no bed alarm was in use. This was confirmed by the MDS Lead Coordinator.
The facility failed to implement person-centered care plans for three residents, leading to deficiencies such as not repositioning a resident at high risk for skin breakdown, not including a hand roll intervention in a care plan, and not ensuring a bed alarm was functioning correctly.
The facility failed to ensure that a resident's enteral feeding bag was changed within the required 24-hour period. An LPN and the DON confirmed that the bag, dated 04/07 at 8:00 a.m., should have been changed before 8:00 a.m. the following day, but it was not.
A resident with a known allergy to morphine received the medication multiple times due to the nursing staff's failure to review allergies before administration. Despite clear documentation of the allergy, LPNs administered morphine from February to April 2024, and the DON confirmed that proper procedures were not followed.
The facility failed to ensure an RN provided services for 8 consecutive hours on a weekend for two days. Review of the PBJ Data time sheet revealed no RN staffing hours, and the DON confirmed the absence of RN coverage for those dates.
The facility failed to coordinate care for a resident by not obtaining necessary hospice documentation, including a hospice election form, a hospice plan of care, and a physician's certification of terminal illness.
The facility failed to maintain the cleanliness of a medication cart. The left two lower drawers of the cart contained bottles of medication in plastic bags, which were stuck to the bottom of the drawers with a thick, sticky substance. The DON confirmed the drawers were not clean and needed to be cleaned.
Failure to Follow Care Plans and Physician Orders for Diet, Oxygen, and Equipment
Penalty
Summary
Facility staff failed to follow physician orders and care plan interventions for three residents, resulting in deficiencies related to diet, oxygen therapy, and assistance with meals. One resident with diagnoses including encephalopathy, dementia, Alzheimer's disease, and dysphagia was observed receiving milk that was not thickened as required by her prescribed pureed, nectar-thickened diet. Staff interviews confirmed that the milk should have been thickened, and the dietary manager stated that CNAs were responsible for ensuring correct diets and fluids were provided. Another resident with alcoholic cirrhosis, dyspnea, and chronic kidney disease was not assisted with meal tray setup as required by her care plan, and was served orange juice despite being on a renal diet, which was confirmed by both the CNA and dietary manager. Additionally, this resident was observed multiple times without her prescribed oxygen therapy, with her oxygen concentrator turned off and her oxygen saturation levels dropping to 84% before staff reapplied oxygen as ordered. A third resident with chronic obstructive pulmonary disease and acute respiratory failure had a physician's order and care plan intervention for maintaining bilateral ear cushions on her nasal cannula. Multiple observations throughout the day revealed that the resident was wearing a nasal cannula without the required ear cushions, and this was confirmed by an LPN during interview and record review.
Failure to Properly Store and Discard Food Items
Penalty
Summary
Surveyors observed that the facility failed to store food in accordance with professional standards and did not maintain sanitary conditions in the kitchen. During a tour of the kitchen, several opened food items in the walk-in cooler, including mayonnaise, sliced cheddar cheese, shredded cheddar cheese, whole milk, and shredded lettuce, were found without labels indicating the date and time they were opened. The shredded lettuce was visibly spoiled, and additional items such as taco shells and a tray of red liquid were found to be expired or undated. The facility's own policies require all opened foods to be labeled with the name and date stored, and for expired foods to be discarded, but these procedures were not followed. Further inspection of the walk-in freezer revealed an opened bag of hash browns and a large, unsealed bag of cut okra, both of which were past their expiration dates. The Dietary Supervisor confirmed that these items were expired and should have been discarded. The failure to properly label, date, and discard expired or spoiled food items demonstrates non-compliance with both facility policy and professional food safety standards.
Failure to Provide Timely Incontinence Care for Dependent Residents
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs), specifically incontinence care, for two residents who were unable to perform these tasks independently. One resident, with diagnoses including atherosclerosis, type 2 diabetes, and overactive bladder, was found to have not been changed since the previous night despite being frequently incontinent of urine and always incontinent of bowel. The resident reported asking for assistance in the morning, but no staff responded. The assigned CNA confirmed she had not checked or changed the resident since starting her shift and had not been informed of the need. Facility policy required incontinence care to be performed as needed and residents to be checked at least every two hours, but this was not followed. Another resident, dependent on staff for toileting hygiene due to Parkinson's disease and other conditions, was observed in a wet brief late in the morning, having last been changed around 5 A.M. The resident confirmed he had not been checked or changed since then. An LPN checked the resident's brief, found it wet, but did not change it, instead stating she would get the CNA to do so. The LPN later acknowledged she should have changed the resident at that time. Both residents had care plans indicating the need for regular assistance and checks for incontinence, which were not adhered to by staff.
Failure to Maintain Safe and Homelike Resident Environment Due to Exposed Electrical Wire
Penalty
Summary
A deficiency was identified when a resident with impaired cognition, muscle weakness, and Chronic Obstructive Pulmonary Disease was found to have a black wire hanging from the ceiling over her bed, with the connector exposed and within close proximity to her while she was lying down. The resident reported that the wire had been present since she moved into the room several weeks prior, and that it sometimes touched her while she was in bed. Observations on two separate days confirmed the presence of the exposed wire in the resident's environment. Interviews with facility staff revealed that the Certified Nursing Assistant (CNA) was aware of the wire but did not report it to the nurse or log it in the maintenance system, as required by facility protocol. The Maintenance Supervisor confirmed responsibility for environmental repairs but stated he only addressed issues listed in the maintenance log and did not conduct regular rounds in resident rooms. Both the CNA and Maintenance Supervisor acknowledged that the exposed wire created an environment that was not homelike and should not have been present near the resident.
Neglect in Incontinence Care for a Resident
Penalty
Summary
The facility failed to protect a resident from neglect by not providing timely incontinence care. The resident, who was admitted with diagnoses including hemiplegia, hemiparesis, and aphasia, was cognitively intact and required assistance from two or more staff for toileting. Despite being always incontinent of bowel and bladder, the resident did not receive the necessary care, leading to emotional distress. On the day of the incident, the CNA responsible for the resident did not perform the required two-hour rounds. The CNA acknowledged that she was aware of the resident's need for assistance but failed to seek help from available staff, including other CNAs, the nurse, or the ADON. Instead, she turned off the call light without completing the task and did not return to change the resident before the end of her shift. Interviews with the ADON and DON confirmed that the CNA did not follow protocol, which required leaving the call light on until the task was completed. The resident confirmed through nonverbal communication that she was left wet for extended periods and was upset by the lack of care. Despite the grievance filed, the resident indicated that there had been no improvement in the care provided.
Inaccurate MDS Assessment for Bed Alarm Usage
Penalty
Summary
The facility failed to ensure the resident's Minimum Data Set (MDS) was completed accurately for one resident. The resident, who was admitted with multiple diagnoses including Cerebral Infarction, Hemiplegia, Restlessness, Generalized Anxiety Disorder, and Muscle Weakness, had a physician order to maintain a bed alarm every shift. However, the Quarterly MDS assessment inaccurately indicated that no bed alarm was in use. This discrepancy was confirmed during an interview and record review with the MDS Lead Coordinator.
Failure to Implement Person-Centered Care Plans
Penalty
Summary
The facility failed to develop and implement a person-centered care plan for three residents, leading to deficiencies in their care. Resident #47, who was at high risk for skin breakdown due to conditions such as diabetes and dementia, was not repositioned every two hours as required. Despite the care plan indicating the need for staff assistance with bed mobility, observations showed the resident remained on her back for extended periods, and interviews with CNAs confirmed that the resident was not turned as needed during their shifts. The Director of Nursing verified that the resident required assistance with turning and repositioning, which was not provided by the staff. Resident #72, diagnosed with dementia, epilepsy, and muscle weakness, had a physician's order for the use of a hand roll to prevent contractures. However, the care plan did not include this intervention. The Minimum Data Set Nurse confirmed that the care plan was incomplete and should have included the hand roll intervention. This oversight meant that the resident's specific needs were not fully addressed in the care plan. Resident #77, who had a history of stroke and was at risk for falls, had a physician's order for a bed alarm to be checked every shift. Observations revealed that the bed alarm was not functioning correctly, with a frayed wire and no bed alarm mat present under the resident. Interviews with the CNA and the Director of Nursing confirmed that the bed alarm was not in proper working condition and should have been monitored by the nurses every shift. This failure to ensure the bed alarm was operational compromised the resident's safety and risk management plan.
Failure to Change Enteral Feeding Bag as Required
Penalty
Summary
The facility failed to ensure that a resident's enteral feeding was properly changed. Resident #61, who was admitted with multiple diagnoses including Traumatic Subdural Hematoma, Alzheimer's Disease, and Gastrostomy status, had a physician's order for Isosource 1.5 at 45 ml/hr continuously. On 04/08/2024, observations revealed that the resident's tube feeding bag, dated 04/07/2024 at 8:00 a.m., had not been changed within the required 24-hour period. An LPN confirmed that the bag should have been changed before 8:00 a.m. on 04/08/2024, and the Director of Nursing corroborated this requirement. The failure to change the feeding bag as per protocol was identified during the survey.
Failure to Ensure Nursing Staff Competency in Medication Administration
Penalty
Summary
The facility failed to ensure that the nursing staff were competent in administering medications, resulting in a resident with a known allergy to morphine receiving the medication. The resident, who was on hospice care with a diagnosis of End Stage Parkinson's disease, had her allergy to morphine clearly documented on her face sheet, care plan, and Medication Administration Record (MAR). Despite this, Licensed Practical Nurses (LPNs) administered morphine to the resident on various occasions from February to April 2024. The nurses did not review the resident's allergies before administering the medication, and the hospice nurse had instructed them to give morphine to keep the resident comfortable as needed. Interviews with the nursing staff and the Director of Nursing (DON) confirmed that the nurses were aware of the resident's allergy but failed to follow proper procedures. The DON stated that the procedure for administering medications should have included reviewing the resident's allergies listed at the top of the MAR and contacting the physician for clarification if there was an order for a medication to which the resident was allergic. The failure to adhere to these procedures led to the administration of morphine to a resident with a documented allergy to the medication.
Failure to Ensure RN Coverage for 8 Consecutive Hours on a Weekend
Penalty
Summary
The facility failed to ensure a Registered Nurse (RN) provided services for 8 consecutive hours a day on a weekend for two days. Review of the facility's Payroll Based Journal (PBJ) Data time sheet for the dates of 10/21/2023 and 10/22/2023 revealed that there were no staffing hours recorded for an RN. An interview with the Director of Nursing (S1DON) confirmed the absence of RN staffing hours for those dates, and no evidence was provided to show that an RN worked the required hours on those days.
Failure to Coordinate Hospice Care
Penalty
Summary
The facility failed to coordinate care for a resident by not obtaining pertinent information from the hospice agency. Specifically, the clinical record for a resident admitted with diagnoses of Cerebral Infarction and Pneumonitis due to Inhalation of Food and Vomit lacked a hospice election form, a hospice plan of care, and a physician's certification of the resident's terminal illness. This deficiency was confirmed by the Assistant Director of Nursing during a review of the resident's clinical record.
Unclean Medication Cart
Penalty
Summary
The facility failed to maintain the cleanliness of a medication cart (MC1) as observed on 04/09/2024 at 9:59 a.m. The left two lower drawers of MC1 contained bottles of medication in plastic bags, which were stuck to the bottom of the drawers. The second to last drawer had four bottles of medication in plastic bags, with the bottom of the drawer covered in a reddish gold sticky substance. When the bottles and plastic bags were picked up, the thick, sticky liquid adhered to the surveyor's fingers. The bottom drawer had three bottles of medication in plastic bags, similarly stuck to the bottom of the drawer with a thick reddish sticky substance. The Director of Nursing (S1DON) confirmed that the drawers were not clean and sanitary and needed to be cleaned.
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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) |
|---|---|---|---|---|
| Louisiana Extended Care Hospital Of Lafayette | 1.2 mi | ★★★★★ | 8 | 0 |
| Camelot Rehabilitation At Magnolia Park | 1.6 mi | ★★★★★ | 4 | 0 |
| River Oaks Retirement Manor | 3.8 mi | ★★★★★ | 3 | 0 |
| Amelia Manor Nursing Home | 3.8 mi | ★★★★★ | 5 | 0 |
| Cornerstone At The Ranch | 4 mi | ★★★★★ | 0 | 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.