Inspection Reports for
Lafayette Extended Care
805 Hospital Street, PO Box 152, Lafayette, AL, 36862
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
6.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
81% worse than Alabama average
Alabama average: 3.6 deficiencies/year
Deficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jan 22, 2020
Visit Reason
The inspection was conducted based on complaints regarding failure to investigate and timely report an injury of unknown source to a resident, and failure to ensure appropriate use and documentation of psychotropic medication.
Complaint Details
The complaint investigation focused on allegations that the facility failed to investigate and timely report a suspicious injury of unknown source on RI #64 and failed to properly manage and document the use of PRN antipsychotic medication for RI #43. The injury on RI #64 was observed on 7/17/2019 but was not reported to the State Agency until 1/21/2020. The facility acknowledged no investigation was conducted. RI #43 was administered Haldol as needed for several months without documented rationale or re-evaluation.
Findings
The facility failed to investigate a suspicious injury of unknown source on Resident Identifier (RI) #64 and failed to timely report the injury to the State Agency. Additionally, the facility failed to ensure that Resident Identifier (RI) #43 was not administered a PRN antipsychotic medication for more than 14 days without documented rationale or re-evaluation.
Deficiencies (3)
Failed to investigate a suspicious injury of unknown source on RI #64.
Failed to timely report an injury of unknown source to the State Agency for RI #64.
Failed to ensure RI #43 was not ordered and administered PRN antipsychotic medication for greater than 14 days without documented rationale.
Report Facts
Date of injury observation: Jul 17, 2019
Date of injury report to State Agency: Jan 21, 2020
Medication administration counts: 15
Medication administration counts: 16
Medication administration counts: 2
Medication administration counts: 2
Medication administration counts: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| EI #11 | Registered Nurse | Transcribed physician orders and described the bruise on RI #64. |
| EI #2 | Director of Nursing | Acknowledged lack of investigation into the bruise on RI #64 and lack of re-evaluation of PRN Haldol use for RI #43. |
| EI #1 | Administrator/Abuse Coordinator | Acknowledged the injury of unknown source on RI #64 was not investigated or timely reported. |
| EI #5 | Medical Director and Primary Physician | Acknowledged that RI #43 had not been re-evaluated for extended use of PRN Haldol. |
Inspection Report
Deficiencies: 3
Date: Dec 19, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident dignity, dietary adherence, and food safety in the facility.
Findings
The facility was found deficient in ensuring a resident's suprapubic catheter was properly covered for privacy, following prescribed dietary restrictions for a resident, and properly labeling and sealing frozen food items in the kitchen freezer. These deficiencies posed minimal harm or potential for actual harm to residents.
Deficiencies (3)
Failed to ensure Resident Identifier #22's suprapubic urinary catheter and tubing was shielded from the view of other residents and visitors.
Failed to ensure Resident Identifier #31's prescribed diet was followed, as the resident received prohibited food items.
Failed to ensure all frozen items were sealed, labeled, and dated in the walk-in freezer, with an unlabeled and undated open bag of breaded okra found.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistance (CNA) | Interviewed regarding catheter privacy issue (Employee Identifier #4) | |
| Licensed Practical Nurse (LPN) | Interviewed regarding catheter privacy issue (Employee Identifier #5) | |
| Director of Nursing (DON) | Interviewed regarding dietary tray issue (Employee Identifier #2) | |
| Certified Dietary Manager (CDM) | Interviewed regarding food labeling and storage policy (Employee Identifier #3) |
Inspection Report
Annual Inspection
Census: 65
Deficiencies: 7
Date: Feb 1, 2018
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements and quality of care at Lafayette Extended Care.
Findings
The facility was found deficient in multiple areas including failure to post survey results accessibly, incomplete care plans for residents with specific needs, failure to follow physician orders, inadequate monitoring of fluid restrictions for dialysis patients, incomplete nurse staffing records, storage of expired medications, and lapses in infection control practices.
Deficiencies (7)
Failed to ensure survey results were posted in an accessible area for residents in wheelchairs.
Failed to develop and implement complete care plans addressing fluid restrictions and no straw use for residents.
Failed to ensure physician's orders for no straw use were followed.
Failed to monitor fluid intake for a resident on dialysis with a 1500 cc fluid restriction.
Failed to post nurse staffing information including total hours worked for each shift.
Stored 62 stock Bisacodyl Suppositories expired since 12/2017 in the medication room refrigerator.
Failed to properly store a resident's nebulizer mask and allowed a CNA to handle resident food with bare hands.
Report Facts
Census: 65
Expired medications: 62
Fluid restriction: 1500
Residents sampled: 19
Days observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding survey results posting accessibility | |
| Registered Nurse Supervisor | Interviewed about care plan fluid restriction documentation and CNA knowledge | |
| Licensed Practical Nurse/Rehabilitation Nurse | Interviewed about care plan for no straw use and medication orders | |
| Dietary Manager | Interviewed about responsibility for fluid distribution | |
| Licensed Practical Nurse | Interviewed about documentation of fluids given with medications | |
| Licensed Practical Nurse/Quality Assurance/Infection Control Nurse | Interviewed about expired medication disposal | |
| Licensed Practical Nurse | Interviewed about nebulizer mask storage | |
| Certified Nursing Assistant | Observed and interviewed regarding handling resident food with bare hands |
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