Lafayette Extended Care
Nursing Home & Skilled Nursing · Lafayette, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Lafayette Extended Care

Nursing Home & Skilled Nursing · Lafayette, AL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Lafayette Extended Care accepts Medicaid, Medicare, and private pay.

Inspection History

In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.

Since 2018 · 8 years of data 13 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Alabama state average
Overall vs. AL average 0 Worse No metrics in this bucket. 2 Better Metrics better than Alabama average:
• Total deficiencies (24% below)
• Deficiencies per year (24% below)
Latest Inspection January 22, 2020 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityAL Averagevs. AL Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1317 This facility has 24% fewer total deficiencies than a typical Alabama assisted living residence (13 vs. AL avg 17).↓ 24% better
Deficiencies per year Info Average deficiencies per year since 2018. 1.62.1 This facility has 24% fewer deficiencies per year than a typical Alabama assisted living residence (1.6 vs. AL avg 2.1).↓ 24% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • January 22, 2020 complaint investigation found three deficiencies including failure to investigate and timely report a suspicious injury and improper use of PRN antipsychotic medication.
  • February 1, 2018 annual inspection cited seven deficiencies including expired medications storage, incomplete care plans, failure to follow physician orders, and infection control lapses.
  • December 19, 2018 inspection found three deficiencies related to resident privacy, dietary adherence, and food labeling, all posing minimal or no harm to residents.

Health Inspection History

Inspections since 2018
Total health inspections 3

State average N/A


Last Health inspection on Jan 2020

Total health citations
13 Rank #97 / 132Health citations — State benchmarkedThis home is ranked 97th out of 132 homes in Alabama for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Alabama State average, with a ranking across all 132 AL facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.33 Rank #99 / 132Citations per inspection — State benchmarkedThis home is ranked 99th out of 132 homes in Alabama for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Alabama mean across 132 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 13 citations resulted from standard inspections.

Breakdown of citation severity (last 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

2 minor citations State average: N/A
Citations history (last 8 years)
Abuse/Neglect moderate citation Jan 22, 2020
Corrected

Abuse/Neglect moderate citation Jan 22, 2020
Corrected

Pharmacy moderate citation Jan 22, 2020
Corrected

Nutrition moderate citation Dec 19, 2018
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 57
Employees 49
Contractors 8
Staff to resident ratio 0.92 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27
Average shift 8.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 22,018

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 3 RN Staff are full-time employees. No contractors work on this role. 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 8 LPN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 29 CNA Staff are full-time employees. No contractors work on this role. 29
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.9%

205 contractor hours this quarter

Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Medical Director: 1 Respiratory Therapy Technician: 1 Speech Language Pathologist: 1 Mental Health Service Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2902912,91392100%8.9
Licensed Practical Nurse8084,00392100%9.8
Clinical Nurse Specialist2029286874%7.8
Other Dietary Services Staff2028217177%7.8
Registered Nurse3037606368%11.8
Nurse Aide in Training2027315863%8.5
Medication Aide/Technician1016176672%9.4
Administrator1015206571%8
Nurse Practitioner1015206571%8
Speech Language Pathologist011452527%1.8
Occupational Therapy Aide011441415%3.1
Physical Therapy Assistant011442123%2.1
Medical Director0112444%6
Occupational Therapy Assistant0111833%6
Qualified Social Worker01118910%1.9
Mental Health Service Worker011811%7.5
Respiratory Therapy Technician011555%1.1
29 Certified Nursing Assistant
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
2 Clinical Nurse Specialist
% of Days 74%
2 Other Dietary Services Staff
% of Days 77%
3 Registered Nurse
% of Days 68%
2 Nurse Aide in Training
% of Days 63%
1 Medication Aide/Technician
% of Days 72%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 71%
1 Speech Language Pathologist
% of Days 27%
1 Occupational Therapy Aide
% of Days 15%
1 Physical Therapy Assistant
% of Days 23%
1 Medical Director
% of Days 4%
1 Occupational Therapy Assistant
% of Days 3%
1 Qualified Social Worker
% of Days 10%
1 Mental Health Service Worker
% of Days 1%
1 Respiratory Therapy Technician
% of Days 5%

Penalties and fines

Includes penalties issued in 2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $5K Rank #105 / 133Federal fines — State benchmarkedThis home is ranked 105th out of 133 homes in Alabama for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the Alabama average among facilities with fines, and where it ranks among 133 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
93% lower than State average

State average: $65K

Number of fines 1
58% fewer fines than State average

State average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.3

Fines amount comparison
Fines amount comparison
This facility $5K
State average $65K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Jan 30, 2024 · $5K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 30, 2024
$5K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.1
In line with State average

State average: 8.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 10.0
31% better than State average

State average: 14.5

Long-stay resident measures
Above average State avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 9.5%
31% better than State average

State average: 13.9%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.8%
20% better than State average

State average: 16.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.6%
44% better than State average

State average: 13.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.0%
10% better than State average

State average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.6%
44% worse than State average

State average: 5.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.7%
In line with State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.6%
115% worse than State average

State average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 1.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.2%
46% better than State average

State average: 20.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 69.7%
24% worse than State average

State average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.9%
In line with State average

State average: 94.8%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.91
5% better than State average

State average: 2.00

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.15
36% better than State average

State average: 1.79

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 20.0%
76% worse than State average

State average: 83.7%

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 22 days

Private pay

33% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

36% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 62
Medicare
1
1.6% of residents
Medicaid
59
95.2% of residents
Private pay or other
2
3.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$295.3K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.2M Rank #126 / 131Revenue — State benchmarkedThis home is ranked 126th out of 131 homes in Alabama for Revenue. Shows this facility's annual revenue compared to the Alabama average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$295.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$193.6K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #106 / 131Payroll — State benchmarkedThis home is ranked 106th out of 131 homes in Alabama for Payroll. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.8M 61.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #5 / 127Payroll % — State benchmarkedThis home is ranked 5th out of 127 homes in Alabama for Payroll %. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama facilities typically land around 54–68% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.9M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (36% of admissions), and a typical Medicaid stay runs around 2 years.

Admissions
72 total

Coverage residents most often arrive under.

Medicare 31%
Private pay 33%
Medicaid 36%
Discharges
74 total

Coverage residents most often leave under.

Medicare 12%
Private pay 35%
Medicaid 53%

Places of interest near Lafayette Extended Care

Address 0.0 miles from city center Info Estimated distance in miles from Lafayette's city center to Lafayette Extended Care's address, calculated via Google Maps.

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Frequently Asked Questions about Lafayette Extended Care

Is Lafayette Extended Care in a walkable area?

Lafayette Extended Care has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Lafayette Extended Care?

Lafayette Extended Care's occupancy is 94%.

Are pets allowed at Lafayette Extended Care?

No, Lafayette Extended Care has a no-pet policy.

Does Lafayette Extended Care operate as a for-profit or non-profit?

Lafayette Extended Care is registered as a for-profit in AL.

Who is the administrator of Lafayette Extended Care?

Yvonne Butler is the administrator of Lafayette Extended Care.

How many beds does Lafayette Extended Care have?

Lafayette Extended Care has 69 beds.

What is the address of Lafayette Extended Care?

Lafayette Extended Care is located at 805 Hospital Street, Po Box 152, Lafayette, AL 36862.

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