Springs At Lafayette, The

Based on observation, interview and record review, the facility failed to ensure the physician was notified of weight gains as ordered for 1 of 1 resident reviewed for physician notification. (Resident 9)Findings include: During an observation, on 9/19/25 at 10:09 a.m., Resident 9 had edema (swelling) in his bilateral lower extremities. During an observation, on 9/22/25 at 1:43 p.m., Resident 9's lower extremities had edema. During an observation, on 9/24/25 at 10:51 a.m., Resident 9 continued to have moderate swelling in his lower extremities. The clinical record for Resident 9 was reviewed on 9/19/25 at 11:31 a.m. The diagnoses included, but were not limited to, edema, hemiplegia and hemiparesis following a cerebral infarction, atrial fibrillation, bipolar disorder, heart failure, vascular dementia, Alzheimer's disorder, and diabetes mellitus.A care plan, dated 6/30/25, indicated Resident 9 had experienced significant weight gain related to edema and congested heart failure. The interventions included, but were not limited to, obtain weight as ordered. A physician's order, dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure there was documentation a bed hold policy was provided to the resident or resident's representative for 1 of 4 residents reviewed for transfer and discharge. (Resident 3)Findings include: The clinical record for Resident 3 was reviewed on 9/19/25 at 8:12 a.m. The diagnoses included, but were not limited to, chronic kidney disease, cerebral infarction, gastrostomy, chronic obstructive pulmonary disease, hypertension, congestive heart failure and bipolar disorder. A nursing progress note, dated 9/8/25, indicated Resident 3 had received 1000 milliliters (ml) of intravenous fluids with minimal improvement. Resident 3's son wanted the resident sent to the hospital. There was no documentation in the Electronic Health Record (EHR) of a bed hold policy being given to the resident or resident's representative at the time of transfer.During an interview, on 9/23/25 at 12:15 p.m., the Clinical Support nurse indicated she was aware the bed hold policy needed to be given to the resident or the resident's representative when…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure an accurate Preadmission Screening and Resident Review (PASARR) was completed for 2 of 3 residents reviewed for PASSAR. (Resident 2 and 35)Findings include:1. The clinical record for Resident 2 was reviewed on 9/22/25 at 9:41 a.m. The diagnoses included, but were not limited to, 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, indicated to administer Depakote (a mood stabilizing medication) 125 milligrams (mg) twice a day for increased moods due to paranoia. During an interview, on 9/22/25 at 10:50 a.m., the Social Services Director indicated the resident had a PASARR level I completed without the diagnosis or medication, and another screening should have been implemented. 2. The clinical record for Resident 35 was reviewed on 9/22/25 at 9:55 a.m. The diagnoses included, but were not limited to, metabolic encephalopathy,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure a physician's ordered fluid restriction was followed for 1 of 1 resident reviewed for quality of care. (Resident 9) Findings include: During an observation, on 9/19/25 at 10:09 a.m., Resident 9 had edema (swelling) in his bilateral lower extremities.During an observation, on 9/22/25 at 1:43 p.m., Resident 9's lower extremities had edema. During an observation, on 9/24/25 at 10:51 a.m., Resident 9's legs continued to have moderate swelling. The clinical record for Resident 9 was reviewed on 9/19/25 at 11:31 a.m. The diagnoses included, but were not limited to, edema, hemiplegia and hemiparesis following a cerebral infarction, edema, atrial fibrillation, bipolar disorder, heart failure, vascular dementia, Alzheimer's disorder, and diabetes mellitus.A care plan, dated 6/18/25, indicated Resident 9 received a diuretic medication for congested heart failure. The interventions included, but were not limited to, encourage fluids throughout the day if not contraindicated and observe the cardiovascular system…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to contact the resident's representative regarding a fall for 1 of 1 resident reviewed for notification. (Resident 25) The deficient practice was corrected on 2/21/24, prior to the start of the survey, and therefore was past noncompliance. Finding includes: During an interview, on 9/4/24 at 12:24 p.m., Resident 25's representative indicated she was not aware of a fall on 2/1/24. The clinical record for Resident 25 was reviewed on 9/6/24 at 2:58 p.m. The diagnoses included, but were not limited to, Parkinson's disease, Alzheimer's disease, dementia, and cognitive communications. A nursing progress note, dated 2/1/24 at 8:55 p.m., indicated the resident had a fall during a transfer to bed and hit her head on the dresser. A fall event, dated 2/1/24 at 8:42 p.m., indicated the resident had a fall on 2/1/24. The resident's representative was notified on 2/6/24. An IDT (interdisciplinary team) fall note, dated 2/2/24 at 4:36 p.m., indicated the resident's responsible party was not notified at the time of the fall. The progress…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to ensure a cognitively impaired resident was safe from elopement for 1 of 3 residents reviewed for wandering. (Resident 27) The deficient practice was corrected on 8/24/24, prior to the start of the survey, and therefore was past noncompliance. Finding includes: The clinical record for Resident 27 was reviewed on 9/5/24 at 11:22 a.m. The diagnoses included, but were not limited to, dementia, schizoaffective disorder, bipolar disorder, major depressive disorder, and anxiety disorder. A care plan, dated 3/25/24, indicated the resident demonstrated exit seeking behaviors. The interventions included, but were not limited to, assess the need for a roam alert band and apply as appropriate and to re-direct the resident away from doors and exits as needed. An incident report, dated 8/4/24 at 7:33 p.m., indicated the resident was found outside the building unattended. The resident was wearing a roam alert band. The alarm did not sound when the resident exited the building. A checklist for suspected elopement and missing resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure medications were secured for residents who self-administer medications for 2 of 2 residents reviewed for self-medication administration. (Resident 23 and 6) Finding includes: 1. During a medication administration observation, on 9/6/24 at 9:35 a.m., Resident 23 had Flonase nasal spray (an allergy nasal spray) sitting on her over the bed table. The resident was asleep upon entry to the room. A physician's order, dated 6/1/24, indicated Flonase Allergy Relief spray suspension 2 puffs in each nostril. Special Instructions: May keep at bedside (MKAB) once daily. 2. During an interview, on 9/6/24 at 11:30 a.m., Resident 6 indicated she had her eye drops stored in the basket of her walker. They were not secured in a locked container. During a medication administration observation, on 9/6/24 at 9:51 a.m., Resident 6 had an order for eye drops to be kept at bedside. A physician's order, dated 1/24/24, indicated Brimonidine 0.2% ophthalmic (eye) 1 drop in both eyes three times (TID) daily MKAB. A physician's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a resident was able to have a personal recliner in her room, a resident was allowed to have undisturbed privacy, and a resident was provided adequate access and space for personal clothing for 3 of 3 residents reviewed for room space. (Resident 21, 26 and 3) Findings include: 1. The record for Resident 21 was reviewed on 07/19/23 at 10:24 a.m. Diagnoses included, but were not limited to, dementia with psychotic disturbance, delusional disorders, anxiety disorder, history of falling, presence of a right artificial hip joint, unsteadiness on feet, other lack of coordination, and repeated falls. During an interview, on 07/17/23 at 10:32 a.m., Resident 21 indicated she was admitted to the facility 06/23/2023. The room was small. She was not offered the choice of another room. Her roommate's television set was on the wall of her side of the room. The dresser was at the end of her bed, and she was only able to open drawers halfway. She…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to thoroughly investigate an incident involving a CRCA (Certified Resident Care Assistant) and a resident for 1 of 1 resident reviewed for abuse. (Resident 27) Finding includes: During an interview, on 07/14/23 at 10:10 a.m., Resident 27 indicated shortly after her admission, a CRCA was verbally abusive to her. She indicated the CRCA used foul language, was written up, and fired. The record for Resident 27 was reviewed on 07/17/23 at 2:55 p.m. Diagnoses included, but were not limited to, malignant neoplasm of the brain, sequalae of cerebral infarct, depression, anxiety, and epilepsy. An admission MDS (Minimum Data Set) indicated the resident's BIM's (brief interview for mental status) score was 15 (cognitively intact). A typed document, dated 3/20/23, received from the Director of Health Services indicated the Assistant Director of Health Services spoke with the resident about the incident. The resident was upset over the treatment she had received by the CRCA. She stated the CRCA had not changed her all night and she was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure a resident received bathing as scheduled in the months of May and June 2023 for 1 of 1 resident reviewed for ADL (activities of daily living) care. (Resident 27) Findings include: During an observation, on 07/14/23 at 10:13 a.m., the resident was in her bed with the head of the bed elevated and her hair had a greasy appearance. The record for Resident 27 was reviewed on 07/17/23 at 2:55 p.m. Diagnoses included, but were not limited to, malignant neoplasm of the brain, acute respiratory failure with hypoxia, type 2 diabetes, acute kidney failure, morbid obesity, sequalae of cerebral infarct, depression, anxiety, and epilepsy. A review of the point of care documentation, dated May 2023, indicated a bath did not occur on 5/11, 5/13, 5/14, 5/29, and 5/30/23. There was no documentation regarding the reason the bath did not occur. The documentation indicated the resident required extensive assistance with shower and partial assistance with a shower. A review of the point of care documentation, date June 2023,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to ensure physician's orders and care plan interventions were followed for 1 of 2 residents reviewed for pressure ulcers. (Resident 10) Finding includes: During an observation, on 7/17/23 at 11:53 a.m., Resident 10 did not have a Prevalon boot (pressure relieving device) on his right foot while his left foot was covered up with a blanket. The record for Resident 10 was reviewed on 7/17/23 at 11:26 a.m. Diagnoses included, but were not limited to, pressure ulcer of left heel, hemiplegia (paralysis) and hemiparesis (weakness) on left side, and muscle weakness. A current care plan, dated 3/3/22, indicated the resident was to have Prevalon boots on his bilateral (both) feet at all times. A physician's order, dated 4/28/23, indicated Prevalon boots were to be on at all times. The MAR (Medication Administration Record) on 7/17/23 indicated the resident had Prevalon boots on although no boots were observed. During an interview, on 07/18/23 at 11:03 a.m., LPN 4 indicated she was unsure if the resident' Prevalon boots…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview and record review, the facility failed to obtain a physician's order and to ensure care plan interventions were in place for the use of a wanderguard monitoring bracelet for 1 of 2 residents reviewed for accidents. (Resident 1) Finding include: During an observation, on 07/17/23 at 10:44 a.m., Resident 1 was sitting in a recliner, in the lounge area, with her feet elevated and her eyes closed. The resident had a monitoring bracelet (used for residents who wander) on her right ankle. During an observation, on 07/18/23 at 10:17 a.m., the resident was sitting in a recliner with her feet elevated and her eyes closed. The resident had a monitoring bracelet intact to her right ankle. The record for Resident 1 was reviewed on 07/14/23 at 3:07 p.m. Diagnoses included, but were not limited to, fracture of unspecified part of neck of left femur, subsequent encounter for closed fracture with routine healing, and dementia. There was no order in the record for the monitoring bracelet. There was no care plan to indicate the resident had a monitoring device. During…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to educate the resident and/or the resident's representative about the potential risks of antipsychotic medications for 1 of 5 residents reviewed for unnecessary medications. (Resident 28) Finding includes: The record for Resident 28 was reviewed on 7/17/23 at 10:09 a.m. Diagnoses included, but were not limited to, dementia with behavioral disturbances, delusional disorder, muscle weakness, psychotic disorder with hallucinations, anxiety disorder, adult failure to thrive, and depression. A physician's order, dated 11/5/22, indicated the resident was taking Risperdal (an antipsychotic) 0.5 milligrams once per day. During a resident first meeting, dated 6/28/23 at 2:10 p.m., the facility indicated a review of medications were conducted with the resident's daughter. The resident first meeting did not include the names of the medications reviewed and did not include if the potential side effects were reviewed. During a family interview, on 7/19/23 at 1:45 p.m., the resident's daughter indicated the facility did not educate her on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.