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MAJESTIC CARE OF LAFAYETTE Inspection Report, Violations & Safety Grade (LAFAYETTE, Indiana)

300 WINDY HILL DR, LAFAYETTE, Indiana 47905

Phone: 7654777791

CMS Overall:2/5

Overview & Bed Count

Certified Beds
122
Avg Residents/Day
99
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Tippecanoe
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing1/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityIndiana AvgDifference
RN Hours per Resident per Day0.270.68-0.40
Total Nurse Hours per Resident per Day3.133.73-0.60
CMS Staffing Rating1/52.6/5-
Nursing Staff Turnover55.3%45.9%-

Health Citation History

30 health citations on record

DateCategoryDescriptionSeverity
2025-08-28Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2025-08-28Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E – Moderate Harm Potential
2025-08-28Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D – Moderate Harm Potential
2025-08-28Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-08-28Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2025-08-28Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2025-08-28Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-08-28Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-10-23Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2024-10-23Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-10-23Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D – Moderate Harm Potential
2024-10-23Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-10-23Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-10-23Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2024-10-23Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2024-10-23Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-10-23Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-10-23Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D – Moderate Harm Potential
2024-10-23Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2023-08-16Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.E – Moderate Harm Potential
2023-08-16Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2023-08-16Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2023-08-16Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-08-16Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2023-08-16Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2023-08-16Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2023-08-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-08-16Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2023-08-16Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2023-08-16Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential

Fire Safety Citation History

16 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-28Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2025-08-28Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2025-08-28Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-08-28Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2024-10-23Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2024-10-23Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.C – Minimal Harm Potential
2024-10-23Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.C – Minimal Harm Potential
2023-08-16Emergency Preparedness DeficienciesImplement emergency and standby power systems.F – Moderate Harm Potential
2023-08-16Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.F – Moderate Harm Potential
2023-08-16Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-08-16Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2023-08-16Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2023-08-16Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-08-16Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-08-16Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2023-08-16Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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