Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Majestic Care Of Lafayette during CMS and state inspections, most recent first.
The facility failed to administer pneumococcal vaccines according to signed consents for four residents. A resident consented to the vaccine, but it was not administered, while another resident who declined the vaccine received it without consent. The DON confirmed the discrepancies, highlighting a failure to follow the facility's policy requiring documentation and consent prior to vaccine administration.
A resident with a history of depression and anxiety expressed suicidal thoughts to a nurse, but the facility failed to notify the Social Service Director and the resident's physician immediately. The resident's condition was not communicated until two days later, despite policies requiring immediate action. This represents a significant deficiency in handling the resident's mental health needs.
A resident with chronic respiratory conditions received incorrect oxygen flow due to staff not following physician orders. Observations showed the oxygen concentrator set at 2L and 2.5L instead of the ordered 1L. Staff interviews revealed a lack of awareness of the correct settings, and the DON confirmed the error.
A facility failed to accurately document narcotic administration and disposal for a resident with chronic pain. Oxycodone doses were not consistently recorded in the MAR, and discrepancies were found in the narcotic count sheets. Required witness signatures for medication disposal were also missing, indicating non-compliance with facility policies.
A resident in the facility, who had missing teeth and expressed a need for new dentures due to weight loss, did not receive the necessary assistance to obtain dental services. Despite having a care plan and multiple dental notes indicating her desire for dentures, the facility staff failed to coordinate the required dental care. Interviews revealed a lack of communication and responsibility among staff, with the Social Services Assistant unaware of the resident's needs and the DON indicating it was social services' responsibility to follow up on dental recommendations.
A facility failed to document the mood and behaviors of a resident with suicidal thoughts in the EHR. The resident, diagnosed with major depressive disorder and general anxiety, expressed suicidal thoughts to a nurse, but this was not recorded. The resident was on medication for depression and anxiety. The DON confirmed that staff should have documented the resident's mood and behavior, but no documentation was found. The facility's policy requires immediate reporting and documentation of suicidal ideation, which was not followed.
The facility failed to administer COVID-19 vaccines to three residents who had consented to receive them. Despite signed consent forms, the vaccines were not ordered or given, and the Director of Nursing confirmed this oversight. The facility's policies requiring documentation of vaccine administration were not followed, leading to this deficiency.
A resident with schizoaffective disorder and anxiety expressed a preference not to be cared for by a specific RN, yet the RN continued to provide care, including medication administration and vital sign checks, on multiple occasions. Despite management's awareness of the resident's preference, the facility failed to adhere to its policy on resident rights, resulting in a deficiency.
The facility failed to serve food at a safe and appetizing temperature, as reported by residents and observed during a survey. A resident noted that room tray food was usually cold, and another resident confirmed frequent cold meals. During a resident council meeting, it was mentioned that food was cold even in the dining room. An observation showed ravioli served at 116 degrees, below the required 120 degrees. The facility's policy mandates food to be served at a safe and appetizing temperature, which was not followed.
The facility failed to follow infection control practices when a CNA dragged dirty linen down the hall and two CNAs did not wear PPE while caring for a resident under Enhanced Barrier Precautions. The resident had multiple diagnoses, including end-stage renal disease. The facility's policies on hand hygiene and PPE usage were not followed.
The facility failed to ensure a safe and clean environment in several rooms, with issues such as improperly stored incontinence products, non-functioning light bulbs, and trash on the floor. Observations included opened briefs on beds, foul smells, and disorganized personal spaces, indicating a lack of proper maintenance and cleanliness.
Failure to Administer Pneumococcal Vaccines as Consented
Penalty
Summary
The facility failed to ensure pneumococcal vaccines were administered according to the signed consent forms for four residents. Resident I had a signed consent form dated 8/19/24, but the electronic medical record showed no administration of the vaccine. Similarly, Resident 9 consented on 1/31/24, yet there was no record of the vaccine being given. Resident 84 had two consent forms, one in April and another in August 2024, but the vaccine was not administered after either consent. The Director of Nursing (DON) confirmed in interviews that the immunizations should have been provided soon after the consents were signed, but they were neither ordered nor given. In the case of Resident 41, the resident had declined the pneumococcal vaccine as indicated on a consent form dated 4/19/23. However, a physician's order dated 10/25/23 led to the administration of the vaccine on the same day, despite the lack of a signed consent for this administration. The DON acknowledged the discrepancy, noting that the vaccine was administered without the resident's consent. The facility's current policy requires documentation of education and consent prior to vaccine administration, which was not adhered to in these cases.
Failure to Notify Appropriate Personnel of Resident's Suicidal Thoughts
Penalty
Summary
The facility failed to ensure immediate notification of the Social Service Director and the resident's physician after a resident expressed suicidal thoughts. Resident 81, who had a history of major depressive disorder and general anxiety, informed a nurse on 10/19/24 that she felt suicidal and wanted help. Despite this, no action was taken over the weekend, and the resident's condition was not communicated to the appropriate personnel until 10/21/24. The resident was on medications for depression and anxiety, and her care plan included monitoring for suicidal thoughts, yet the facility's procedures were not followed. Interviews revealed that the Social Service Assistant was only informed by the resident on 10/21/24, and the Director of Nursing was unaware of the situation until then. The facility's policy required immediate reporting of suicidal ideation to the charge nurse and social worker, and notification of the resident's physician. However, there was no documentation indicating that these notifications were made. This lack of communication and documentation represents a significant deficiency in the facility's handling of the resident's expressed suicidal thoughts.
Failure to Administer Correct Oxygen Flow
Penalty
Summary
The facility failed to administer the correct amount of oxygen as ordered by the physician for a resident requiring respiratory care. Observations on three separate occasions revealed that the resident's oxygen concentrator was set at 2 liters per minute (L) and 2.5L, despite the physician's order specifying a continuous flow of 1L. The resident's medical history included end-stage renal disease, chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, and other significant health conditions, necessitating precise oxygen therapy management. Interviews with facility staff, including a QMA and an LPN, indicated a lack of awareness regarding the correct oxygen liter flow for the resident. The Director of Nursing acknowledged that the oxygen flow was previously set incorrectly and emphasized the importance of adhering to physician orders. The facility's current policy on oxygen administration, which mandates that oxygen be administered under a physician's orders, was not followed in this instance, leading to the deficiency.
Documentation Failures in Narcotic Administration
Penalty
Summary
The facility failed to ensure accurate documentation on narcotic count sheets and the Medication Administration Record (MAR) for a resident receiving pain management. The clinical record for Resident E, who had diagnoses including chronic pain syndrome and a non-pressure chronic ulcer of the foot, revealed multiple instances in August and September where Oxycodone administration was not properly documented in the MAR. On several occasions, the administration of Oxycodone was recorded on the narcotic count sheet but not in the MAR, and there were discrepancies in the documentation of the amount administered. Additionally, there were instances where the documentation was out of chronological order, and a lack of proper signatures for medication waste was noted. The facility's policies required that medication administration be documented immediately after administration and that controlled substances be disposed of in the presence of a nurse and a witness, both of whom should sign the disposition sheet. However, the report highlighted failures in adhering to these policies, including incorrect documentation of medication amounts and missing witness signatures for the destruction of discontinued medications. Interviews with the Assistant Director of Nursing (ADON) and the Director of Nursing (DON) confirmed awareness of these documentation issues, but the required procedures were not consistently followed.
Failure to Provide Dental Services for a Resident
Penalty
Summary
The facility failed to ensure that a resident received necessary dental services, specifically the provision of new dentures. The resident, who had missing teeth, expressed a desire for new dentures as her previous ones no longer fit due to significant weight loss. Despite her requests for assistance in finding a dental provider within her insurance network, the staff did not facilitate this process. The resident's clinical record indicated a history of type 2 diabetes mellitus, peripheral vascular disease, chronic diastolic heart failure, post-traumatic stress disorder, hyperlipidemia, and age-related physical debility. A care plan was in place to coordinate dental care and transportation, but these interventions were not effectively implemented. Interviews with facility staff revealed a lack of communication and responsibility regarding the resident's dental needs. The Social Services Assistant was unaware of the resident's request for dentures, and the Director of Nursing indicated that it was the responsibility of social services to follow up on dental provider recommendations. Despite multiple dental notes indicating the resident's desire for dentures, no action was taken to address her needs. The facility's policy on dental services stated that assistance should be provided for routine and emergency dental care, including making appointments and arranging transportation, but this policy was not adhered to in the resident's case.
Failure to Document Suicidal Ideation in EHR
Penalty
Summary
The facility failed to document the mood and behaviors of a resident with suicidal thoughts in the Electronic Health Records (EHR). The resident, who had diagnoses of major depressive disorder and general anxiety, expressed suicidal thoughts to a nurse but this was not recorded in the EHR. The resident was on medication for depression and anxiety, including duloxetine and buspirone. During an interview, the Director of Nursing confirmed that staff should have documented the resident's mood and behavior in the medical records, but no such documentation was found. The facility's policy on Suicidal Thoughts & Ideations requires immediate reporting and documentation of any suicidal ideation, but this was not followed in this instance.
Failure to Administer COVID-19 Vaccines to Consenting Residents
Penalty
Summary
The facility failed to provide COVID-19 vaccinations to three residents who had consented to receive them. Resident 65, diagnosed with conditions including major depressive disorder and hypertension, signed consent forms for the vaccine in January and November 2023, but there was no record of the vaccine being administered. Similarly, Resident 83, with diagnoses such as hemiplegia and epilepsy, consented to the vaccine in December 2023, yet the vaccination was not documented in their medical record. Resident 84, suffering from end-stage renal disease and other severe health issues, consented to the vaccine in August 2024, but the vaccine was not administered. The Director of Nursing (DON) confirmed during interviews that the vaccinations should have been provided shortly after consent was obtained, but they were neither ordered nor given. The facility's policies on infection prevention and COVID-19 management, which require documentation of vaccine education and administration, were not followed. This deficiency was identified during a complaint investigation, highlighting a failure in the facility's process to ensure timely vaccination of consenting residents.
Failure to Honor Resident's Choice of Healthcare Provider
Penalty
Summary
The facility failed to honor a resident's right to self-determination and choice of healthcare provider, as evidenced by the continued care provided by a specific RN against the resident's expressed wishes. Resident D, who has diagnoses including schizoaffective disorder, bipolar type, and anxiety disorder, explicitly stated that he did not want RN 7 to care for him. Despite informing management of his preference, RN 7 continued to administer medications and take vital signs for Resident D on multiple occasions throughout September and October. Interviews with the Director of Nursing (DON) and an LPN confirmed awareness of the resident's preference and the ongoing issue. The DON acknowledged that RN 7 was not supposed to care for Resident D, yet records showed that RN 7 was repeatedly assigned to the resident. The facility's policy on resident rights, which supports resident choice in healthcare providers, was not adhered to in this case, leading to a deficiency related to the resident's rights.
Failure to Serve Food at Safe and Appetizing Temperature
Penalty
Summary
The facility failed to ensure that food was served at a safe and appetizing temperature, as evidenced by multiple observations and resident interviews. Resident E reported that food, especially room trays, was usually cold. Another resident, identified as Resident 48, also indicated that the food was often cold. During a resident council meeting, it was noted that the food was cold even when served in the dining room. An observation on 10/16/24 revealed that a lunch tray's ravioli was served at 116 degrees, below the dietary manager's standard of at least 120 degrees for hot foods. The facility's policy, last revised in February 2023, stated that food should be palatable, attractive, and served at a safe and appetizing temperature, which was not adhered to in this instance. This deficiency is related to complaints IN00435618, IN00436796, and IN00439138.
Infection Control Deficiencies in Linen Handling and PPE Usage
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices were followed by staff, as observed in two separate incidents. In the first incident, a Certified Nursing Assistant (CNA) was seen dragging a large clear trash bag of dirty linen down the hallway, which was against the facility's infection control policy. The CNA acknowledged the mistake during an interview, and the Director of Nursing confirmed that the CNA should not have dragged the dirty linen down the hall. In the second incident, two CNAs were observed in a resident's room, who was under Enhanced Barrier Precautions (EBP), without wearing the required personal protective equipment (PPE). The CNAs were transferring the resident from a wheelchair to a bed without wearing gowns or gloves, despite a physician's order for EBP during high-contact activities. A Licensed Practical Nurse (LPN) intervened by providing gowns to the CNAs, but one CNA did not tie the gown properly and continued to handle the resident without gloves. The resident involved had diagnoses including end-stage renal disease, major depressive disorder, and hypertension. The facility's policies on hand hygiene and infection prevention were not adhered to, as staff failed to demonstrate competence in infection control practices.
Environmental Deficiencies in Resident Rooms
Penalty
Summary
The facility failed to maintain a safe, clean, and comfortable environment for residents, staff, and the public in several rooms. Observations revealed that incontinence products and personal items were not stored appropriately, with opened packages of briefs found on beds and on the ground in bathrooms. Additionally, some rooms had a foul smell, and light bulbs were not functioning, contributing to inadequate lighting. The presence of trash on the floor, food remnants, and a filled urinal on a bedside table further indicated a lack of cleanliness and proper maintenance. The facility's environment was also compromised by disorganized personal spaces, such as clothes not being hung up and messy closets. Paint was observed on the floor in one room, and personal hygiene items were improperly stored in a wire basket on the back of a toilet. These deficiencies were identified during an environmental tour and interview with the Maintenance Supervisor, Executive Director, and Housekeeping staff, who acknowledged the need for improvements in storage, lighting, and cleanliness.
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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) |
|---|---|---|---|---|
| Springs At Lafayette, The | 2.2 mi | — | 9 | 0 |
| St Mary Healthcare Center | 2.3 mi | — | 4 | 0 |
| Rosewalk Village At Lafayette | 2.4 mi | — | 2 | 0 |
| Saint Anthony Rehab And Nursing Center | 2.5 mi | — | 5 | 0 |
| Creasy Springs Health Campus | 3.4 mi | — | 13 | 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 August 2026) and official state health department websites.