RecordWell Data

Lafayette Manor

Nursing home · 719 E. Catherine St. Box 167, Darlington, WI 53530 · Lafayette County

2★Medicare overall
72cited deficiencies
6harm or jeopardy level
3penalties

Prices

No published price is available. Ask the facility directly.

Facility

Type
Nursing home · TITLE 18 SNF TITLE 19 NF
Capacity
50
State license
2448
Medicare CCN
525362
Licensed entity
LAFAYETTE COUNTY
Ownership
Government - County
Phone
(608) 776-4210
Nurse staffing
4.21 hours per resident per day; 45.1% nursing staff turnover
Medicare ratings
Inspections 2★ · Staffing 4★ · Quality 3★
Official record
Wisconsin DQA Provider Search
Official record
Medicare Care Compare

Other public records for this operator

Penalties

Inspection findings

  1. Mar 25, 2026 Health · 17 findings
    • Not serious Scope/severity D

      F0628 Resident Rights Deficiencies

      Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

      Corrected Apr 7, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0656 Resident Assessment and Care Planning Deficiencies

      Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      Corrected Apr 7, 2026 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected Apr 9, 2026 · CMS health inspection

    • Serious Scope/severity G

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 20, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0699 Quality of Life and Care Deficiencies

      Provide care or services that was trauma informed and/or culturally competent.

      Corrected Apr 9, 2026 · CMS health inspection

    • Not serious Scope/severity E

      F0700 Quality of Life and Care Deficiencies

      Try 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.

      Corrected Apr 10, 2026 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 7, 2026 · CMS health inspection

    • Not serious Scope/severity D

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Apr 8, 2026 · CMS health inspection

    • Not serious Scope/severity D

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Apr 8, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Apr 8, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0351 Smoke Deficiencies

      Install an approved automatic sprinkler system.

      Corrected Apr 8, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Apr 14, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Apr 14, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Jun 30, 2026 · CMS fire safety

    • Not serious Scope/severity E

      K0711 Miscellaneous Deficiencies

      Provide a written emergency evacuation plan.

      Corrected Apr 5, 2026 · CMS fire safety

    • Not serious Scope/severity D

      K0741 Miscellaneous Deficiencies

      Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      Corrected Apr 6, 2026 · CMS fire safety

    • Not serious Scope/severity F

      K0911 Gas, Vacuum, and Electrical Systems Deficiencies

      Meet requirements for the installation and maintenance of electrical systems.

      Corrected Apr 14, 2026 · CMS fire safety

  2. Oct 15, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected Nov 19, 2025 · CMS health inspection

  3. Aug 13, 2025 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Sep 2, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Sep 2, 2025 · CMS health inspection

  4. Dec 12, 2024 Fire Safety · 22 findings
    • Not serious Scope/severity F

      E0013 Emergency Preparedness Deficiencies

      Develop Emergency Preparedness policies and procedures.

      Corrected Jan 13, 2025 · CMS fire safety

    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jan 13, 2025 · CMS health inspection

    • Serious Scope/severity G

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0692 Quality of Life and Care Deficiencies

      Provide enough food/fluids to maintain a resident's health.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 13, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0867 Administration Deficiencies

      Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0868 Administration Deficiencies

      Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

      Corrected Jan 6, 2025 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 13, 2025 · CMS health inspection

    • Not serious Scope/severity F

      K0291 Egress Deficiencies

      Install emergency lighting that can last at least 1 1/2 hours.

      Corrected Jan 3, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0345 Smoke Deficiencies

      Have approved installation, maintenance and testing program for fire alarm systems.

      Corrected Jan 8, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 9, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Feb 6, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Jan 8, 2025 · CMS fire safety

    • Not serious Scope/severity F

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Mar 13, 2025 · CMS fire safety

    • Not serious Scope/severity E

      K0912 Gas, Vacuum, and Electrical Systems Deficiencies

      Have power receptacles that are properly grounded.

      Corrected Jan 13, 2025 · CMS fire safety

    • Not serious Scope/severity D

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Jan 8, 2025 · CMS fire safety

  5. Aug 13, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Sep 5, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Sep 5, 2024 · CMS health inspection

  6. Jan 18, 2024 Health · 1 finding
    • Serious Scope/severity G Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Feb 19, 2024 · CMS health inspection

  7. Dec 7, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Jan 12, 2024 · CMS health inspection

  8. Nov 9, 2023 Fire Safety · 21 findings
    • Not serious Scope/severity F

      E0006 Emergency Preparedness Deficiencies

      Conduct risk assessment and an All-Hazards approach.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity D Complaint

      F0580 Resident Rights Deficiencies

      Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0661 Resident Assessment and Care Planning Deficiencies

      Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 14, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jan 12, 2024 · CMS health inspection

    • Serious Scope/severity G

      F0881 Infection Control Deficiencies

      Implement a program that monitors antibiotic use.

      Corrected Jan 12, 2024 · CMS health inspection

    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

      Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0353 Smoke Deficiencies

      Inspect, test, and maintain automatic sprinkler systems.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0362 Smoke Deficiencies

      Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Jan 10, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0923 Gas, Vacuum, and Electrical Systems Deficiencies

      Have proper medical gas storage and administration areas.

      Corrected Jan 10, 2024 · CMS fire safety

  9. Sep 13, 2023 Health · 5 findings
    • Not serious Scope/severity D Complaint

      F0585 Resident Rights Deficiencies

      Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

      Corrected Oct 4, 2023 · CMS health inspection

    • Serious Scope/severity G Complaint

      F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      Corrected Nov 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Oct 4, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Oct 4, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Oct 4, 2023 · CMS health inspection

Owners and managers (as published by CMS)

Sources: Wisconsin Department of Health Services (directory, assisted-living survey documents) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.