Uniontown, PA

Lafayette Manor, Inc

2-star overall rating with 2-star inspections with $7,342 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

147 Lafayette Manor Road, Uniontown, PA

(724) 430-4848

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

83

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.60

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.60

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,613

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

19.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.58% · Performance 22.38% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.98

Baseline 5.67% · Performance 7.54% · Measure score 0.98 · Achievement 0.98 · Improvement 0

Total nurse turnover

4.67

Baseline 90.79% · Performance 56.70% · Measure score 4.67 · Achievement 1.71 · Improvement 4.67

Adjusted total nurse staffing

2.26

Baseline 2.99 hours · Performance 3.72 hours · Measure score 2.26 · Achievement 2.26 · Improvement 2.12

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.25%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 123 · Observed rate 13.01% · Lower 95% interval 8.25%
Discharge to community 57.36%
50.57%
6.8 pts better
No Different than the National Rate · Eligible stays 112 · Observed rate 50% · Lower 95% interval 46.64%
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up 96.81%
95.27%
1.5 pts better
Numerator 91 · Denominator 94
Falls with major injury 1.06%
0.77%
0.3 pts worse
Numerator 1 · Denominator 94
Discharge self-care score 36.49%
53.69%
17.2 pts worse
Numerator 27 · Denominator 74
Discharge mobility score 39.19%
50.94%
11.8 pts worse
Numerator 29 · Denominator 74
Pressure ulcers or injuries, new or worsened 1.08%
2.29%
1.2 pts better
Numerator 1 · Denominator 93 · Adjusted rate 0.8%
Healthcare-associated infections requiring hospitalization 7.54%
7.12%
0.4 pts worse
No Different than the National Rate · Eligible stays 90 · Observed rate 7.78% · Lower 95% interval 4.51%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 134
Staff flu vaccination coverage 18.57%
42%
23.4 pts worse
Numerator 26 · Denominator 140
Discharge function score 50%
56.45%
6.5 pts worse
Numerator 37 · Denominator 74
Transfer of health information to provider 97.87%
95.95%
1.9 pts better
Numerator 46 · Denominator 47
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 28 · Denominator 28
Resident COVID-19 vaccinations up to date 20%
25.2%
5.2 pts worse
Numerator 9 · Denominator 45

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.7
0.4 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.0 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
1.2
0.2 pts worse
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2%
86.9%
9.3 pts better
93.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.6% · Q2 95.4% · Q3 95.4% · Q4 98.5% · 4Q avg 96.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 78.6%
93.5%
14.9 pts worse
95.5%
16.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 78.6%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
3.2%
1 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.2% · Q3 4.6% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.7%
6.5%
2.8 pts better
11.4%
7.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 4.7% · Q4 6.7% · 4Q avg 3.7%
Percentage of long-stay residents who lose too much weight 4.2%
6.5%
2.3 pts better
5.4%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 3.6% · Q4 8.6% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.6%
19.9%
1.7 pts worse
19.6%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 18.5% · Q3 21.8% · Q4 24.1% · 4Q avg 21.6%
Percentage of long-stay residents who received an antipsychotic medication 13.0%
18.7%
5.7 pts better
16.7%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 15.6% · Q3 15.4% · Q4 9.1% · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 34.2%
19.6%
14.6 pts worse
16.3%
17.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 25.0% · Q4 27.9% · 4Q avg 34.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 24.4%
18.3%
6.1 pts worse
14.9%
9.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 26.5% · Q3 25.0% · Q4 15.7% · 4Q avg 24.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.9%
0.6 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 3.8%
1.7%
2.1 pts worse
1.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.7% · Q3 3.1% · Q4 1.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.5%
26.4%
4.1 pts worse
19.8%
10.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 27.5% · Q3 33.0% · Q4 22.2% · 4Q avg 30.5%
Percentage of long-stay residents with pressure ulcers 8.7%
5.3%
3.4 pts worse
5.1%
3.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 9.6% · Q3 7.1% · Q4 5.6% · 4Q avg 8.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.9%
68.9%
29 pts better
81.7%
16.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.9% · Q3 97.8% · Q4 99.3% · 4Q avg 97.9%
Percentage of short-stay residents who had an outpatient emergency department visit 8.5%
9.8%
1.3 pts better
12.0%
3.5 pts better
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 8.3% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.2%
1.5%
1.3 pts better
1.6%
1.4 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 87.8%
68.7%
19.1 pts better
79.7%
8.1 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.4%
23.1%
0.3 pts worse
23.9%
0.5 pts better
Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 22.2% · Expected 22.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-26 · Fire 2025-09-26

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-09-06 · Fire 2024-09-06

21 health deficiencies

Top issue: Administration (5 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-10-06 · Fire 2023-10-06

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-17

E · Potential for more than minimal harm 2025-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-17

E · Potential for more than minimal harm 2024-09-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-09-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-11

F · Potential for more than minimal harm 2023-10-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-11-17

E · Potential for more than minimal harm 2023-10-06

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2023-11-17

C · Minimal harm 2023-10-06

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-11-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

E · Potential for more than minimal harm 2025-09-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-11-06

E · Potential for more than minimal harm 2025-09-26

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-11-06

E · Potential for more than minimal harm 2025-09-26

F761 · Pharmacy Service Deficiencies

Health

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 2025-11-06

E · Potential for more than minimal harm 2025-09-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-06

D · Potential for more than minimal harm 2025-09-26

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-06

D · Potential for more than minimal harm 2025-09-26

F690 · Quality of Life and Care Deficiencies

Health

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 2025-11-06

D · Potential for more than minimal harm 2025-09-26

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-11-06

E · Potential for more than minimal harm 2025-08-12

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-10

D · Potential for more than minimal harm 2025-08-12

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-09-10

E · Potential for more than minimal harm 2025-06-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-31

F · Potential for more than minimal harm 2024-09-06

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-21

F · Potential for more than minimal harm 2024-09-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-06

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-09-06

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-06

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-06

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-09-06

F945 · Infection Control Deficiencies

Health

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-21

D · Potential for more than minimal harm 2024-09-06

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F942 · Resident Rights Deficiencies

Health

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2024-10-21

B · Minimal harm 2024-09-06

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-10-21

E · Potential for more than minimal harm 2024-05-24

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-05-11

E · Potential for more than minimal harm 2024-05-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-07-02

D · Potential for more than minimal harm 2024-05-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-02

D · Potential for more than minimal harm 2024-05-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-02

E · Potential for more than minimal harm 2023-10-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-06

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-06

F758 · Pharmacy Service Deficiencies

Health

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 2023-11-30

D · Potential for more than minimal harm 2023-10-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-30

Penalties and ownership

What sits behind the stars

$7,342 2023-05-23

Fine

Fine · fine $7,342

Fine

Ownership

Duggan, Timothy

Corporate Officer · Individual

0% 6 facilities 2023-10-01
Ketterman, Mary

Operational/Managerial Control · Individual

0% 1 facilities 2023-08-10
Ketterman, Mary

Corporate Director · Individual

0% 1 facilities 2023-08-10
Rowe, William

Corporate Officer · Individual

0% 3 facilities 2023-10-01
Wagner, Todd

Corporate Officer · Individual

0% 1 facilities 2023-10-01
Waldrop, Mark

Corporate Officer · Individual

0% 6 facilities 2023-10-01

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