Cycle 1
Health 2025-02-19 · Fire 2025-02-19
4 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Lafayette, LA
Louisiana Extended Care Hospital Of Lafayette
4-star overall rating with 3-star inspections with 4 recent health deficiencies
2810 Ambassador Caffery Parkway, 5th Floor, Lafayette, LA
(337) 289-8180
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
28
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Priority Management
Operator or chain grouping
Approved since
2019-07-11
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
38 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.34
Registered nurse staffing · state 0.32 · national 0.68
LPN hours / resident day
1.71
Licensed practical nurse staffing · state 1.18 · national 0.87
Aide hours / resident day
1.58
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.05
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.64
Weekend nurse staffing · state 3.26 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.22 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.89
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
2,963
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.66
Composite VBP score used to determine payment impact.
Payment multiplier
1.0001
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.10
Baseline 19.13% · Performance 19.07% · Measure score 5.10 · Achievement 5.10 · Improvement 0
Healthcare-associated infections
7.30
Baseline 4.81% · Performance 5.65% · Measure score 7.30 · Achievement 7.30 · Improvement 0
Total nurse turnover
1.60
Baseline 56.00% · Performance 57.14% · Measure score 1.60 · Achievement 1.60 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.55% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 197 · Observed rate 5.58% · Lower 95% interval 5.95% |
| Discharge to community | 77.07% |
50.57%
26.5 pts better
|
Better than the National Rate · Eligible stays 183 · Observed rate 75.41% · Lower 95% interval 70.01% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 113 · Denominator 113 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 113 |
| Discharge self-care score | 63% |
53.69%
9.3 pts better
|
Numerator 63 · Denominator 100 |
| Discharge mobility score | 46% |
50.94%
4.9 pts worse
|
Numerator 46 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 0.88% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 113 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 5.65% |
7.12%
1.5 pts better
|
No Different than the National Rate · Eligible stays 113 · Observed rate 2.65% · Lower 95% interval 3.1% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 27 |
| Staff flu vaccination coverage | 66.67% |
42%
24.7 pts better
|
Numerator 18 · Denominator 27 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 60 · Denominator 100 |
| Transfer of health information to provider | 92.59% |
95.95%
3.4 pts worse
|
Numerator 100 · Denominator 108 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 5.97% |
25.2%
19.2 pts worse
|
Numerator 4 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.0% |
83.6%
52.6 pts worse
|
81.7%
50.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 30.2% · Q3 28.8% · Q4 31.2% · 4Q avg 31.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
14.7%
6.3 pts better
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 7.8% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
3.3%
2.6 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
76.2%
16.2 pts better
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.9% |
27.8%
0.9 pts better
|
23.9%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 23.5% · Expected 20.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-10 · Fire 2024-01-10
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-01-11 · Fire 2023-01-11
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-02-19
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 2025-03-31
F · Potential for more than minimal harm
2025-02-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-31
F · Potential for more than minimal harm
2025-02-19
F882 · Infection Control Deficiencies
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-31
D · Potential for more than minimal harm
2025-02-19
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 2025-03-31
F · Potential for more than minimal harm
2024-01-10
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-24
E · Potential for more than minimal harm
2024-01-10
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 2024-02-24
D · Potential for more than minimal harm
2024-01-10
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-24
E · Potential for more than minimal harm
2023-01-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-01-30
E · Potential for more than minimal harm
2023-01-11
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 2023-01-30
D · Potential for more than minimal harm
2023-01-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-11
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-01-30
D · Potential for more than minimal harm
2023-01-11
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 2023-01-30
Penalties and ownership
What sits behind the stars
Ownership
Phg - Lafayette LLC
5% Or Greater Direct Ownership Interest · Organization
B & C Fox Enterprises LLC
5% Or Greater Indirect Ownership Interest · Organization
Fox, Robert
5% Or Greater Indirect Ownership Interest · Individual
Fox, Robert
Operational/Managerial Control · Individual
Fox, Robert
Corporate Director · Individual
Gras, Suzanne
Operational/Managerial Control · Individual
Gras, Suzanne
Corporate Officer · Individual
Klw Assets LLC
5% Or Greater Indirect Ownership Interest · Organization
Pittman, Julie
5% Or Greater Indirect Ownership Interest · Individual
Priority Hospital Group LLC
Operational/Managerial Control · Organization
Reed, David
Operational/Managerial Control · Individual
Rice Business Enterprises LLC
5% Or Greater Indirect Ownership Interest · Organization
Rice, Alexander
5% Or Greater Indirect Ownership Interest · Individual
Rice, Christopher
5% Or Greater Indirect Ownership Interest · Individual
Rice, Mark
5% Or Greater Indirect Ownership Interest · Individual
Rice, Mark
Operational/Managerial Control · Individual
Rice, Mark
Corporate Director · Individual
Wright, Christopher
5% Or Greater Indirect Ownership Interest · Individual
Wright, Christopher
Operational/Managerial Control · Individual
Wright, Christopher
Corporate Director · Individual
Wright, Lauren
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Camelot Rehabilitation At Magnolia Park
Lafayette, LA
1-star overall rating with 1-star inspections with $30,183 in total fines with 13 recent health deficiencies
#2
Lady Of The Oaks Retirement Manor
Lafayette, LA
3-star overall rating with 4-star inspections with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Cornerstone at the Ranch
Lafayette, LA
1-star overall rating with 2-star inspections with $128,349 in total fines with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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