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Complaint Investigation

Lafayette Manor

October 15, 2025 · Darlington, WI · 719 E Catherine St Box 167
Citations 1
CMS Rating 2/5
Beds 50
Provider ID 525362
Healthcare Facility
Lafayette Manor
Darlington, WI  ·  View full profile →
Inspection Summary

LAFAYETTE MANOR in DARLINGTON, WI — inspection on October 15, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0761
Pharmacy Service Deficiencies
Potential for More Than Minimal Harm

During an interview on 10/15/25 at 2:41 PM, CMA2 stated that during her shift she has the keys to the medication cart and the key to the locked narcotic box. CMA2 stated that at the change of shift she does the verifying of the narcotics in the locked box with the narcotic binder with the oncoming nurse or CMA.

CMA2 confirmed that she cannot give residents their narcotic medications.

During an interview on 10/15/25 at 3:30PM, the Administrator and DON confirmed that the facility has only two CMAs and that although they use agency staff, they never accept an agency CMA for an assignment at this facility.

After reviewing the facility's policies, the Administrator confirmed that the CMAs should not have the key to the locked narcotic box as indicated in the facility's policy.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DARLINGTON, WI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAFAYETTE MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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