Lafayette Extended Care
805 Hospital Street Southwest, Lafayette, AL 36862 · Chambers County · 69 certified beds · avg 58 residents/day · certified since Jul 1, 1978
Part of chain: PRIME HEALTH CARE ENTERPRISES (5 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 22, 2020 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jan 22, 2020 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jan 22, 2020 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 19, 2018 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 19, 2018 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 19, 2018 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 1, 2018 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 1, 2018 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Feb 1, 2018 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 1, 2018 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 1, 2018 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 1, 2018 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Feb 1, 2018 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 10 | 0 | E |
| 2020 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $4,558.
| Date | Type | Amount / length |
|---|---|---|
| Jan 30, 2024 | Fine | $4,558 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.72 | 4.43 | 3.95 | top 33% in Alabama; top 18% in the U.S. |
| Registered Nurse hours | 0.58 | 0.74 | 0.69 | bottom 26% in Alabama; bottom 50% in the U.S. |
| Weekend total nurse staffing | 4.39 | 3.73 | 3.50 | top 13% in Alabama; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.36 | 0.48 | bottom 12% in Alabama; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 41.2 | 46.9 | 45.8 | top 30% in Alabama; top 40% in the U.S. |
| RN turnover (%) | 50.0 | 39.5 | 42.9 | bottom 34% in Alabama; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.82, RN 0.47, weekend 3.56. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Prime Health Care Enterprises, INC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2004 |
| Prime Healthcare Enterprise LLC | Organization | 5% or Greater Direct Ownership Interest | — | 05/28/2004 |
| Butler, Yvonne | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2004 |
| Chapman, Archie | Individual | Corporate Director | NOT APPLICABLE | 02/10/2004 |
| Prime Health Care Enterprises, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2004 |
| Prime Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/18/2003 |
| Servisfirst Bank | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/28/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Lafayette Nursing Home | 0.7 mi | Lafayette, AL | ★★☆☆☆ | 4/5 | |
| Diversicare of Lanett | 12.6 mi | Lanett, AL | ★★★★☆ | 4/5 | |
| Eamc Lanier Nursing Home | 14.7 mi | Valley, AL | ★★★★★ | 4/5 | |
| Arbor Springs Health and Rehab Center, LTD | 17.4 mi | Opelika, AL | ★★☆☆☆ | 2/5 | |
| Roanoke Rehabilitation & Healthcare Center | 17.5 mi | Roanoke, AL | ★★☆☆☆ | 2/5 | |
| Arbor Lake Health and Rehab | 17.7 mi | Auburn, AL | ★★★☆☆ | 2/5 | |
| Traylor Retirement Community | 18.8 mi | Roanoke, AL | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015197.