Lafayette Nursing Home
555 B Street SW, Lafayette, AL 36862 · Chambers County · 63 certified beds · avg 50 residents/day · certified since Jan 10, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 25, 2019 · F-0656
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.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 4, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jan 25, 2019 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 4, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jan 25, 2019 · F-0835
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 4, 2019 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Sep 21, 2022 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 12, 2020 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 12, 2020 | 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. |
| Jan 25, 2019 | ▲ J · Immediate jeopardy, 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. |
| Jan 25, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 25, 2019 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jan 25, 2019 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jan 25, 2019 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Jan 25, 2019 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jan 25, 2019 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jan 25, 2019 | E · Potential for harm, repeated | 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. |
| Jan 25, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 25, 2019 | B · Minimal risk, repeated | 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 decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 3 | J ▲ |
| 2020 | 2 | 0 | E |
| 2022 | 1 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 3.89 | 4.43 | 3.95 | bottom 19% in Alabama; top 44% in the U.S. |
| Registered Nurse hours | 0.53 | 0.74 | 0.69 | bottom 19% in Alabama; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.01 | 3.73 | 3.50 | bottom 10% in Alabama; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.36 | 0.48 | bottom 21% in Alabama; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 46.9 | 45.8 | — |
| RN turnover (%) | 0.0 | 39.5 | 42.9 | — |
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 3.19, RN 0.44, weekend 2.47. 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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Estate of John Holmes | Organization | 5% or Greater Direct Ownership Interest | 95% | 01/01/2004 |
| First Bank of Alabama | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/21/2022 |
| First Bank of Alabama | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Ozimba, Emmanuel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/13/2025 |
| Ozimba, Emmanuel | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2023 |
| Ozimba, Emmanuel | Individual | ADP of the SNF | NOT APPLICABLE | 12/13/2023 |
| The Estate of John Holmes | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2004 |
| White, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/10/2024 |
| White, John | Individual | Corporate Director | NOT APPLICABLE | 01/26/2025 |
| White, John | Individual | Corporate Officer | NOT APPLICABLE | 01/26/2025 |
| White, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/10/2024 |
| White, John | Individual | ADP of the SNF | NOT APPLICABLE | 10/10/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "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 Extended Care | 0.7 mi | Lafayette, AL | ★★☆☆☆ | 3/5 | |
| Diversicare of Lanett | 12.1 mi | Lanett, AL | ★★★★☆ | 4/5 | |
| Eamc Lanier Nursing Home | 14.2 mi | Valley, AL | ★★★★★ | 4/5 | |
| Roanoke Rehabilitation & Healthcare Center | 17.1 mi | Roanoke, AL | ★★☆☆☆ | 2/5 | |
| Arbor Springs Health and Rehab Center, LTD | 17.6 mi | Opelika, AL | ★★☆☆☆ | 2/5 | |
| Arbor Lake Health and Rehab | 18.1 mi | Auburn, AL | ★★★☆☆ | 2/5 | |
| Traylor Retirement Community | 18.5 mi | Roanoke, AL | ★★★★☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015414.