Lafayette Manor
719 E Catherine St Box 167 · Darlington, WI · 53530 · 6087764210
50 certified beds Government - County
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $60,159 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$60,159 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.99 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $159,661 |
Inspection citations (55 in the current record)
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Actual harm · G March 25, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 20, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 7, 2026 · Resident Rights
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Potential for harm · D March 25, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 7, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 25, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected April 9, 2026 · Quality of Life and Care
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Potential for harm · E March 25, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · F March 25, 2026
Provide and implement an infection prevention and control program.
Corrected April 7, 2026 · Infection Control
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Potential for harm · D March 25, 2026
Implement a program that monitors antibiotic use.
Corrected April 8, 2026 · Infection Control
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Potential for harm · D March 25, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2025 · found via complaint
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 November 19, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 13, 2025 · Quality of Life and Care
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Actual harm · G December 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 12, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D December 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 13, 2025 · Pharmacy Service
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Potential for harm · D December 12, 2024
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 January 13, 2025 · Pharmacy Service
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Potential for harm · F December 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 13, 2024 · Nutrition and Dietary
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Potential for harm · F December 12, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected January 13, 2025 · Administration
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Potential for harm · F December 12, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected January 6, 2025 · Administration
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Potential for harm · F December 12, 2024
Provide and implement an infection prevention and control program.
Corrected January 13, 2025 · Infection Control
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Potential for harm · D December 12, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 12, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 12, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2025 · Quality of Life and Care
-
Potential for harm · E December 12, 2024 · found via complaint
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 January 13, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2024 | Fine | $60,159 |
| September 13, 2023 | Fine | $99,502 |
| September 13, 2023 | Payment Denial | 137 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525362 · certified since April 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.