| Springs at Lafayette, the | |
| 2402 South Street, Lafayette, Indiana 47904 | |
| (765) 446-9229 | |
| Name | Springs at Lafayette, the |
|---|---|
| Location | 2402 South Street, Lafayette, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 70 |
| Occupancy Rate | 70% |
| Medicare ID (CCN) | 155829 |
| Legal Business Name | Witham Memorial Hospital |
| Ownership Type | For Profit - Corporation |
| Chain | Trilogy Health Services (123 nursing homes) |
| Chain Average Overall Rating | 4.2 out of 5 |
| NPI Number | 1366843716 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Witham Memorial Hospital |
| Doing Business As | The Springs at Lafayette |
| Address | 2402 South St, Lafayette, IN 47904 |
| Phone Number | 765-446-9229 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.52 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.99 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.53 | 0.86 |
| Nurse aide hours per resident per day | 1.99 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.99 | 3.42 |
| RN hours per resident per day on the weekend | 0.7 | 0.48 |
| Physical therapist hours per resident per day | 0.16 | 0.07 |
| Total nursing staff turnover | 52.5% | 45.8% |
| Registered nurse turnover | 27.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Sep 24, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 26, 2025 |
| Sep 24, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 26, 2025 |
| Sep 24, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 26, 2025 |
| Sep 24, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 26, 2025 |
| Sep 10, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Sep 10, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Sep 10, 2024 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 1, 2024 |
| Jun 18, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Jul 19, 2023 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Sep 8, 2023 |
| Jul 19, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Jul 19, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Jul 19, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Jul 19, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Jul 19, 2023 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Sep 8, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.79 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.17 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.94 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 15.91 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.04 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.96 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.92 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.79 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.26 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.33 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.97 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.17 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.17 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.4 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.43 | 15.38 |
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