See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Lafayette Extended Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

805 Hospital Street Southwest, Lafayette, AL 3686269 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 34 Google reviews

5
4
3
2
1
Lafayette Extended Care Nursing Home in Lafayette, AL — Street View
Street View

Watch Lafayette Extended Care

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Below average in AL · Below recommended RN staffing · Worst in PRIME HEALTH CARE ENTERPRISES chain · $4,558 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While the facility is frequently praised for its cleanliness and friendly staff, the recent, severe allegations regarding patient neglect and medication management are deeply concerning. We strongly advise you to conduct an unannounced visit and speak directly with current residents' families to verify the current quality of care and staffing levels.

Google Reviews

Google Reviews

34 reviews on Google
Lafayette Extended Care receives polarized feedback, with some families praising the facility for its cleanliness and friendly, nurturing staff. However, recent critical reviews raise serious concerns regarding neglect, medication management, and poor communication from upper management. Prospective families should be aware of the stark contrast between those who find the environment welcoming and those who report significant lapses in basic patient care.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean9.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Friendly and welcoming staff
  • Responsive to maintenance requests

Concerns

  • High staff turnover and poor management communication (mentioned by 2 reviewers)
  • Allegations of neglect and failure to provide basic care (feeding, turning) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.3'17(4)2.04.5'19(13)4.83.2'21(5)4.21.0'24(2)4.5'26(2)

Distribution · 40 analyzed

5
18
4
10
3
5
2
1
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent feedback regarding dining experiences, could you walk me through how you ensure residents receive consistent assistance and quality during mealtimes?
  • 2With the current staffing rating of 4 stars, how do you manage team consistency to ensure residents have familiar faces providing their daily care?
  • 3Could you explain the protocols in place for medication management to ensure accuracy and timely administration for residents?
  • 4How does your leadership team facilitate communication with families, and what is the best way for us to stay updated on our loved one's daily well-being?
  • 5What specific steps are taken to ensure residents receive regular physical support, such as repositioning or mobility assistance, throughout the day and night?
  • 6I noticed the facility is well-maintained; what kind of social activities or programs do you have scheduled to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The staff is very kind, considerate, caring and loving.

Family member · 2019★★★★★

Clean, polite and had a problem with bathroom and it was fixed promptly.

Visitor · 2022★★★★

The nurses do not give prescribed medications and allow the CNAs to not turn, change or even feed those patients that can no longer do for themselves.

Family member · 2024☆☆☆☆
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
53%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility74.7%
Worse than Avg
Here
74.7%
US
93.4%
AL
91.7%
Chambers
95.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
19.4%
AL
13.3%
Chambers
11.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AL
1.4%
Chambers
0.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
15.3%
AL
13.3%
Chambers
11.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.2%
Better than Avg
Here
18.2%
US
19.5%
AL
24.7%
Chambers
21.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
14.4%
AL
12.7%
Chambers
15.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility51.3%
Worse than Avg
Here
51.3%
US
81.8%
AL
84.8%
Chambers
90.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
1penalties
Near state avg (3.9)
$4,558 in fines

Lafayette Extended Care shows 25 deficiencies across three surveys, with all issues reportedly corrected by the facility. The most recurring problems involve fire safety systems (sprinklers, smoke barriers, extinguishers), medication management, and nutrition services. Fire safety deficiencies appeared in multiple surveys, suggesting ongoing challenges with building safety compliance. While no families filed complaints triggering inspections, families should inquire about current fire safety measures and medication protocols during visits.

Jan 22, 2020Routine
9
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0015Potential for harm · IsolatedCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Dec 19, 2018Routine
6
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0922Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

Feb 1, 2018Routine
10
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Federal Penalties

Fine

Jan 30, 2024

$4,558

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lafayette Extended Care

Organization Type

for profit

Chain Affiliation

Chain Name

Prime Health Care Enterprises

Chain Size

5 facilities nationwide

Chain avg rating: 4.0/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Prime Health Care Enterprises, INC

Owner · Organization

Prime Healthcare Enterprise LLC

Owner · Organization

Key personnel

Servisfirst Bank5% or Greater Mortgage InterestButler, YvonneW-2 Managing EmployeeChapman, ArchieOfficer / DirectorPrime Health Care Enterprises, INCManagerPrime Management, LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call