Elder Care Record

Wisconsin › Lafayette County › Darlington

Lafayette Manor

719 E Catherine St Box 167, Darlington, WI 53530

CCN 525362 · Government, county · 50 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Lafayette Manor is a Government, county nursing home in Darlington, Wisconsin, certified for 50 beds and caring for about 41 residents a day.

CMS gives it 2 of 5 stars overall, below the Wisconsin median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.

Inspectors recorded 45 health deficiencies across the three most recent survey cycles (11, 15, 19 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 90.0 per 100 beds, more than the state median of 31.8.

CMS lists 3 penalties in the period covered: fines totalling $160K and 1 payment denial.

Reported nurse staffing is 4.2 hours per resident per day (0.5 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 45.1%.

45health deficiencies, 3 survey cycles6 at actual harm or worse
$160Kfines listed by CMS3 penalties in period
4.2nurse hours per resident per daystate median 4.0
81%occupancy (residents ÷ beds)41 residents a day

Compared with county, state and nation

MeasureThis facilityLafayette Co. medianWisconsin medianUS average
Overall star rating2233.0
Health citations, 3 cycles45452128.7
Citations per 100 beds90.090.031.826.8
Total nurse hours per resident day4.24.24.03.9
RN hours per resident day0.50.50.90.7
Nursing staff turnover45.1%45.1%46.2%45.8%
Fines listed$159,661$159,661$0—

County and state figures are medians across facilities (1 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 215
Cycle 319

Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Mar 2026, 12 Dec 2024.

Severity mix: G ×6 D ×30 E ×2 F ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey20 Apr 2026
25 Mar 2026F0880Provide and implement an infection prevention and control program.FStandard survey7 Apr 2026
25 Mar 2026F0700Try 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.EStandard survey10 Apr 2026
25 Mar 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey7 Apr 2026
25 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Apr 2026
25 Mar 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation9 Apr 2026
25 Mar 2026F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey9 Apr 2026
25 Mar 2026F0881Implement a program that monitors antibiotic use.DStandard survey8 Apr 2026
15 Oct 2025F0761Ensure 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.DComplaint investigation19 Nov 2025
13 Aug 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation2 Sep 2025
13 Aug 2025F0610Respond appropriately to all alleged violations.DComplaint investigation2 Sep 2025
12 Dec 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation13 Jan 2025
12 Dec 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey13 Jan 2025
12 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey13 Dec 2024
12 Dec 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey13 Jan 2025
12 Dec 2024F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey6 Jan 2025
12 Dec 2024F0880Provide and implement an infection prevention and control program.FStandard survey13 Jan 2025
12 Dec 2024F0761Ensure 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.EComplaint investigation13 Jan 2025
12 Dec 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation13 Jan 2025
12 Dec 2024F0610Respond appropriately to all alleged violations.DComplaint investigation13 Jan 2025
12 Dec 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation13 Jan 2025
12 Dec 2024F0692Provide enough food/fluids to maintain a resident's health.DStandard survey13 Jan 2025
12 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey13 Jan 2025
12 Dec 2024F0758Implement 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.DStandard survey13 Jan 2025
13 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Sep 2024
13 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation5 Sep 2024
18 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation19 Feb 2024
7 Dec 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint investigation12 Jan 2024
9 Nov 2023F0881Implement a program that monitors antibiotic use.GStandard survey12 Jan 2024
9 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Dec 2023
9 Nov 2023F0880Provide and implement an infection prevention and control program.FStandard survey12 Jan 2024
9 Nov 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation14 Dec 2023
9 Nov 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation12 Jan 2024
9 Nov 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Jan 2024
9 Nov 2023F0610Respond appropriately to all alleged violations.DComplaint investigation12 Jan 2024
9 Nov 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey12 Jan 2024
9 Nov 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey14 Dec 2023
9 Nov 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation14 Dec 2023
9 Nov 2023F0758Implement 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.DStandard survey12 Jan 2024
9 Nov 2023F0759Ensure medication error rates are not 5 percent or greater.DStandard survey14 Dec 2023
13 Sep 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation20 Nov 2023
13 Sep 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigation4 Oct 2023
13 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Oct 2023
13 Sep 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation4 Oct 2023
13 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation4 Oct 2023

Penalties

DateTypeAmountDetail
12 Dec 2024Fine$60,159
13 Sep 2023Payment denial—137 days
13 Sep 2023Fine$99,502

Staffing

Total nursing4.21 h
Nurse aides3 h
LPN0.68 h
RN0.54 h
Weekend total4.01 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 45.1%, RNs 62.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityWisconsin medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.2%15.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay7.6%1.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.8%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.2%16.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.1%4.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.3%14.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county. Legal business name: Lafayette County.

OrganisationRole in the CMS recordInterestSince
Lafayette County5% or greater direct ownership interest100%07/14/2006

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Lafayette Manor been cited for?

45 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 per facility.

Has Lafayette Manor been fined?

Yes. CMS lists fines totalling $160K in the period covered, plus 1 payment denial.

How does staffing at Lafayette Manor compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.

Who operates Lafayette Manor?

Ownership type is government, county. Organisations in the CMS ownership record include Lafayette County. Individual owners and managers are not listed on this site.

When was Lafayette Manor last inspected?

The most recent survey or investigation in the CMS record is dated 25 Mar 2026; the most recent standard health survey was 25 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.