Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LAFAYETTE MANOR, INC

UNIONTOWN, PA · 98 certified beds · Last Life Safety survey September 26, 2025

CMS Certification Number 395795 · first certified June 1989

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

11
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within PA

11 citations — more than 52% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (August 2026 to October 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was September 2025. Facilities in PA are typically surveyed 11–12 months after the last one (median 11), measured over 1,101 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 11 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations in CMS's current file

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility11PA median10National median11
Citations in CMS's current file, compared
MeasureCitations
This facility11
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-1022024-0922025-09
Citations at each Life Safety survey
Survey dateCitations
October 6, 20237
September 6, 20242
September 26, 20252

Most-cited tags

Most-cited tags at this facility
K-03532K-09191E-00411K-03551K-03211K-03451K-09181K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-09-26
K-0919Meet requirements for the use of electrical equipment.12023-10-06
E-0041Implement emergency and standby power systems.12023-10-06
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-09-06
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-10-06
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-09-26
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-10-06
K-0920Ensure proper usage of power strips and extension cords.12024-09-06

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies4
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 26, 2025 — 2 citations

Citations issued on September 26, 2025
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 17, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 17, 2025)

September 6, 2024 — 2 citations

Citations issued on September 6, 2024
TagWhat the surveyor checksStatus
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 11, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 11, 2024)

October 6, 2023 — 7 citations

Citations issued on October 6, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (November 17, 2023)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (November 17, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 17, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 17, 2023)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (November 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 17, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (November 17, 2023)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.