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

LAFAYETTE MANOR

DARLINGTON, WI · 50 certified beds · Last Life Safety survey March 25, 2026

CMS Certification Number 525362 · first certified April 1984

Ownership

Independently operated (no chain recorded by CMS) · Government - County

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

27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within WI

27 citations — more than 77% of the 323 certified nursing homes in WI. Compared within WI 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was March 2026. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 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 three years in Maryland. How the window is measured

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Which alerts

5 inspection-and-testing tags have 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 ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 27 citations on file are 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 27 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

This facility27WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
92023-1192024-1292026-03
Citations at each Life Safety survey
Survey dateCitations
November 9, 20239
December 12, 20249
March 25, 20269

Most-cited tags

Most-cited tags at this facility
K-05213K-03212K-03532K-03632K-05112K-09232K-03511E-00061
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-03-25
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-03-25
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-12-12
K-0363Install corridor and hallway doors that block smoke.22024-12-12
K-0511Have properly installed electrical wiring and gas equipment.22026-03-25
K-0923Have proper medical gas storage and administration areas.22024-12-12
K-0351Install an approved automatic sprinkler system.12026-03-25
E-0006Conduct risk assessment and an All-Hazards approach.12023-11-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Services Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Services Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies1

Every citation on file

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

March 25, 2026 — 9 citations

Citations issued on March 25, 2026
TagWhat the surveyor checksStatus
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 (April 8, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (April 8, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 8, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 14, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 14, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has plan of correction (June 30, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 5, 2026)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (April 6, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (April 14, 2026)

December 12, 2024 — 9 citations

Citations issued on December 12, 2024
TagWhat the surveyor checksStatus
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (January 13, 2025)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 3, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 8, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 9, 2025)
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (February 6, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 8, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (March 13, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (January 13, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 8, 2025)

November 9, 2023 — 9 citations

Citations issued on November 9, 2023
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (January 10, 2024)
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 (January 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 10, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (January 10, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 10, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 10, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 10, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 10, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 10, 2024)

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