Lafayette Nursing and Rehabilitation Center
512 W Main St., Mayo, FL 32066 · Lafayette County · (386) 294-3300
60 certified beds, about 56 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105963 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 9, 2026, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).
None of its 16 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.
52.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Maximus Healthcare Group, an affiliated group of 7 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
April 9, 2026Standard inspection · 6 citations
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on interview and record review the facility failed to encode and transmit the resident discharge assessment for 1 (Resident #1) of 6 residents reviewed for minimum data set [MDS] completion.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) accurately reflected the resident's active diagnoses for 1 (Resident #20) of 6 residents reviewed for weight and nutrition, by failing to code a thyroid disorder in Section I, resulting in inaccurate clinical data used for care planning, quality measures, and reimbursement.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide care and services to ensure acceptable parameters of nutritional status for 2 (Resident #31 and Resident #61) of 6 residents reviewed for nutritional concerns.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide appropriate milliliter per hour of auto flushes via feeding tube for 1 (Resident #8) of 2 reviewed for enteral feedings.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview, record review the facility failed to document accurately skin assessments for 1 (Resident #56) of 3 residents reviewed for skin conditions.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to follow infection control standards for 1 (Resident #8) of 3 residents reviewed for enhance barrier precautions, failed to perform hand hygiene for 1 (Resident #6) of 2 residents reviewed for enteral nutrition, and failed to provide weekly changes for nebulizer equipment for 1 (Resident #48) of 3 residents reviewed for respiratory services.
October 24, 2024Standard inspection · 6 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment was accurate for 1 of 5 residents reviewed for unnecessary medications, Resident #38.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents received intravenous therapy (IV) in accordance with professional standards of practice for 1 of 1 resident, who was receiving intravenous medications, Resident #55.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received oxygen as prescribed by physician for 3 of 8 residents reviewed for oxygen therapy, Residents #5, #31, and #44.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received food at a safe and appetizing temperature.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff sanitized resident-care equipment between resident use to prevent the possible development and transmission of communicable diseases and infections.
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure nurse staffing information was posted on a daily basis.
July 13, 2023Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored in a sanitary manner in the kitchen and in 1 of 2 nourishment rooms, Nourishment room [ROOM NUMBER] (100 Hall).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were administered according to professional standards of practice for 2 residents, Resident #31 and Resident #3.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received dietary supplement at mealtimes for 1 of 2 residents reviewed for nutrition, Resident #152.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure resident records were accurate for 1 of 2 residents reviewed for nutrition, Resident #152.
Fire safety inspections
7 fire safety citations on file: 5 on April 9, 2026, 2 on July 13, 2023.
Every fire safety citation7 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have proper medical gas storage and administration areas.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.69 | 3.82 | 3.86 |
| Registered nurses | 0.54 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.49 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 52.9% | 41.4% | 45.8% |
| Registered nurse turnover | 33.3% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.90 on weekdays and 3.17 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.20 in April to June 2025 to 3.69 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.69 | 0.54 | 3.90 | 3.17 | 0.0% | 1 of 90 | 56 |
| Oct to Dec 2025 | 4.32 | 0.59 | 4.58 | 3.67 | 0.0% | 2 of 92 | 47 |
| Jul to Sep 2025 | 4.38 | 0.56 | 4.64 | 3.71 | 0.0% | 0 of 92 | 49 |
| Apr to Jun 2025 | 4.20 | 0.61 | 4.48 | 3.50 | 0.0% | 0 of 91 | 50 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.6 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.6 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.0 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.1 | 1.8 |
Owners and operators
Legal business name: LAFAYETTE OPERATIONS LLC. CMS links this home to Maximus Healthcare Group, a group of 7 nursing homes averaging 4.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lafayette Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 02/28/2016 |
| Baumgardner, Chelsea | W-2 managing employee | Individual | 09/28/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 9, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on April 9, 2026: "Provide enough food/fluids to maintain a resident's health."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Provide and implement an infection prevention and control program."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on October 24, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Florida average of 3.49.
Other nursing homes nearby
- Good Samaritan Center Live Oak, 14.8 mi · 5 of 5 stars · 13 citations
- Live Oak Healthcare and Rehabilitation Center Live Oak, 20.2 mi · 1 of 5 stars · 34 citations
- Surrey Place Nursing Center Live Oak, 20.3 mi · 4 of 5 stars · 19 citations
Florida contacts for a concern about a nursing home
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Florida Agency for Health Care Administration, Long Term Care Services Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Florida Long-Term Care Ombudsman Program, 1-888-831-0404. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: FloridaHealthFinder, where Florida publishes its own records on licensed homes.
Common questions
- What is Lafayette Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Lafayette Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Lafayette Nursing and Rehabilitation Center get at its last inspection?
- 6 health deficiencies at the standard inspection on April 9, 2026. The Florida average is 7.1.
- Has Lafayette Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Lafayette Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Lafayette Nursing and Rehabilitation Center?
- CMS lists 2 owners and managers, and links the home to Maximus Healthcare Group. Legal business name: LAFAYETTE OPERATIONS LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.