Franciscan Health Lafayette
An acute care hospital in Lafayette, Indiana 47905
1701 S Creasy Ln, Lafayette, Indiana 47905. (765) 502-4334.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 1 deficiency cited in the last three years
- 186 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Aug 3, 2026: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Aug 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Aug 3, 2026: complaint inspection1 deficiency
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Rn Supervision Of Nursing Care
The inspectors’ words, 541 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 32952 Based on document review and interview the facility failed to ensure a Registered Nurse followed facility policy related to pain level assessment/reassessment for 1 of 10 patients (Patient #1). The facility also failed to ensure reassessment of vital signs and pain level prior to a patient’s discharge for 1 of 10 patients. (Patient #1) Findings include; 1. Facility policy titled “Assessment of Pain Guideline”, PolicyStat ID 19938471, last revised on 3/11/2026, indicated the following: Reassessment of Pain (after PRN [as needed] pain medication administration and/or one-time pain medication order administration): A. Important to understand; patients have a right to pain management through assessment, intervention, and reassessment. B. Reassess the patient’s pain status after allowing for sufficient onset of action per medication route and patient’s condition. Assess the patient for adverse effects of the medication. (i.e., respiratory depression). C. Reassessment of the patient will be within 60 minutes (from time the PRN or one-time medication is given) based on medication and route and as patient condition warrants. D. Reassessment documentation can be either of the following: 1. Select appropriate scale/tool for patient population and document associated score. 2. Annotate patient response to PRN or one-time pain medication. F. Patients discharging within 60 minutes of PRN or one-time pain medication administrations: 1. The nurse should attempt to assess and document response to PRN or one-time pain medication administration prior to discharge if circumstances allow. 2. Review of patient #1’s medical record indicated the following: (a.) Patient #1 arrived via private vehicle to the Emergency Department on 5/26/26 at 8:29 p.m. for complaint of animal bite/eye injury with an acuity of 4. The patient’s Emergency Department triage vitals on 5/26/26 at 9:18 p.m. indicated the following: a pain level of 6 out of 10. (b.) A pain level assessment note by N3 on 5/26/26 at 9:38 p.m. indicated Patient #1 had a pain level of 6 out of 10 to (his/her) right/left hands. (c.) A nurse note by (N2, Registered Nurse/Emergency Department) on 5/26/26 at 11:11 p.m. indicated Patient #1 complained of left eye pain but lacked documentation of the patient’s pain level at that time. (d.) The physician orders for Patient #1 indicated the following pain medications were ordered by MD1 (Doctor of Medicine/Emergency Medicine) on 5/26/26 at 11:27 p.m., Norco 5/325 milligrams 1 tablet by mouth and Ibuprofen tablet 800 milligrams by mouth. (e.) The medication administration record for Patient #1 indicated the following pain medications were administered to the patient by N1 (Registered Nurse/Emergency Department) on 5/26/26 at 11:50 p.m., Norco 5/325 milligrams 1 tablet by mouth and Ibuprofen tablet 800 milligrams by mouth. (f.) The medical record lacked documentation of a pain assessment prior to and/or after the administration of pain medications. The medical record also lacked the reassessment of the patient’s vital signs: blood pressure, heart rate, respirations, Oxygen saturation and pain level prior to the patient’s discharge to home on 5/26/26 at 11:54 p.m. 3. During an interview with A4 (Manager of Emergency Department) on 7/30/26 at approximately 2:55 p.m., A4 verified the medical record information for Patient #1.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 3, 2026 | Complaint inspection | 1 deficiency cited |
| Feb 9, 2026 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 1 worse of 8; safety of care, 1 better and 0 worse of 7; readmission, 2 better and 1 worse of 11.
- Patients rate it 3 of 5 in CMS’s patient survey (495 surveys completed, Oct 1, 2024 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.9%, heart failure 10.6%, pneumonia 18.4%, COPD 8.6%, stroke 8.5%, heart bypass surgery 2.4%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15.6%, heart failure 21.5%, pneumonia 18.4%, COPD 19.8%, heart bypass surgery 11.2%, hip or knee replacement 5.1%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 161 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
- 58% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1.03 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - church.
- It is accredited by the Accreditation Commission for Health Care (ACHC), whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- It has an inpatient rehabilitation unit of 19 beds, which CMS lists apart as a rehabilitation facility.
- Voluntary non-profit - Church.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 78% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Franciscan Alliance Inc. owns 100% directly since Oct 1, 2003.
- 22 owners or officers are people: Kevin D Leahy (corporate officer, 100%); Ann K Magiera (other role (CMS gives no detail)); Steven Beck (other role (CMS gives no detail)); Madonna Rougeau (other role (CMS gives no detail)); Terence Mieling (other role (CMS gives no detail)); Thomas Parent (other role (CMS gives no detail)); Marilyn Oliver (other role (CMS gives no detail)); Anna F. Hoefer (other role (CMS gives no detail)); Maria Salyer (other role (CMS gives no detail)); Margaret Mary Mitchel (other role (CMS gives no detail)); Ernest Iannotta (other role (CMS gives no detail)); Lethia M Leveille (other role (CMS gives no detail)); Jane M Klein (other role (CMS gives no detail)); Catherine C Nielsen (other role (CMS gives no detail)); Terrance E Wilson (corporate officer); Allan Gillespie (other role (CMS gives no detail)); Hilton Hudson (other role (CMS gives no detail)); Calvin Bellamy (other role (CMS gives no detail)); Marlene Shapley (other role (CMS gives no detail)); Jason Geddes (corporate officer); Jason Geddes (managing employee (on the payroll)); Randall M Todd (other role (CMS gives no detail)).
- CMS’s Provider of Services file records 3 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Franciscan Alliance Inc. | Owns 5% or more directly | 100% | Oct 1, 2003 |
How does it compare nearby?
- Of the 4 hospitals CMS lists in Tippecanoe County, 2 have an overall star rating from CMS: 1 rated 4 of 5, 1 rated 3 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Indiana University Health Arnett Hospital | 4 |
| Sycamore Springs | Not given |
| Wabash Valley Alliance, Inc. / River Bend Hospital | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.