Overall impression: Reviews for Majestic Care of Lafayette are highly mixed and polarized. A substantial number of reviewers praise the therapy department, specific staff members, activity programming, and certain administrative leaders, reporting that residents receive compassionate, personalized care that enabled successful rehabilitation and discharge home. At the same time, numerous other reviewers report severe lapses in basic nursing care, safety, infection control, and cleanliness. The aggregate picture is one of inconsistent quality — pockets of very good care and meaningful improvements exist alongside recurring and sometimes serious failures.
Care quality and safety: The most frequent and serious negative themes center on basic nursing care and safety. Multiple reviewers describe delayed or missed care — long call-light response times (sometimes reported as minutes to hours), delayed water delivery, long waits for pillows or assistance, soiled bedding and diapers left for extended periods, delayed or skipped showers, and inadequate assistance with foley/colostomy care. There are reports of missed dialysis sessions and skipped meals, and at least two reviewers linked poor care or care transitions to severe medical outcomes (a discharge followed by death from pneumonia and septic shock; another death associated with a severe infection/sepsis). Infection-control and environmental safety concerns are particularly alarming: reports include a discovered bed bug leading to quarantine, mouse feces and worms in food, and general reports of unclean conditions. These constitute significant red flags for potential residents and families.
Nursing staff and therapy: Reviews consistently single out the therapy (PT/OT) teams as a major strength. Multiple reviewers describe highly effective, motivating, and personalized therapy that produced measurable gains (examples include patients walking after therapy, intensive rehab that enabled discharge home). Several therapists and aides are named and praised for exceptional care. Nursing and CNA care is much more variable in reviewers’ experience: some describe kind, attentive nurses and aides who create a family-like atmosphere and personally go above and beyond (named staff such as Natasha, Caity, and others were praised). However, other reviewers describe RNs and CNAs as neglectful, unresponsive, rude, or incompetent — with specific complaints about medication handling, attitude problems, theft by nurses, and insufficient staffing on certain shifts (night shift cited for mean behavior). This highlights a wide variation in staff performance by unit and shift.
Facilities and amenities: Several reviewers note bright, cheerful common areas, a pleasant dining room, large rooms, a good therapy gym, and recent facility improvements including a new dialysis den with modern equipment and expanded renal capabilities. The facility offers activities, transportation, an in-house beauty shop, and garden/outdoor visiting areas — items many families value. Conversely, others report rooms and areas that are dirty or in poor repair, complaints about heating in some rooms, and evidence of pests or food contamination. These conflicting reports suggest that some parts of the facility or particular time periods are well-maintained while others are not.
Dining and nutrition: Opinions on food vary widely. Some reviewers call the food excellent and note the ability to accommodate special diets; other reviewers report frequent cold meals, meals dropped on the floor or delayed by 20 minutes to hours, and even contamination (mouse droppings, worms). There are also complaints about missed meals and inconsistent meal service. Given the range of experiences, dining may depend on staffing, kitchen practices at particular times, or facility units.
Activities and quality of life: Activity programming is frequently praised and noted as a meaningful positive. Reviewers mention crafts, animal visits, music, piano, gardening clubs, Vacation Bible School, and an active Activity Director (Betty Green). These programs and social offerings are cited by families as contributing to residents’ quality of life and morale.
Management and operations: Management impressions are mixed. Several reviews praise specific administrators and department heads (admissions director Liz, some ADONs, and department heads with open-door policies) and describe visible improvements and responsive leadership on certain floors. Other reviews, however, criticize management — citing a poor DON, leadership inconsistency, a state report, unresolved staffing shortages, and reports of theft and medication mishandling. The result is uneven oversight and a perception that positive changes may be recent and not yet widespread.
Patterns and likely causes: The recurring pattern across reviews is that care quality varies significantly by unit, shift, and staff present. Therapy and some frontline staff are repeatedly praised, while other nursing/CNA coverage and certain shifts (often nights or understaffed periods) are criticized for neglect and poor responsiveness. Staffing shortages and turnover are repeatedly mentioned and likely contribute to delayed care, missed tasks, and inconsistent practices. Reports of medication errors, infection events, food contamination, and theft point to systemic operational issues that need targeted corrective action.
Recommendations for prospective families: Ask targeted questions about nurse-to-resident ratios, average call-light response times, infection-control policies, pest-control records, medication management procedures, and recent state inspection reports. Meet the therapy team and Activity Director, and ask to see the dialysis den and kitchen procedures if those services are relevant. Request references from recent families and inquire which shifts or units have the best staffing consistency. Given the polarized reviews, a direct, up-to-date conversation with facility leadership about the specific concerns raised here (infection-control measures, laundry/theft policies, handling of medications, and staffing levels) is advisable.
Bottom line: Majestic Care of Lafayette appears to deliver excellent therapy and meaningful activities with some bright, caring staff and recent facility investments that benefit many residents. At the same time, there are repeated, serious reports of neglect, hygiene and food-safety issues, medication mishandling, theft, and managerial inconsistency that have led to poor outcomes for other residents. The facility shows both commendable strengths and troubling deficiencies; prospective residents and families should perform careful, current due diligence focused on staffing, infection control, medication practices, and unit-specific reputations before making placement decisions.
