Deficiency Records for Madera Rehabilitation and Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Madera Rehabilitation and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-15 | 2023-12-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-21 | 2023-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-09 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-23 | 2022-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-21 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-02 | 2021-08-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-05 | 2019-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-26 | 2019-06-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-26 | 2019-06-25 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-26 | 2019-06-25 | N |
| 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. | Health | 2019-04-26 | 2019-06-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-04-26 | 2019-06-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-26 | 2019-06-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-04-26 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-06-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-26 | 2019-06-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-26 | 2019-06-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-26 | 2019-06-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-07-03 | 2018-09-14 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-07-03 | 2018-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-09-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-07-03 | 2018-09-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-03 | 2018-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-09-14 | N |
| Keep all essential equipment working safely. | Health | 2018-07-03 | 2018-09-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-03 | 2018-09-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-07-03 | 2018-09-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-08-03 | N |
| Use approved construction type or materials. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-04-06 | 2017-06-09 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-05 | 2017-05-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-05 | 2017-05-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-05 | 2017-05-11 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-04-05 | 2017-05-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-04-05 | 2017-05-11 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-05 | 2017-05-11 | N |
