A list of the most recent deficiencies for Madison Pointe Care 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-16 | 2022-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-16 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-05 | 2021-12-05 | 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 | 2021-11-05 | 2021-12-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-04 | 2021-12-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-14 | 2020-04-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-14 | 2020-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-14 | 2020-04-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-14 | 2020-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-13 | 2020-04-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-26 | 2018-11-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-26 | 2018-11-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-26 | 2018-11-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-26 | 2018-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-26 | 2018-11-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-25 | 2018-11-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-10-25 | 2018-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-25 | 2018-11-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-25 | 2018-11-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-25 | 2018-11-26 | N |
