A list of the most recent deficiencies for Madison Health and Rehab. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-26 | 2023-05-01 | 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 | 2023-03-26 | 2023-05-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-26 | 2023-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-26 | 2023-05-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-26 | 2023-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-25 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-25 | 2023-05-01 | 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 | 2023-03-25 | 2023-05-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-25 | 2023-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-11 | 2023-02-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-11 | 2023-02-10 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-10 | 2021-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-25 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2021-06-10 | 2021-07-25 | 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 | 2021-06-10 | 2021-07-25 | Y |
| 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 | 2018-09-06 | 2018-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-06 | 2018-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-06 | 2018-10-21 | 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 | 2018-09-06 | 2018-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-06 | 2018-10-21 | N |
