Deficiency Records for Madrid Home For The Aged
Updated as of February 01, 2022
This is not the most recent data for Madrid Home For The Aged. For the most recent information, click here.
A list of the most recent deficiencies for Madrid Home For The Aged. 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? |
|---|---|---|---|---|
| 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 | 2021-11-22 | 2021-12-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-22 | 2021-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-22 | 2021-12-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-22 | 2021-12-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-22 | 2021-12-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-21 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-11-16 | 2021-12-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-22 | 2021-12-07 | Y |
| 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 | 2021-11-16 | 2021-11-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-11-16 | 2021-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-16 | 2021-11-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-01-25 | 2021-02-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-25 | 2021-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-25 | 2021-02-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-12 | 2020-01-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-12 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-08 | 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 | 2019-12-16 | 2019-12-26 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-16 | 2019-12-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-16 | 2019-12-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-16 | 2019-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-16 | 2019-12-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-16 | 2019-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-31 | 2018-11-30 | 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 | 2018-10-31 | 2018-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-31 | 2018-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-31 | 2018-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-31 | 2018-11-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-29 | 2018-11-07 | 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 | 2018-10-29 | 2018-11-07 | 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 | 2018-10-31 | 2018-11-01 | N |
