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Deficiency Records for Madonna Manor
View the most recent health deficiencies and inspection results for Madonna Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Madonna Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-05 | 2026-03-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-05 | 2026-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-05 | 2026-02-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-05 | 2026-02-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-12-05 | 2026-02-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-12-05 | 2026-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-05 | 2026-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2026-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2026-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-23 | 2025-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-03 | 2025-02-01 | Y |
| 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 | 2025-01-03 | 2025-02-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-01-03 | 2025-02-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-03 | 2025-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-03 | 2025-02-01 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-03 | 2025-02-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-01-03 | 2025-02-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-03 | 2025-02-01 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-27 | 2025-02-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-02-27 | 2025-02-01 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-23 | 2024-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-23 | 2024-10-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-23 | 2024-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-23 | 2024-10-21 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-23 | 2024-10-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-23 | 2024-10-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-23 | 2024-10-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-25 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-12-13 | 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 | 2019-10-25 | 2019-12-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-25 | 2019-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-25 | 2019-12-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-25 | 2019-11-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-25 | 2019-11-22 | 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 | 2019-10-25 | 2019-11-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-10-25 | 2019-11-22 | N |