Deficiency Records for Madison Health and Rehabilitation Center
Updated as of March 01, 2022
This is not the most recent data for Madison Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Madison Health and Rehabilitation 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-05-21 | 2020-06-17 | 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 | 2020-05-21 | 2020-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-05-21 | 2020-06-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-05-21 | 2020-06-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-05-21 | 2020-06-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-02-27 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-02-06 | 2020-02-27 | 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 | 2019-05-24 | 2019-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-06-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-18 | 2019-05-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-18 | 2019-05-16 | 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 | 2019-04-18 | 2019-05-16 | 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 | 2019-04-18 | 2019-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-18 | 2019-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-18 | 2019-05-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-04-18 | 2019-05-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-04-16 | 2019-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-16 | 2019-05-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-13 | 2018-03-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-02-15 | 2018-03-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-02-15 | 2018-03-09 | 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 | 2018-02-15 | 2018-03-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-11-17 | 2017-01-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-11-17 | 2016-12-22 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-11-17 | 2016-12-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-17 | 2016-12-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-17 | 2016-12-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-17 | 2016-12-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-17 | 2016-12-22 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-17 | 2016-12-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-11-17 | 2016-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-17 | 2016-12-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-11-17 | 2016-12-22 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-11-17 | 2016-12-22 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-11-17 | 2016-12-22 | N |
| Provide special eating equipment and utensils for each resident who needs them. | Health | 2016-11-17 | 2016-12-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-11-17 | 2016-12-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-17 | 2016-12-22 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-11-17 | 2016-12-22 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2016-11-17 | 2016-12-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-17 | 2016-12-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-11-17 | 2016-12-22 | N |
