A list of the most recent deficiencies for Madigan Estates. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-24 | 2023-07-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-24 | 2023-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-06-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-22 | 2023-06-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-22 | 2023-06-05 | 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 | 2023-05-22 | 2023-06-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-22 | 2023-06-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-11-10 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-09-26 | 2022-10-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-28 | 2021-12-03 | 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 | 2021-10-28 | 2021-12-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-28 | 2021-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-12-03 | 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 | 2021-10-28 | 2021-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-21 | 2019-12-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-21 | 2019-12-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-21 | 2019-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-21 | 2019-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2019-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-23 | 2019-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-23 | 2019-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-23 | 2019-11-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-14 | Not Fixed | Y |
