Deficiency Records for Madonna Manor Nursing Home
Updated as of July 01, 2022
This is not the most recent data for Madonna Manor Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Madonna Manor Nursing Home. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-08-19 | 2020-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-03 | 2020-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-11 | 2020-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-11 | 2020-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-11 | 2020-01-20 | 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 | 2019-12-11 | 2020-01-20 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-12-11 | 2020-01-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-11 | 2020-01-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-12-11 | 2020-01-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-11 | 2020-01-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-11 | 2020-01-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-11 | 2020-01-20 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-12-11 | 2020-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-18 | 2018-10-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-09-18 | 2018-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-18 | 2018-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-18 | 2018-10-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-18 | 2018-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-18 | 2018-10-11 | 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 | 2018-09-18 | 2018-10-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-18 | 2018-10-11 | N |
| Provide or obtain dental services for each resident. | Health | 2018-09-18 | 2018-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-18 | 2018-10-11 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-20 | 2017-07-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-20 | 2017-06-27 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-20 | 2017-06-27 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-04-20 | 2017-06-27 | N |
| Provide or obtain dental services for each resident. | Health | 2017-04-20 | 2017-06-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-20 | 2017-06-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-04-20 | 2017-06-02 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-04-20 | 2017-06-02 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-04-20 | 2017-06-02 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-20 | 2017-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-20 | 2017-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-20 | 2017-06-02 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-20 | 2017-06-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-20 | 2017-06-02 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2017-04-20 | 2017-06-02 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-04-20 | 2017-06-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-20 | 2017-06-02 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-04-20 | 2017-06-02 | N |
