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Deficiency Records for Madonna Towers of Rochester
View the most recent health deficiencies and inspection results for Madonna Towers of Rochester. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Madonna Towers of Rochester. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-23 | 2026-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-04-23 | 2026-04-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-04-23 | 2026-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-12 | 2025-07-15 | N |
| Post nurse staffing information every day. | Health | 2025-06-12 | 2025-07-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-12 | 2025-07-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-12 | 2025-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-06-12 | 2025-07-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-02-12 | 2025-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-12 | 2025-03-20 | Y |
| 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 | 2025-02-12 | 2025-03-20 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-26 | 2024-10-01 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-08-26 | 2024-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-26 | 2024-08-16 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-25 | 2024-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-04-25 | 2024-05-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-04-25 | 2024-05-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-25 | 2024-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-25 | 2024-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-25 | 2024-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-30 | 2024-02-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-28 | 2024-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-28 | 2024-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-07-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-23 | Not Fixed | N |