CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Complete Care at Madison, LLC
View the most recent health deficiencies and inspection results for Complete Care at Madison, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Complete Care at Madison, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-03 | 2026-04-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-03-03 | 2026-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-03 | 2026-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-03 | 2026-04-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-03 | 2026-04-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-03 | 2026-04-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-03-03 | 2026-03-31 | 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 | 2026-03-03 | 2026-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-03 | 2026-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-03 | 2026-03-30 | 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 | 2026-03-03 | 2026-03-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2026-03-03 | 2026-03-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-03-03 | 2026-03-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-03 | 2026-03-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-27 | 2024-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-27 | 2024-09-19 | 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 | 2024-08-27 | 2024-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-08-27 | 2024-09-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-27 | 2024-09-19 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-27 | 2024-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-27 | 2024-09-18 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-08-27 | 2024-09-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-27 | 2024-09-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-27 | 2024-09-09 | 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 | 2024-08-27 | 2024-09-09 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-08-27 | 2024-09-09 | 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 | 2024-08-27 | 2024-09-09 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-09 | 2023-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-09 | 2023-02-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-09 | 2023-02-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-09 | 2023-01-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-09 | 2023-01-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-12-09 | 2023-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-09 | 2023-01-06 | 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 | 2022-12-09 | 2023-01-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-09 | 2023-01-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-12-09 | 2023-01-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-09 | 2023-01-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-09 | 2023-01-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-09 | 2023-01-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-09 | 2023-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-09 | 2023-01-02 | N |