Deficiency Records for Complete Care at Madison, LLC
Updated as of April 01, 2018
This is not the most recent data for Complete Care at Madison, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Complete Care at Madison, LLC. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2017-11-13 | 2017-12-22 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-25 | 2017-10-02 | Y |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-09-25 | 2017-10-02 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-12-22 | 2017-01-31 | N |
| 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 | 2016-12-22 | 2017-01-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-12-22 | 2017-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-22 | 2017-01-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-12-22 | 2017-01-31 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-12-22 | 2017-01-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-12-22 | 2017-01-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-22 | 2017-01-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-22 | 2017-01-31 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2016-12-22 | 2016-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-22 | 2016-12-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-10-07 | 2015-11-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-07 | 2015-11-16 | N |
| Exit stairways and towers that are smoke proof. | Fire Safety | 2014-10-20 | 2014-12-03 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2014-10-20 | 2014-12-03 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-20 | 2014-12-03 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-10-20 | 2014-12-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-20 | 2014-12-03 | 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 | 2014-10-20 | 2014-12-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-20 | 2014-12-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-20 | 2014-12-03 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2014-10-20 | 2014-12-03 | N |
