A list of the most recent deficiencies for Madison Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-12-23 | 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 | 2023-10-04 | 2023-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-04 | 2023-12-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-30 | 2023-09-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-30 | 2023-09-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-24 | 2022-04-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-02-18 | 2022-03-07 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-18 | 2022-03-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-18 | 2022-03-07 | Y |
| 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 | 2022-02-18 | 2022-03-07 | Y |
| 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 | 2022-02-18 | 2022-03-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-18 | 2022-03-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-03-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-18 | 2022-03-07 | 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 | 2022-02-18 | 2022-03-07 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-03-12 | 2020-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-12 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-24 | 2020-02-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2020-01-24 | 2020-02-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-24 | 2020-02-21 | N |
