A list of the most recent deficiencies for Madison Health Care. 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? |
|---|---|---|---|---|
| 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 | 2023-11-01 | 2023-11-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-01 | 2023-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-11-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-28 | 2023-11-16 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-09-28 | 2023-11-16 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-09-28 | 2023-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-11-16 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-09-28 | 2023-11-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-27 | 2023-11-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-17 | 2023-08-24 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-28 | 2023-08-24 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-05-25 | 2023-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-06-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-30 | 2022-01-13 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-08-30 | 2021-11-09 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2021-09-02 | 2021-10-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-02 | 2021-10-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-09-02 | 2021-10-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-02 | 2021-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-02 | 2021-10-08 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2021-09-02 | 2021-10-08 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-30 | 2021-10-08 | 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 | 2021-08-30 | 2021-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-30 | 2021-10-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-28 | 2019-04-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-28 | 2019-04-19 | 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 | 2019-03-28 | 2019-04-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Meet other general requirements. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-27 | 2019-04-19 | 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 | 2019-03-27 | 2019-04-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-27 | 2019-04-19 | N |
