Deficiency Records for Madisonville Health and Rehab Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Madisonville Health and Rehab Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-07 | 2023-07-19 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-19 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-19 | 2023-04-21 | 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 | 2023-03-21 | 2023-04-12 | N |
| Post nurse staffing information every day. | Health | 2023-03-21 | 2023-04-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-03-21 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-21 | 2023-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-19 | 2023-04-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-15 | 2023-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-01 | 2021-09-30 | 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 | 2019-10-30 | 2019-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-28 | 2019-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-28 | 2019-11-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-10-23 | 2018-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-24 | 2018-11-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-24 | 2018-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-24 | 2018-11-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-10-24 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-24 | 2018-11-16 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2018-10-24 | 2018-11-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-24 | 2018-11-13 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-24 | 2018-11-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-24 | 2018-11-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-24 | 2018-11-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-23 | 2018-10-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-23 | 2018-10-24 | N |
