A list of the most recent deficiencies for Autumn Care of Madison. 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-23 | 2023-03-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-02-23 | 2023-03-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-23 | 2023-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-28 | 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 | 2023-02-23 | 2023-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide appropriate foot care. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-23 | 2023-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-03-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-23 | 2023-03-28 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Meet other general requirements. | Fire Safety | 2023-02-27 | 2023-03-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-17 | 2021-11-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-16 | 2021-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-16 | 2021-10-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-09-16 | 2021-10-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-09-16 | 2021-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-16 | 2021-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-16 | 2020-12-29 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-26 | 2020-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-09-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-02-26 | 2020-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-26 | 2020-09-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-26 | 2020-09-04 | N |
| 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 | 2020-02-13 | 2020-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-03-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-13 | 2020-03-23 | 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 | 2020-02-13 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-23 | N |
