A list of the most recent deficiencies for Madison Park Healthcare. 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-04 | 2022-11-22 | 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 | 2022-10-04 | 2022-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-05 | 2022-11-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-05 | 2022-11-15 | 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 | 2022-10-05 | 2022-11-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-05 | 2022-11-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-04 | 2022-11-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-23 | 2021-07-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-23 | 2021-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-23 | 2021-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-23 | 2021-07-07 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-06-23 | 2021-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-23 | 2021-07-07 | 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 | 2021-06-23 | 2021-07-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-23 | 2021-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-23 | 2021-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-23 | 2021-07-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-23 | 2021-07-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-23 | 2021-07-02 | 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 | 2019-04-09 | 2019-05-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-04-09 | 2019-05-28 | 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 | 2019-04-09 | 2019-05-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-09 | 2019-05-28 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-09 | 2019-05-28 | 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 | 2019-04-11 | 2019-05-23 | N |
| 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 | 2019-04-11 | 2019-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-11 | 2019-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-11 | 2019-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-23 | N |
