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 |