A list of the most recent deficiencies for The 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 properly protected cooking facilities. | Fire Safety | 2023-02-15 | 2023-03-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-15 | 2023-03-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-15 | 2023-03-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-15 | 2023-03-15 | 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 | 2023-02-15 | 2023-03-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-15 | 2023-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-15 | 2023-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-15 | 2023-03-15 | 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 | 2023-02-15 | 2023-03-15 | N |
| 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 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-15 | 2023-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-15 | 2023-03-15 | N |
| Report COVID19 data to residents and families. | Health | 2023-02-15 | 2023-03-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2022-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-07 | 2022-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-07 | 2022-01-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-09 | 2022-01-26 | 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 | 2021-12-09 | 2022-01-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-09 | 2022-01-26 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-12-09 | 2022-01-26 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-09 | 2022-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2022-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2022-01-26 | 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 | 2021-12-09 | 2022-01-26 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2022-01-26 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-09 | 2022-01-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-09 | 2022-01-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-12-09 | 2022-01-26 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-12-09 | 2022-01-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-07 | 2022-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-07 | 2022-01-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-07 | 2022-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-12-07 | 2022-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-10-22 | 2019-11-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-22 | 2019-11-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-22 | 2019-11-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-22 | 2019-11-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-25 | 2019-11-18 | 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 | 2019-10-25 | 2019-11-18 | 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 | 2019-10-25 | 2019-11-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-25 | 2019-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-25 | 2019-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-25 | 2019-11-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-25 | 2019-11-18 | 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 | 2019-10-25 | 2019-11-18 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-25 | 2019-11-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-25 | 2019-11-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-10-25 | 2019-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-25 | 2019-11-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-25 | 2019-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-25 | 2019-11-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-25 | 2019-11-18 | N |
