Deficiency Records for Madison Health and Rehabilitation Center
Updated as of October 01, 2016
This is not the most recent data for Madison Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Madison Health and Rehabilitation 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 abuse, physical punishment, and involuntary separation from others. | Health | 2016-06-21 | 2016-07-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-21 | 2016-07-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-21 | 2016-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-21 | 2016-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-19 | 2016-07-12 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-06-21 | 2016-07-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-21 | 2016-07-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-21 | 2016-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-21 | 2016-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-19 | 2016-07-12 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-19 | 2016-05-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-19 | 2016-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-19 | 2016-05-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-19 | 2016-05-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-19 | 2016-05-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-19 | 2016-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-19 | 2016-05-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-19 | 2016-05-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-04-19 | 2016-05-25 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-19 | 2016-05-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-19 | 2016-05-25 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-19 | 2016-05-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-19 | 2016-05-25 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-04-19 | 2016-05-25 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-04-19 | 2016-05-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-19 | 2016-05-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-19 | 2016-05-25 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-04-19 | 2016-05-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-04-19 | 2016-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-19 | 2016-05-25 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-19 | 2016-05-25 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-04-19 | 2016-05-25 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-19 | 2016-05-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-19 | 2016-05-25 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-04-19 | 2016-05-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-19 | 2016-05-25 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-18 | 2016-05-20 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| A properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Proper stairway enclosures and vertical shafts. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Rooms that can be unlocked from inside without a key. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Portable fire extinguishers. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| A properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-16 | 2016-01-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-16 | 2016-01-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-16 | 2016-01-16 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-16 | 2016-01-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-01 | 2015-08-01 | Y |
| Keep clinical record information safe. | Health | 2015-07-01 | 2015-08-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2015-07-01 | 2015-08-01 | Y |
| Keep clinical record information safe. | Health | 2015-07-01 | 2015-08-01 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-05 | 2015-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-05 | 2015-04-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-05 | 2015-04-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-05 | 2015-04-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-03-05 | 2015-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-03-05 | 2015-04-05 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-03-05 | 2015-04-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-03-05 | 2015-04-05 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Properly maintained smoke detectors. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-04 | 2015-04-05 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-30 | 2014-05-30 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-04-30 | 2014-05-30 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| A written emergency evacuation plan. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly protected cooking facilities. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly sized and located linen or trash receptacles. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2014-02-25 | 2014-03-24 | N |
| Approved construction type or materials. | Fire Safety | 2014-02-25 | 2014-03-14 | N |
| Approved construction type or materials. | Fire Safety | 2014-02-25 | 2014-03-14 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-02-13 | 2014-03-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-02-13 | 2014-03-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-02-13 | 2014-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-02-13 | 2014-03-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-02-13 | 2014-03-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-13 | 2014-03-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-13 | 2014-03-13 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-02-13 | 2014-03-13 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2014-02-13 | 2014-03-13 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2014-02-13 | 2014-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-02-13 | 2014-03-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-02-13 | 2014-03-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-02-13 | 2014-03-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-02-13 | 2014-03-13 | N |
