Deficiency Records for Madison Health and Rehabilitation Center
Updated as of July 01, 2019
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-12 | 2018-10-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-09-12 | 2018-10-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-16 | 2018-09-16 | Y |
| 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 | 2018-08-16 | 2018-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-12 | 2018-08-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-12 | 2018-08-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-07-12 | 2018-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-07 | 2018-07-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-02-14 | 2018-03-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-02-14 | 2018-03-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2017-12-06 | 2018-01-06 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-05-04 | 2017-06-16 | 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 | 2017-05-04 | 2017-06-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-05-04 | 2017-06-16 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-04 | 2017-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-04 | 2017-06-16 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-04 | 2017-06-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-04 | 2017-06-16 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-02-13 | 2017-03-07 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-02-13 | 2017-03-07 | Y |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2017-02-13 | 2017-03-07 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-13 | 2016-11-11 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-13 | 2016-11-11 | Y |
| Post nurse staffing information/data on a daily basis. | Health | 2016-10-13 | 2016-11-11 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-10-13 | 2016-11-11 | 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 |
| 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 |
