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Deficiency Records for Madison Grove Post Acute

View the most recent health deficiencies and inspection results for Madison Grove Post Acute. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Madison Grove Post Acute. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2026-03-03 2026-03-13 Y
Keep all essential equipment working safely. Health 2026-02-09 2026-03-07 Y
Use approved construction type or materials. Fire Safety 2025-09-17 2025-11-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-09-17 2025-11-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-09-17 2025-11-28 N
Provide emergency officials' contact information. Fire Safety 2025-09-17 2025-11-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2025-09-17 2025-11-24 N
Provide and implement an infection prevention and control program. Health 2025-09-17 2025-09-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2025-09-17 2025-09-30 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 2025-09-17 2025-09-30 N
Ensure medication error rates are not 5 percent or greater. Health 2025-09-17 2025-09-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2025-09-17 2025-09-30 N
Provide enough food/fluids to maintain a resident's health. Health 2025-09-17 2025-09-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-09-17 2025-09-30 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2025-09-17 2025-09-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-09-17 2025-09-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-08-27 2025-09-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-03-19 2025-05-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-28 2024-09-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-27 2024-08-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-05 2024-06-28 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-04-25 2022-05-24 N
Provide emergency officials' contact information. Fire Safety 2022-04-25 2022-05-24 N
Use approved construction type or materials. Fire Safety 2022-04-25 2022-05-24 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-04-25 2022-05-24 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-04-25 2022-05-24 N
Install an approved automatic sprinkler system. Fire Safety 2022-04-25 2022-05-24 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2022-04-25 2022-05-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-04-25 2022-05-24 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-04-25 2022-05-24 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-25 2022-05-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-04-25 2022-05-24 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 2022-04-25 2022-05-19 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2022-04-25 2022-05-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-25 2022-05-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-25 2022-05-19 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-04-25 2022-05-19 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 2022-04-25 2022-05-19 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-04-25 2022-05-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-04-25 2022-05-19 N
Provide and implement an infection prevention and control program. Health 2022-04-25 2022-05-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-19 2021-11-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-10-19 2021-11-30 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-10-19 2021-11-30 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 2021-10-19 2021-11-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-10-19 2021-11-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-10-19 2021-11-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-19 2021-11-30 N
Dispose of garbage and refuse properly. Health 2021-10-19 2021-11-30 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-10-19 2021-11-30 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-10-19 2021-11-30 N
Provide and implement an infection prevention and control program. Health 2021-10-19 2021-11-30 N
Provide activities to meet all resident's needs. Health 2021-10-19 2021-11-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-19 2021-11-30 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2021-10-19 2021-11-30 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 2021-10-19 2021-11-30 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-10-19 2021-11-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-10-19 2021-11-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-10-19 2021-11-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-10-19 2021-11-02 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2021-10-19 2021-11-02 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2021-10-19 2021-11-02 N
Use approved construction type or materials. Fire Safety 2021-10-19 2021-11-02 N

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