A list of the most recent deficiencies for The Madison On Marsh. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-10-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-19 | 2023-10-20 | 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 | 2023-10-19 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-10-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-19 | 2023-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-10-20 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-19 | 2023-10-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-16 | 2023-08-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-11-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-17 | 2022-09-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-08-17 | 2022-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-18 | 2022-09-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-18 | 2022-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-26 | 2021-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-26 | 2021-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-27 | 2021-06-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-27 | 2021-06-14 | 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 | 2021-05-27 | 2021-06-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-27 | 2021-06-09 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-05-27 | 2021-05-27 | N |
