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Deficiency Records for Madison Pointe Care Center
A list of the most recent deficiencies for Madison Pointe Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Madison Pointe Care 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? |
|---|---|---|---|---|
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-18 | 2024-07-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-07-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-16 | 2024-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-16 | 2024-05-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-16 | 2024-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-18 | 2024-05-18 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-18 | 2024-05-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-18 | 2024-05-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide activities to meet all resident's needs. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-05-18 | N |
| Provide appropriate foot care. | Health | 2024-04-18 | 2024-05-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-04-18 | 2024-05-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-16 | 2024-05-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-16 | 2024-05-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-16 | 2024-05-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-16 | 2024-05-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-16 | 2022-09-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-16 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-09-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-05 | 2021-12-05 | 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 | 2021-11-05 | 2021-12-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-04 | 2021-12-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-14 | 2020-04-30 | 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 | 2020-02-14 | 2020-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-14 | 2020-04-30 | 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 | 2020-02-14 | 2020-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-14 | 2020-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-13 | 2020-04-30 | N |
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