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Deficiency Records for Madonna Manor

A list of the most recent deficiencies for Madonna Manor. 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 Madonna Manor. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-25 2019-12-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-25 2019-12-13 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 2019-10-25 2019-12-13 N
Provide and implement an infection prevention and control program. Health 2019-10-25 2019-12-13 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2019-10-25 2019-12-13 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2019-10-22 2019-11-22 N
Have exits that are accessible at all times. Fire Safety 2019-10-22 2019-11-22 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2019-10-22 2019-11-22 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-10-22 2019-11-22 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-09-14 2018-10-20 N
Provide care by qualified persons according to each resident's written plan of care. Health 2018-09-14 2018-10-20 N
Provide enough food/fluids to maintain a resident's health. Health 2018-09-14 2018-10-20 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2018-09-14 2018-10-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-09-14 2018-10-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-09-11 2018-10-19 N
Have proper medical gas storage and administration areas. Fire Safety 2018-09-11 2018-10-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2017-12-07 2018-01-16 N
Ensure medication error rates are not 5 percent or greater. Health 2017-12-07 2018-01-16 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 2017-12-07 2018-01-16 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2017-12-05 2018-01-16 N
Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. Fire Safety 2017-12-05 2018-01-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2017-12-05 2018-01-16 N

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