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Deficiency Records for Madison Health and Rehabilitation Center

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.

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?
Provide properly protected cooking facilities. Fire Safety 2024-05-02 2024-06-03 N
Install an approved automatic sprinkler system. Fire Safety 2024-05-02 2024-06-03 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-11-17 2023-12-23 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 2023-11-17 2023-12-23 N
Honor each resident's preferences, choices, values and beliefs. Health 2023-11-17 2023-12-23 N
Provide activities to meet all resident's needs. Health 2023-11-17 2023-12-23 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 2023-11-17 2023-12-23 N
Provide and implement an infection prevention and control program. Health 2023-11-17 2023-12-23 N
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2023-11-17 2023-12-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-01 2023-07-29 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-07-01 2023-07-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-01 2023-07-29 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 2023-07-01 2023-07-29 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-07-01 2023-07-29 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-07-01 2023-07-29 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-06-28 2023-07-29 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-06-28 2023-07-29 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-28 2023-07-29 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-06-28 2023-07-29 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-28 2023-07-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-06-28 2023-07-29 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 2022-03-04 2022-07-05 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-04 2022-07-05 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-04 2022-03-31 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-04 2022-03-31 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-03-04 2022-03-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-04 2022-03-31 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-03-04 2022-03-31 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-03-04 2022-03-31 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-03-04 2022-03-31 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2022-03-04 2022-03-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-03-04 2022-03-31 Y

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