Complete Care at Madison, LLC

In the surveyor’s words

From the most serious findings on record at Complete Care at Madison, LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF760Mar 3, 2026

  Based on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to ensure medications (meds) were administered in the allotted timeframe for 1 of 1 resident (Resident #122) reviewed for medication administration times.This deficient practice was evidenced by the following:Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: The practice of nursing as a registered professional nurse is defined as diagnosing and treating human responses to actual and potential physical and emotional health problems, through such services as case-finding, health teaching, health counseling, and provision of care supportive to or restorative of life and… […]

• No harm, potential for more than minimal, patternF755Aug 27, 2024

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) ensure the narcotic count was completed on multiple days and shifts for August 2024 for 3 of 3 medication carts reviewed; b.) ensure accurate accountability for individual controlled medications for 3 of 3 medication carts reviewed; and c.) ensure the required Federal narcotic acquisition forms (DEA 222 forms) were dated and signed by the Medical Director as of the day it was submitted for filling for 1 of 1 forms provided. The deficient practice was evidenced by the following: 1. […]

• No harm, potential for more than minimal, patternF770Aug 27, 2024

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure psychiatric recommendations from 2/7/24 and 7/31/24, to check therapeutic levels of medication used to treat bipolar, were obtained in a timely manner. The deficient practice was identified for 1 of 5 residents reviewed for unnecessary medications (Resident #68), and was evidenced by the following: On 8/19/24 at 11:18 AM, the surveyor observed Resident #68 sitting in the dayroom during activities. […]

• No harm, potential for more than minimal, patternF684Dec 9, 2022

  Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that the facility failed to: a.) routinely change the dressing surrounding a central venous catheter (a thin, flexible tube that is inserted into a vein, usually below the right collarbone and threaded into a larger vein above the right side of the heart), b.) obtain a Physician's Order (PO) to flush the Central Venous Catheter (CVC), and c.) develop a comprehensive care plan for the care of the CVC. […]

• No harm, potential for more than minimal, isolatedF550Mar 3, 2026

  Based on observations, interviews, and review of pertinent facility documents, it was determined that the facility failed to a.) provide a resident's activities of daily living (ADL) care in a dignified manner (Resident #135) and b.) ensure residents were transported from one area of the unit to another in a dignified manner (Resident #100 and #96). This deficient practice was identified on 1 of 3 units and was evidenced by the following:1.On 2/25/2026 at 10:44 AM, the surveyor observed the door open to Resident #135s room. From the hallway, the surveyor observed the resident in bed, lying on their left side, with the blankets pulled down. The resident was not covered, and the curtains were not drawn. The resident was wearing an adult brief. The resident's bed was in a high position. […]