Jnh-Madison Inn

In the surveyor’s words

From the most serious findings on record at Jnh-Madison Inn, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Aug 5, 2021

  Based on record review, staff interview, and facility policy review, the facility failed to provide necessary nursing services and supervision for 15 of 15 residents with a sample of eight (8) residents residing on the 1st floor unit for the 3-11 shift and the 11-7 shift, on 7/12/21 through 7/13/21. Residents #1, #2, #3, #4, #5, #6, #7, and #8. The facility's failure to provide nursing services and supervision resulted in residents not receiving medications and treatments on 7/12/21 on the 3-11 shift continuing through 6:00 AM on 7/13/21. After the Licensed Practical Nurse on the 3-11 shift was notified she was positive for Covid-19, the facility failed to ensure a replacement was present on the unit. […]

• Immediate jeopardy, widespreadF725Aug 5, 2021

  Based on record review, schedule review, staff interview, facility policy review, and timecard review the facility failed to ensure a licensed nurse was present to administer medications and treatments, monitor and provide necessary supervision, and provide Percutaneous Endoscopic Gastrostomy (PEG) feedings for 15 of 15 residents on the 1st floor Building 34 on the 3-11 shift on 7/12/21 through 6:00 AM on 7/13/21. The facility's failure to provide a licensed nurse to administer medications and treatments for 12 hours had the likelihood to cause all residents residing on the 1st Floor of Building 34 serious harm, serious injury, serious impairment, or possible death. […]

• Immediate jeopardy, patternF656Aug 5, 2021

  Based on staff interview, record review, and facility policy review, the facility failed to implement care plan interventions related to medication administration, Percutaneous Endoscopic Gastrostomy (PEG) tube feedings, monitoring, and treatments for eight (8) of 15 residents care plans reviewed from the 3-11 shift on 7/12/21 through 6:00 AM on 7/13/21. Residents #1, #2, #3, #4, #5, #6, #7, and #8. The facility's failure to implement care plans, placed the residents at risk, and in a situation which was likely to cause injury, harm, impairment, or death. The State Agency (SA) identified an Immediate Jeopardy (IJ) which began on 7/12/21 when the facility failed to provide a licensed nurse to implement care plans resulted in residents not receiving necessary services and treatments. […]

• Immediate jeopardy, patternF760Aug 5, 2021

  Based on record review, staff interview, and facility policy review, the facility failed to ensure significant medications (anti-coagulants, anti-[CONDITION(S)], anti-diabetic, heart, and [CONDITION(S)]) were administered to prevent discomfort or complications for eight (8) of 15 residents reviewed for medication administration. Resident #1, #2, #3, #4, #5, #6, #7, and #8. The facility's failure to provide nursing services and administer significant medications on eight (8) residents on the 3-11 shift on 7/12/21 through 6:00 AM on 7/13/21. […]

• Immediate jeopardy, isolatedF695Aug 5, 2021

  Based on record review, staff interview, and facility policy review, the facility failed to provide respiratory care to residents with tracheostomies (trachs) on the 1st floor, building 34 for two (2) of two (2) residents on the 3-11 shift on 7/12/21 until 6 AM on 7/13/21. Residents #2 and #4. The facility's failure to provide respiratory care and supervision resulted in two (2) residents not receiving proper [CONDITION(S)] care on the 3-11 shift on 7/12/21 until 6 AM on 7/13/21, placed these residents at risk and in a situation which was likely to cause serious injury, harm, impairment, or death. […]