Madison Co NH

In the surveyor’s words

From the most serious findings on record at Madison Co NH, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 30, 2026

  Based on interview, record review and facility policy review, the facility failed to ensure the resident's right to be free from abuse for one (1) of (20) sampled residents. Resident # 53Findings include:Record review of facility policy; Abuse Policy and Procedure , revision date April 2021 revealed, Residents have the right to be free from abuse. Policy interpretation and implementation: The resident abuse, neglect and exploitation prevention program consist of facility wide commitment and resource allocation to support the following objectives: 1. Protect residents from abuse. by anyone including but not necessarily limited to: a. facility staff . […]

• Actual harm, isolatedF760May 12, 2025

  Based on staff interviews, record review, and facility policy review, the facility failed to ensure a resident was free from a significant medication error resulting in harm for one (1) of (6) six residents reviewed for narcotic medication administration (Resident #2). Findings include: A review of the facility policy titled, Adverse Consequences and Medication Errors, revealed under Policy Interpretation and Implementation: 5.) A Medication error is defined as the preparation or administration of drugs or biologicals which is not in accordance with physician's orders, manufacturer specifications, or accepted standards and principles of the professional providing services. […]

• No harm, potential for more than minimal, patternF880Apr 30, 2026

  Based on observation, interview, facility policy review and record review, the facility failed to ensure staff followed infection prevention and control practices to prevent the spread of infection during resident care for two (2) of five (5) care observations. Resident #2 and Resident #82Findings Include: Record review of the facility policy Policy for Handwashing undated, revealed, Objective: To prevent and to control the spread of infectious disease.1. Appropriate 15 second hand washing with antimicrobial soap and water must be performed under the following conditions: a. when hands are visibly dirty or soiled with blood or other body fluids; b. after contact with blood, body fluids, secretions, mucous membranes or non-intact skin; c. […]

• No harm, potential for more than minimal, isolatedF700Apr 30, 2026

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure other alternatives were implemented prior to the installation of bed rails and failed to assess and monitor the use of bed rails as a restraint and ensure they were medically necessary and the least restrictive intervention for one (1) of five (5) resident reviewed for restraints. Resident #42Findings Include: Record review of the facility policy Use of Side Rails revealed, The resident should be observed and assessed daily in order to assure the maintaining of his/her practicable physical, mental, and psychosocial well-being .Record review of the facility policy, Restraint Policy undated revealed, .It is the objective of this facility for each resident to be free from any physical… […]

• No harm, potential for more than minimal, isolatedF602May 12, 2025

  Based on staff interview, record review, and facility policy review the facility failed to ensure a resident was free from abuse and misappropriation of resident property when a resident was found to have 36 oxycodone pain pills missing from the narcotic box for (1) one of (6) six residents narcotics reviewed. (Resident #1) Findings include: Review of the facility policy titled, Abuse Policy & Procedure, with no revision date, revealed that each resident of the facility has the right to be free from misappropriation of property. […]