Madison Health and Rehab

In the surveyor’s words

From the most serious findings on record at Madison Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF761May 21, 2025

  Based on observations, staff interviews, and review of the facility's policy titled, Medication Storage in the Facility, the facility failed to dispose of expired medical supplies in one of one medication storage rooms. This deficient practice had the potential to place residents at risk for infection and ineffective treatment. The facility census was 66 residents. Findings include: A review of the facility's policy titled Medication Storage in the Facility, effective date of [DATE], under Policy revealed, Medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendation. those of the supplier. […]

• No harm, potential for more than minimal, widespreadF812Mar 26, 2023

  Based on observations, staff interviews, and review of the facility's policies titled, Food Storage, Dietary Safety Rules, Dishwashing, and Cooking pots and Steam Table Insert Storage Policy & Procedure, the facility failed to label, and date opened food items in the freezers, walk-in refrigerator, and dry storage area; failed to ensure male staff cover facial hair while in the kitchen; and failed to store pans properly to prevent wet nesting and cross contamination. This affected 61 of 62 residents receiving an oral diet. Findings include: 1. Review of the facility's policy titled, Food Storage revealed all items must be covered, labeled, and dated. […]

• No harm, potential for more than minimal, widespreadF801Jun 10, 2021

  Based on interviews and record review the facility failed to employ a qualified Dietary Manager. This had the potential to affect 60 of 60 residents residing in the facility. Findings include: Review of dietary certifications in the kitchen did not reveal evidence of a 'Certified' or qualified Dietary Manager. An interview on 6/7/2021 at 10:05 a.m. with the Dietary Manager (DM) revealed she took over the position of DM approximately one year ago but has been working at the facility since November 2016. She indicated she does not have a DM Certification and is not currently enrolled in a Certified Dietary Manager course at this time. An interview on 6/10/2021 at 10:32 a.m. with Administrator revealed the DM has been with them for several years. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2021

  Based on observations, interviews and review of policies titled Food Storage, Food Production, and General Food Preparation and Handling, the facility failed to properly label food items, failed to properly thaw meat, failed to maintain clean equipment, and failed to keep staff drinks separate from facility foods. This had the potential to affect 60 of 60 residents residing in the facility. Findings include: Review of facility policy titled Food Storage dated 2013 revealed . 4. All containers must be legible and accurately labeled and dated. 8. All stock must be rotated with each new order received. Rotating stock is essential to assure the freshness and highest quality of all foods. a. old stock is always used first (first in - first out method), c. […]

• No harm, potential for more than minimal, widespreadF914Jun 10, 2021

  Based on observation and staff interview the facility failed to ensure that privacy curtains provided full visual privacy, which included a total of 11 of 12 rooms on one hall. Findings include: During the initial tour on 6/7/2021 between 10:45 a.m. and 12:00 p.m. observation revealed resident privacy curtains with a width space/gap which did not ensure full visual privacy coverage during patient/resident care, including rooms 100, 123, 125, 127, 129, 131, 132, 133, 134, 135, and 136. An observation and interview was conducted on 6/10/2021 at 10:35 a.m. […]