Madison Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Madison Manor Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF600Aug 15, 2024

  Based on record review, interview, review of facility investigation, and facility policy review, the facility failed to ensure one (Residents (R) R63) of nine residents reviewed for abuse were protected from abuse, specifically staff to resident verbal abuse. Refer to F609 Findings include: Review of the facility's policy titled, Abuse Policy, dated October 2022, revealed It is the policy of [Facility]to ensure that each resident is free from verbal, sexual, physical, and mental abuse, neglect, misappropriation of resident's personal property and exploitation. […]

• No harm, potential for more than minimal, isolatedF609Aug 15, 2024

  Based on staff interviews, record review, and facility policy review, the facility failed to ensure an abuse allegation by of staff to resident (Resident (R) 63 and resident to resident abuse (R26 and R66) of nine residents reviewed for abuse were reported in a timely manner. Specifically, the facility failed to ensure an initial incident report was submitted to the state survey agency within two hours. Findings include: Review of the facility's policy titled, Abuse Policy, dated October 2022, revealed It is the policy of {Facility}to ensure that each resident is free from verbal, sexual, physical, and mental abuse, neglect, misappropriation of resident's personal property and exploitation. […]

• No harm, potential for more than minimal, isolatedF689Aug 15, 2024

  Based on observations, medical record reviews, and interviews, the facility failed to prevent accidents for one resident (R)36) of 31 sampled residents. Specifically, a Certified Nurse Aid (CNA) 1 attempted to transfer R36 without assistance during and after the resident's shower. Findings include: Review of the Facesheet found in the electronic medical record (EMR) indicated that R36 was admitted to the facility on [DATE] with diagnoses including Alzheimer's Disease, history of falls and chronic pain syndrome. Review of R36's quarterly Minimum Data Set (MDS) found under the MDS tab of the EMR with an assessment reference date (ARD) of 05/21/24 revealed R36 required extensive to dependent level of assistance (helper does ALL of the effort for task) with transfers, bathing and dressing. […]