Madison Pointe Care Center

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 18, 2024

  Based on observations, interviews, and record review, the facility failed to ensure two residents (#210 and #211), assisted with care by a Certified Nursing Assistant (CNA), was free from verbal/psychosocial abuse. out of twelve residents sampled for abuse. Findings included: During an interview on 04/15/24 12:00 p.m., Resident #210 stated Staff A, CNA this weekend started using the F bomb and stated she was just not doing it over the weekend. Resident #210 stated Staff A, CNA also was on her phone with the earbuds talking to someone about threesomes. Resident #210's Family Representative (FR), present during the interview, also stated I didn't even go to work today, I came in because I am worried about my mom and her care. […]

• No harm, potential for more than minimal, patternF679Apr 18, 2024

  Based on observations, interviews, and record review, the facility failed to ensure four dependent residents (#45, #43, #69, and #72) were provided with activities out of ten residents sampled. Findings Include: Multiple observations were made on 4/15/2024 at 10:00 a.m., 1:00 p.m., and 4:00 p.m., showing Resident #45 laying down in his bed dressed in a red shirt and newspapers spread out all over his bed. Resident # 45 was not able to communicate his needs. During an observation made on 04/16/204 at 10:30 a.m., and at 3:00 p.m., and on 4/17/2024 at 11:00 a.m. Resident #45 was observed laying down in his bed, dressed in the same red shirt for 3 days in a row. The same newspapers were observed for 3 days spread out all over his bed. Resident # 45 was not able to communicate his needs. […]

• No harm, potential for more than minimal, patternF867Apr 18, 2024

  Based on observation, record review, and interviews, and the facility policy review, and the Plan of Correction review, the facility failed to ensure that it had a functioning Quality Assurance Committee. The facility was actively involved in the effective creation, implementation and monitoring of the plan of correction for deficient practice during a relicensure and complaint survey that was conducted on 4/15 - 4/18/24 and was cited at F880. On 6/11/24 a revisit survey was conducted, and the facility was recited at F880. The facility had developed a Plan of Correction with a completion date of 5/18/22. During the revisit survey the facility failed to 1. […]

• No harm, potential for more than minimal, patternF867Apr 18, 2024

  Based on observation, record review, and interviews, and the facility policy review, and the Plan of Correction review, the facility failed to ensure that it had a functioning Quality Assurance Committee. The facility was actively involved in the effective creation, implementation and monitoring of the plan of correction for deficient practice during a relicensure and complaint survey that was conducted on 4/15 - 4/18/24 and was cited at F880. On 6/11/24 a revisit survey was conducted, and the facility was recited at F880. The facility had developed a Plan of Correction with a completion date of 5/18/22. During the revisit survey the facility failed to 1. […]

• No harm, potential for more than minimal, patternF880Apr 18, 2024

  Based on observation, interviews, and record review, the facility failed to ensure an effective infection control program was implemented related to 1) the use of personal protective equipment (PPE) for two of three designated transmission based precaution (TBP) rooms, 2) no hand hygiene provided to residents prior to meals for four of four hallways, and 3) the Infection Preventionist (IP) conducting appropriate surveillance for influenza. Findings included: During an interview on 04/15/24 at 1:20 p.m., Resident #209's Family Representative (FR) stated Resident #209 tested negative for influenza and the droplet precautions sign was placed on the door for his roommate who went out to the hospital. […]