Mado Healthcare - Uptown

In the surveyor’s words

From the most serious findings on record at Mado Healthcare - Uptown, in the surveyor’s own words.

• Immediate jeopardy, isolatedF602Sep 23, 2024

  Based on interview and record review, the facility failed to establish a system of accounting for resident's funds and safeguarding resident's funds against theft, failed to follow their system of updating resident's belongings, and failed to ensure shipping address of online purchase for the resident was to the facility. These failures resulted on R1 and R6 incurring fraudulent debit card transactions on R1's and R6's bank accounts. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy was identified on 03/25/2024 when V14 (R1's family member) completed a concern form regarding unexplained activities on R1's bank account. On 09/16/2024 at 10:45am, V1 was notified of the Immediate Jeopardy. […]

• Actual harm, isolatedF689Jan 3, 2025

  Based on review of records and interview, the facility failures are the following: Failed to follow interventions in the care plan, review and/or revised the fall prevention care plan of 1 out of 4 residents (R1) reviewed for accidents and hazards. Failures affected 1 resident (R1) who had an incident of fall resulting to right hip/pelvic fracture that required surgery in the hospital. Finding includes: R1 is [AGE] years old, a resident in the facility since 10/08/2020. R1 has moderate impairment of cognition based on brief interview of mental status (BIMS) dated 10/15/2024, with a score of 12. R1 was not in the facility during review, per V10 (Registered Nurse) nursing notes dated 12/28/2024. R1 was transferred to the hospital due to vomiting. On 12/31/2024, at 11:21 AM. […]

• No harm, potential for more than minimal, widespreadF636Dec 12, 2025

  Based on observations, interviews and record reviews, the facility failed to complete timely comprehensive smoking assessment for 8 (R6, R8, R9, R21, R39, R79, R89, R110) residents reviewed for smoking. This failure affected ALL 59 smoker residents in the facility. The findings include: R9's admission record showed admit date on 8/5/2025 with diagnoses not limited to Malignant neoplasm of unspecified part of left bronchus or lung, Chronic obstructive pulmonary disease, Type 2 diabetes mellitus, Anemia, Schizoaffective disorder, Emphysema, Unilateral primary osteoarthritis left knee, Peripheral vascular disease. MDS (Minimum Data Set) dated 11/11/2025 showed R9's cognition was intact. […]

• No harm, potential for more than minimal, widespreadF812Dec 12, 2025

  Based on observations, interviews, and record reviews, the facility failed to a.) ensure food items were properly labeled and dated, b.) store food at least six inches from the floor, c.) store food at least 18 inches from the ceiling, d.) sanitize kitchen equipment based on manufacturers' procedure directions. These failures have the potential to affect all 112 residents receiving food prepared in the facility's kitchen. Findings include: On 12/09/25 at 9:29 AM, V5 (Dietary Manager) stated all prepared or opened food containers are labeled with a prepared or opened date and a use by date or expiration date. V5 stated it is important for the items to be labeled and dated with an open and use by date, so the staff knows how long the product is good for. […]

• No harm, potential for more than minimal, widespreadF880Dec 12, 2025

  Based on observation, interview and record review, the facility failed to clean and disinfect reusable equipment (glucometer) in between resident's use and ensure staff performed hand hygiene in between resident's care during medication administration. The facility also failed to maintain their hot water temperatures within required parameters and failed to develop and implement a comprehensive water management plan to prevent and control the growth of Legionella and failed to establish control measures for areas at risk for Legionella growth within the facility's water system. […]