Inspection Reports for
Aegis Living Madison

The licensee failed to implement systems to promote safe medication services for four residents, resulting in those residents not receiving medications as prescribed and placing them at risk. This deficiency is recurring and has led to a civil fine of $800.

The inspection identified multiple deficiencies related to fire safety documentation, maintenance, and equipment functionality. The facility failed to provide required documentation for fire resistance construction, sprinkler system testing, fire alarm testing, carbon monoxide alarms, emergency lighting, fire door inspections, and fire drills. Several physical deficiencies were noted including locked egress doors, non-functioning emergency lights, unsecured oxygen tank, and missing door hardware.

The complaint investigation (Complaint #208452) included allegations about staff working while sick, mask policy enforcement, sanitation practices, and food safety. Most allegations were found unsubstantiated except the failure to ensure food workers had required food cards. The deficiency was a recurring issue previously cited on 09/27/2024.

The investigation found that most allegations were unsubstantiated with no failed practices identified except for the facility's failure to ensure food workers obtained required food worker cards. This deficiency placed residents at risk due to untrained staff handling food.

The complaint alleged physical restraint of a resident resulting in bruising and open wounds. The investigation confirmed the abuse and found failures in staff hiring, training, and tuberculosis screening. The facility conducted a thorough investigation and provided protection to the resident.

The investigation substantiated abuse of the Named Resident and found multiple deficiencies including failure to verify staff work references prior to hiring, failure to ensure required staff training and orientation before working with residents, and failure to screen staff for tuberculosis within three days of employment. Citations were written for these deficiencies.

The complaint investigation involved allegations that two named residents missed medications on 07/20/2025 due to no nurse on duty and that the facility was understaffed, putting nurses at risk while caring for over 80 residents. The investigation confirmed these allegations and citations were written.

The follow-up inspection found no deficiencies and confirmed that all previously cited deficiencies related to missed medications and lack of nursing coverage were corrected. The facility meets Assisted Living Facility licensing requirements.

This report is based on a complaint investigation completed on August 5, 2025. The complaint involved medication administration failures affecting two residents. The deficiency was substantiated and resulted in a civil fine.

The investigation found that the licensee failed to ensure two residents received their prescribed medications, resulting in a civil fine. This deficiency was recurring from previous citations.

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

The inspection found multiple deficiencies related to fire door inspection, fire-rated construction, carbon monoxide detection, emergency lighting activation and power testing. None of the deficiencies had been corrected at the time of inspection, resulting in a disapproved status.

The complaint investigation involved allegation number 168737 regarding missed doses of blood pressure medication for a named resident. The allegation was substantiated as citations were written for failure to provide medication. The investigation included observations, interviews, and record reviews.

The facility failed to have medication available for the named resident, resulting in three missed doses of prescribed blood pressure medication. Citations were written for this deficiency, which was previously cited and remains uncorrected as of the report date.

The complaint investigation involved allegations that the facility failed to timely refill medications for two named residents, resulting in missed medications and health risks. The investigation confirmed these failures and citations were written.

The follow-up inspection on 02/20/2025 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

Complaint #158542 involved a fire incident in the laundry room caused by a resident's misuse of the microwave. The investigation found no injuries and no fire code violations. The complaint was substantiated by the incident but no violations were cited.

The fire alarm sounded due to a fire in the 3rd floor laundry room caused by a resident placing food in a microwave in a styrofoam container. The fire was extinguished promptly with no injuries or fire code violations observed. The facility took corrective actions including removing the microwave and reminding residents about safe microwave use.

The follow-up inspection on 11/21/2024 found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. All previously cited deficiencies were corrected.

The complaint involved allegations that a named resident returned from leave with narcotics missing and received the wrong dose of pain medication on two consecutive days, leading to a fall. The investigation substantiated these allegations and citations were written.

The facility was found to have failed to follow medication policies when the named resident returned from leave with narcotics unaccounted for and when routine medications were dispensed improperly. Additionally, the facility gave the wrong dose of pain medication on two consecutive days, resulting in an unwitnessed non-injury fall. Citations were written for these medication errors.

The complaint investigation found that the Assisted Living Facility posted and emailed a photo of a named resident without written consent. The allegation was substantiated with deficient practice identified and citations written.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies were corrected.

All violations noted during previous related inspections have been corrected. The facility was approved following this inspection.

The complaint alleged that the resident did not receive Latanoprost eye drops on 04/06/2023. Investigation found the resident refused medication multiple times and the facility failed to notify the physician as required. A citation was issued for this failure.

The facility provided care according to the service agreement but failed to notify the physician about a resident's pattern of medication refusal. A citation was written for this failure, indicating a deficiency in medication administration practices.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previously cited deficiencies related to negotiated service agreements, safe storage of supplies, and management agreements were corrected.