Inspection Reports for Aegis Living Madison

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously cited deficiencies related to medication administration and nurse staffing.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to missed medications due to no nurse on duty were corrected.

The complaint investigation found that on 07/20/2025 and 07/21/2025, no nurse was on duty due to nurse vacation, resulting in Resident 1 missing insulin and blood sugar check and Resident 2 missing pain patch application. The facility was found understaffed and at risk of leaving nurses to care for over 80 residents. Citations were written for failed provider practice.

The Department of Social and Health Services completed a complaint investigation at the assisted living facility Aegis of Madison on August 5, 2025, due to concerns about medication administration.

The investigation found that the licensee failed to ensure two residents received their prescribed medications, resulting in both residents not receiving physician-ordered medication and being placed at risk of harm. This was a recurring deficiency previously cited in February and September 2024.

The visit was complaint-related and substantiated, resulting in a civil fine of $500.00 for medication service violations.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previous deficiencies related to fire safety and compliance.

The re-inspection found that all violations noted during previous inspections had not been corrected. Multiple deficiencies related to fire door inspection and testing, fire-rated construction, carbon monoxide detection, emergency lighting, power testing, and security were cited with paperwork and testing documentation missing or incomplete.

The Office of the State Fire Marshal conducted a re-inspection at the facility to verify correction of previously cited violations related to fire door inspection and testing, fire-rated construction, carbon monoxide detection, emergency lighting, and power testing.

The inspection found that required paperwork and documentation for inspections and testing of fire doors, fire-rated construction, carbon monoxide alarms, emergency lighting activation tests, and power tests were not provided. The facility was cited for failure to establish schedules and document these inspections and tests, and the system deficiencies had not been corrected.

The inspection was conducted as an unannounced on-site complaint investigation regarding allegations that the facility failed to obtain medication, resulting in a resident missing three doses of ordered blood pressure medication.

The investigation found that the facility failed to have medication available for the Named Resident, resulting in three missed doses of prescribed blood pressure medication. The facility completed required assessments and service agreements but did not ensure timely medication availability. Deficiencies were cited and a plan of correction was submitted.

The Named Resident missed three doses of ordered blood pressure medication due to the facility not obtaining the medication when it ran out. The complaint was substantiated with citation(s) written.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously identified deficiencies related to medication availability.

The follow-up inspection on 02/20/2025 found no deficiencies and confirmed the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to medication availability for two residents were corrected.

The complaint investigation was triggered by allegations that the facility failed to refill medications on time for two residents, resulting in emergency refills and health risks. The investigation found the facility failed to ensure medication availability for two residents, placing them at risk for health issues.

The inspection was conducted in response to a complaint (#158542) regarding a fire incident in the laundry room at Aegis of Madison.

A fire occurred in the 3rd floor laundry room caused by a resident placing food in a microwave and leaving it unattended. Staff promptly extinguished the fire using a fire extinguisher and called 911. No injuries were sustained, and the facility took corrective actions including removing the microwave and reminding the resident about safety.

Complaint #158542 involved a fire in the laundry room. The fire was investigated and found to be caused by a resident's misuse of the microwave. No injuries or building maintenance issues were found. The complaint was handled with no IFC violations observed.

The Department completed a follow-up inspection of the Assisted Living Facility on 11/21/2024 to verify correction of previously cited deficiencies.

The follow-up inspection found no deficiencies and confirmed that the facility meets Assisted Living Facility licensing requirements. The prior deficiencies related to food sanitation, medication services, tuberculosis testing, and safe storage of supplies were corrected.

The inspection was triggered by a complaint investigation conducted on 09/10/2024 and 09/12/2024 referencing complaint number 145324. The complaint investigation found the facility did not meet licensing requirements.

The Department completed a follow-up inspection of the Assisted Living Facility to verify correction of previously identified deficiencies related to medication management and licensing laws.

The follow-up inspection found no deficiencies, indicating the facility meets Assisted Living Facility licensing requirements. Previous deficiencies related to medication policies and procedures were corrected.

The inspection was conducted due to a complaint that the Assisted Living Facility posted and emailed a photo of a resident without written consent.

The investigation found that the facility violated the resident's rights to privacy by posting and emailing a photo of the resident without consent. A deficient practice was identified and citations were written.

The complaint alleged that the Assisted Living Facility posted and emailed a photo of the Named Resident without written consent. The investigation confirmed the violation of privacy rights and identified deficient practice.

The inspection was conducted in response to a complaint alleging that a resident needing Latanoprost eye drops did not receive them on the evening of 04/06/2023.

The facility provided care according to the assessment and service agreement but failed to notify the physician when the resident repeatedly refused eye medication. The facility was found non-compliant for not reporting the pattern of medication refusal to the physician.

The complaint was substantiated with a failed provider practice identified and citations written. The named resident refused eye drops multiple times in March and April 2023, and the facility did not notify the physician as required.

The Department completed a follow-up inspection of the Assisted Living Facility on 04/06/2023 to verify correction of previously cited deficiencies.

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

The Office of the State Fire Marshal conducted a renewal licensing inspection at the facility on 03/24/2023 as part of the regulatory oversight for the residential care facility.

The facility was disapproved due to multiple fire safety and maintenance deficiencies including failure to produce required inspection reports, missing fire extinguishers and signage, fire doors not inspected, fire drills lacking fire alarm activation, and various maintenance and testing records not produced.