Inspection Reports for Madison House

The document is a renewal application and license verification for Madison House, an assisted-living facility, confirming the facility meets statutory requirements and is licensed through the indicated renewal date.

The facility is licensed as an assisted-living facility with a total licensed capacity of 46 beds. The renewal application confirms ownership, business organization, and compliance with licensing requirements.

An unannounced visit was conducted to investigate a complaint at Madison House on October 23, 2019, by representatives of the Department of Health and Human Services Division of Public Health. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with all related regulatory requirements regarding allegations of misappropriation, provision of resident records, safety of the environment, care and services per resident agreements, maintenance of essential equipment, and safety of the dwelling and grounds.

The complaint allegations included failure to ensure residents were free from misappropriation, failure to provide resident records timely, failure to provide a safe environment, failure to provide care per service agreement, failure to maintain essential equipment, and failure to keep the dwelling and grounds safe. All allegations were found to be unsubstantiated with the facility in compliance.

An unannounced visit was conducted to investigate a complaint at Madison House regarding failure to provide a safe environment for residents at risk for elopement and failure to maintain temperatures within regulatory compliance.

The facility was found to have failed to provide a safe environment for two residents identified at risk for elopement due to lack of interventions, violating regulation 175 NAC 4-006.11. The facility was in compliance with temperature regulations.

The complaint investigation was substantiated with findings that two of four sampled residents at risk for elopement had no interventions developed or implemented to maintain safety. Temperature compliance was confirmed.

An unannounced visit was conducted to investigate a complaint at Madison House on July 5, 2017, regarding multiple allegations including failure to provide agreed services, medication security, qualified staff, safe environment, staff credentials, and resident movement.

The facility was found to be in compliance with most allegations except for failing to provide a safe environment to prevent injuries, specifically lacking safety measures such as bath mats in a resident's room, resulting in a violation of State Licensure tag 175 NAC 4-006.13E.

The complaint investigation was substantiated for failure to provide a safe environment to prevent injuries, violating State Licensure tag 175 NAC 4-006.13E. Other allegations were found to be in compliance.

An unannounced visit was conducted to investigate a complaint and annual survey at Madison House on May 24-25, 2016, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found multiple compliance issues including failure to investigate and report allegations of potential abuse and neglect, failure to document adverse incidents and monthly documentation in resident records, and failure to submit written investigations within required timeframes. Some allegations were found to be in compliance, such as sufficient staffing and following physician orders.

The complaint investigation included allegations that the facility failed to ensure residents meet retention criteria, provide sufficient staff, notify family/guardian/power of attorney of incidents, ensure medical records reflect adverse incidents, submit written investigations timely, ensure residents are free from misappropriation, provide services according to service agreements, ensure charting is complete and accurate, and follow physician's orders. Several allegations were substantiated with findings of noncompliance.

An unannounced visit was conducted to investigate a complaint at Madison House on June 25, 2015, regarding allegations of failure to provide necessary supervision, sufficient staffing, proper medication administration, and prevention of medication misappropriation.

The facility was found to be in compliance with relevant regulatory requirements for all allegations. Reviews of records, observations, and interviews showed no evidence of lack of supervision, insufficient staffing, medication errors, or medication misappropriation.

The complaint investigation addressed allegations that the facility failed to provide necessary supervision to avoid harm, failed to provide sufficient staffing, failed to administer medications according to practitioners' orders, and failed to ensure medications were not misappropriated. All allegations were found to be unsubstantiated.

An unannounced visit was conducted to investigate a complaint at Madison House regarding failure to implement new fall interventions post fall with injury and failure to complete investigative reports within 5 working days.

The facility was found to have implemented new fall interventions post fall with injury and was in compliance with relevant regulatory requirements. However, the facility failed to complete investigative reports within 5 working days for two investigations and was found in violation of regulations.

The complaint investigation found that the facility failed to complete investigations on suspected abuse and/or neglect for 2 of 5 reviewed residents. The facility was found in violation of regulations at 175 NAC 4-006.02(9).

An unannounced visit was conducted to investigate a complaint and annual survey at Madison House from January 20 to January 22, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.

The facility was found to be in compliance with many allegations including misappropriation, respect and dignity, appropriate positioning and transfer, staff credentials, and staff not under the influence. However, deficiencies were found related to medication administration errors, failure to account for narcotic medications, failure to provide food in a safe and sanitary manner, incomplete staff training and orientation, incomplete resident service agreements, failure to maintain monthly documentation, and inadequate care for skin breakdown.

The complaint investigation addressed allegations including misappropriation, respect and dignity, appropriate positioning and transfer, staff credentials, medication administration errors, accounting of medications, staff under influence, and food safety. Some allegations were substantiated with violations found related to medication administration and narcotic accounting.

An unannounced visit was conducted to investigate a complaint at Madison House on September 16-17, 2014, regarding allegations of noncompliance with licensure regulations for Assisted-Living Facilities.

The investigation found multiple violations including failure to ensure appropriate housekeeping, failure to provide care and treatment to prevent skin breakdown, failure to ensure medications were given according to the Five Rights, failure to maintain a pest-free environment, failure to ensure food safety, and failure to ensure resident property was free from misappropriation. The facility was found to be in violation of several regulatory requirements but no imminent danger was identified.

The complaint investigation was substantiated with findings of misappropriation of property for 3 sampled residents and multiple regulatory violations related to care, medication administration, housekeeping, food safety, and pest control. The facility failed to complete documented investigations related to allegations of misappropriation for 3 residents. The Administrator reported all 3 allegations of missing money but was unable to determine what happened to the missing money or provide documentation of investigations.

An unannounced visit was conducted to investigate a complaint at Madison House on October 1, 2013, regarding failure to implement infection control practices and failure to store, prepare, and distribute food to prevent food borne illness.

The facility failed to implement infection control practices to prevent the spread of infection, including failure to wash hands and/or change gloves as required. The dietary cook was observed handling food improperly, violating food safety regulations under 175 NAC 4-006.10C.

The complaint investigation was substantiated with findings that the facility failed to implement infection control practices and failed to prevent food borne illness as required by regulations.

The inspection was conducted as a compliance inspection following allegations of verbal and physical abuse by residents and other regulatory compliance concerns at Madison House.

The facility was found noncompliant with licensure regulations including failure to investigate abuse allegations, incomplete health history screening and staff orientation, inadequate grievance procedures, and unsanitary kitchen conditions. Several deficiencies related to resident safety, staff training, and environmental safety were documented.

The visit was complaint-related due to allegations of verbal and physical abuse by residents. The facility failed to investigate these allegations. The complaint was substantiated by findings of noncompliance.

This document serves as a licensure renewal application and verification for the assisted-living facility Madison House, confirming its licensed status and capacity.

The documents confirm that Madison House meets statutory requirements as an assisted-living facility with a licensed capacity of 46 beds. The renewal application includes ownership and business organization details, and the certificate of occupancy confirms the maximum occupancy and fee payment.

This document serves to verify that Madison House Assisted-Living Facility is licensed through the indicated renewal date and includes the renewal application, ownership information, and certificate of occupancy.

The documents confirm the facility's licensure renewal status, ownership structure, and fire marshal's certificate of occupancy with a maximum licensed capacity of 46 beds.

This document serves as a licensure renewal application and certification for Madison House, an assisted-living facility, verifying that the facility is licensed through the indicated renewal date.

The documents confirm that Madison House meets statutory requirements as an assisted-living facility with a licensed capacity of 46 beds. No inspection findings or deficiencies are reported.

This document serves as a licensure renewal application and verification for Madison House, an assisted-living facility, confirming its licensed status and capacity.

The document confirms that Madison House is licensed as an assisted-living facility with a total licensed capacity of 46 beds. It includes ownership and management information, renewal fee details, and a certificate of occupancy issued by the Fire Marshal.

This document serves as a renewal application and verification of licensure for Madison House, an assisted-living facility, including renewal fee information and certification of occupancy.

The documents confirm that Madison House meets statutory requirements as an assisted-living facility, with no deficiencies or inspection findings noted. The renewal application includes ownership and business organization details.

This document serves as a renewal application and license renewal notice for the assisted-living facility Madison House, verifying licensure through the expiration date and requesting renewal of the license.

The document confirms that Madison House meets statutory requirements as an assisted-living facility and is licensed through the indicated renewal date. It includes ownership and business organization details but does not report inspection findings or deficiencies.

The document serves to verify the license renewal of Madison House, an assisted-living facility, and includes the renewal application and related ownership and occupancy information.

The documents confirm that Madison House meets statutory requirements as an assisted-living facility and is licensed for 46 beds. It includes ownership details, executive director information, and a certificate of occupancy.

This document serves to verify that Madison House is licensed as an assisted-living facility through the indicated renewal date and includes renewal application and ownership information.

The documents confirm the facility's licensure status, renewal application details, ownership/control list, and certificate of occupancy with a maximum capacity of 46 beds.

This document serves as a renewal application and verification of licensure for Madison House, an assisted-living facility, confirming compliance with statutory requirements and renewal of the facility license.

The documents confirm that Madison House meets statutory requirements as an assisted-living facility and is licensed for 46 beds. The renewal application was completed and signed by authorized representatives.