Inspection Reports for
The Madison Senior Living
14001 Madison Ave, Kansas City, MO 64145, United States, MO, 64145
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Missouri average
Missouri average: 5.5 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
80% occupied
Based on a October 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Life Safety
Census: 53
Deficiencies: 7
Date: Oct 24, 2024
Visit Reason
The inspection was conducted to assess compliance with fire safety and life safety code regulations, including fire drills, fire alarm system testing, smoke section partitions, wastebasket requirements, oxygen storage, building maintenance, and heating system safety.
Findings
The facility failed to meet multiple fire safety regulations including inadequate fire drill documentation, failure to activate the fire alarm system monthly, improper smoke partition maintenance, use of non-approved wastebaskets, lack of proper oxygen storage, failure to maintain fire doors, and use of prohibited portable heaters. These deficiencies potentially affected all 53 residents.
Deficiencies (7)
19 CSR 30-86.022(5)(D) Fire Drill Requirements, Evacuation. The facility failed to produce documentation of at least one fire drill conducted on each shift every three months in the last year. The facility census was 53.
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test. The facility failed to show proof the fire alarm system was activated at least once a month. The facility census was 53.
19 CSR 30-86.022(10)(J) Smoke Section Partitions < than 20 beds. The facility failed to ensure a fire rated separation was maintained for the attic space. The facility census was 53.
19 CSR 30-86.022(15)(A) Wastebaskets, Metal/UL/FM-Requirements. The facility used improper types of wastebaskets in multiple rooms. The facility census was 53.
19 CSR 30-86.022(17) Oxygen Storage Requirements. The facility failed to provide a proper oxygen storage room in accordance with NFPA 99. The facility census was 53.
19 CSR 30-86.032(2) Substantially Constructed & Maintained. The facility failed to maintain fire doors in good repair; one fire door was not latching properly. The facility census was 53.
19 CSR 30-86.032(10) Heaters-Approved Label, Venting, No Portable. The facility failed to ensure the use of portable space heaters was prohibited. The facility census was 53.
Report Facts
Facility census: 53
Fire drill records: 8
Oxygen bottles observed: 10
Oxygen bottles in use: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Director | Interviewed regarding fire drill records, fire alarm system activation, wastebasket corrections, oxygen storage, fire door maintenance, and portable heater removal |
Inspection Report
Plan of Correction
Census: 47
Deficiencies: 2
Date: Nov 17, 2022
Visit Reason
The inspection was conducted to assess compliance with fire alarm system monthly testing and oxygen storage requirements at Madison Senior Living.
Findings
The facility failed to provide proof of monthly fire alarm system activation and did not maintain a proper oxygen storage room in accordance with NFPA 99 standards. The census at the time was 47 residents.
Deficiencies (2)
19 CSR 30-86.022(9)(E) Fire Alarm System Monthly Test: The facility failed to show proof that the fire alarm system was activated at least once a month. No record or mention of fire alarm activation was found during overnight fire drills.
19 CSR 30-86.022(17) Oxygen Storage Requirements: The facility failed to provide a proper oxygen storage room in accordance with NFPA 99. Observation showed oxygen bottles stored in resident rooms instead of a designated storage area.
Report Facts
Facility census: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Plant Operations Director | Interviewed regarding fire alarm system and oxygen storage practices | |
| Administrator | Signed the statement of deficiencies and plan of correction |
Inspection Report
Plan of Correction
Census: 45
Deficiencies: 1
Date: Aug 31, 2022
Visit Reason
The inspection was conducted to assess compliance with regulations regarding resident safety and safeguards in an assisted living facility, specifically focusing on the use and monitoring of side rails for residents.
Findings
The facility failed to implement a plan to protect residents by ensuring proper use and monitoring of side rails for three sampled residents. There was no policy on side rail usage, no physician orders for side rails, and no documentation or education on safe use of side rails.
Deficiencies (1)
19 CSR 30-86.047(28)(J) Plan to Safeguard Residents was not met as the facility failed to ensure a plan was in place to protect residents using side rails. There was no policy, no physician orders, and no documentation or education on side rail usage for sampled residents.
Report Facts
Resident census: 45
Sampled residents: 7
Inspection Report
Plan of Correction
Census: 31
Deficiencies: 1
Date: Mar 15, 2022
Visit Reason
The inspection was conducted due to a deficiency related to protective oversight and resident elopement at Madison Senior Living. The plan of correction was submitted to address the cited deficiency.
Findings
The facility failed to provide protective oversight for one resident with a history of exit-seeking behavior, resulting in the resident being found outside the facility unaccompanied on multiple occasions. The facility's policy and monitoring procedures were inadequate to prevent elopement.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight was not met as the facility failed to provide protective oversight for a resident with known exit-seeking behaviors, who was found outside unaccompanied on multiple occasions.
Report Facts
Facility census: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eric Winstead | Executive Director | Signed the statement of deficiencies and plan of correction |
Inspection Report
Plan of Correction
Census: 22
Deficiencies: 5
Date: Oct 14, 2021
Visit Reason
The inspection was conducted to identify deficiencies related to fire safety and other regulatory compliance issues at Madison Senior Living.
Findings
The facility failed to maintain a hood extinguishing system, complete monthly fire alarm tests, perform monthly sprinkler system checks, provide flame-resistant curtains, and use approved wastebaskets. These deficiencies affected all 22 residents present during the inspection.
Deficiencies (5)
Range Hood Extinguishing Systems. The facility failed to maintain a hood extinguishing system in accordance with NFPA 96. The facility census was 22 residents.
Fire Alarm System Monthly Test. The facility failed to show proof of monthly activation of the fire alarm system for the past year. The facility census was 22 residents.
Complete Sprinkler System-NFPA 13. The facility failed to ensure monthly pressure gauge readings and valve position checks of the sprinkler system were done as required. The facility census was 22 residents.
Curtains/Drapes, Flame Resistant. The facility failed to provide documentation that resident curtains were certified or treated to be flame-resistant. The facility census was 22 residents.
Wastebaskets, Metal/UL/FM-Requirements. The facility failed to ensure all wastebaskets were either solid metal or UL/FM approved types. The facility census was 22 residents.
Report Facts
Facility census: 22
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 1
Date: Oct 6, 2021
Visit Reason
The inspection was conducted due to a complaint investigation regarding protective oversight and supervision related to a resident displaying self-harming behaviors.
Complaint Details
The complaint investigation was substantiated based on observations, interviews, and record reviews showing failure to provide protective oversight and supervision for a resident with self-harming behaviors.
Findings
The facility failed to provide protective oversight and supervision as required for residents departing the premises on voluntary leave. One sampled resident exhibited self-harming behaviors and the facility lacked proper hospital discharge paperwork and follow-up procedures.
Deficiencies (1)
19 CSR 30-86.047(35) Protective Oversight: The facility failed to provide protective oversight and supervision for a resident with self-harming behaviors during voluntary leave. Hospital discharge paperwork was missing and follow-up procedures were inadequate.
Report Facts
Facility census: 15
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