Inspection Results » Autumn Care of Madison

  1. Health Inspection on November 8, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-04)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-04)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-12-04)
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-12-04)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure each resident receives an accurate assessment. (Corrected 2018-12-04)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-04)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-04)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-04)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-04)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-04)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-12-04)
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-12-04)
      • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-12-04)
      • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-12-04)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-04)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-04)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-04)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-04)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html