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The Madison

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About The Madison

General Information

Legal Business NameFort Madison Health Center, Inc.
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 20, 1993 (23 years)
Capacity90
Residents67
Percent Occupied74%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for The Madison

The Madison
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
* Data not availableStaff Rating
* Data not availableRN Staff Rating

Overall Ratings of Iowa Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 23, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.

July 7, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.

July 2, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.

December 1, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaintProvide activities to meet the interests and needs of each resident.

April 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
DFewPotential for HarmFire Safety InspectionA fire alarm system that can be heard throughout the facility.

April 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
ESomePotential for HarmComplaint+Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
DFewPotential for HarmComplaint+Inspection1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe
DFewPotential for HarmComplaint+InspectionKeep each resident free from physical restraints, unless needed for medical treatment.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmComplaint+InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
BSomePotential for Minimal HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.

Staffing Levels Per Resident per Day

Staffing Values not Reported because of Data Quality Concerns

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
97.4%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
74.1%
28.6%
28.1%
95.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
39.8%
Q1 2015Q2 2015Q3 2015IA
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.9%
18.2%
19.6%
17.4%
Q1 2015Q2 2015Q3 2015IA
Received an Antipsychotic Medication
37.0%
13.6%
19.6%
16.4%
Q1 2015Q2 2015Q3 2015IA
Need for Help with ADLs has Increased
3.3%
13.6%
11.8%
8.8%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
13.0%
17.9%
11.3%
6.8%
Q1 2015Q2 2015Q3 2015IA
Lose Too Much Weight
16.7%
11.4%
5.6%
3.9%
Q1 2015Q2 2015Q3 2015IA
High Risk Residents With Pressure Ulcers
29.4%
20.0%
20.4%
5.9%
Q1 2015Q2 2015Q3 2015IA
Have Depressive Symptoms
9.3%
3.6%
0.0%
6.2%
Q1 2015Q2 2015Q3 2015IA
With a Urinary Tract Infection
5.6%
8.9%
8.8%
3.6%
Q1 2015Q2 2015Q3 2015IA
Experiencing One or More Falls with Major Injury
6.0%
5.6%
7.3%
4.1%
Q1 2015Q2 2015Q3 2015IA
With a Catheter Inserted and Left in Their Bladder
1.9%
1.8%
1.8%
0.5%
Q1 2015Q2 2015Q3 2015IA
Were Physically Restrained

Quality Measures for Short Stay Residents

26.8%
11.4%
8.0%
86.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
78.6%
58.9%
58.9%
84.8%
Q1 2015Q2 2015Q3 2015IA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
7.7%
15.1%
15.2%
17.7%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
2.5%
0.0%
1.8%
1.7%
Q1 2015Q2 2015Q3 2015IA
Newly Received an Antipsychotic Medication
2.2%
8.5%
6.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
With Pressure Ulcers That Are New or Worsened