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Signature Healthcare Of Madison

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About Signature Healthcare Of Madison

General Information

Legal Business NameLp Madison LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareMarch 1, 1974 (43 years)
Capacity102
Residents62
Percent Occupied61%
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 Signature Healthcare Of Madison

Signature Healthcare Of 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
Staff Rating
RN Staff Rating

Overall Ratings of Tennessee 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

October 21, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

October 19, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

August 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionProperly located and lighted "Exit" signs.

May 31, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$559,467 fine
---Payment DenialPayment denial for 14 days
JFewImmediate JeopardyComplaintMake sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.
JFewImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
JFewImmediate JeopardyComplaintEnsure that residents are safe from serious medication errors.
JFewImmediate JeopardyComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
JFewImmediate JeopardyComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JFewImmediate JeopardyComplaintProvide care by qualified persons according to each resident's written plan of care.
JFewImmediate JeopardyComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Signature Healthcare Of Madison require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr
2hr 40min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
50min
1hr 5min
ReportedExpected
RN
3hr 45min
4hr 25min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.3%
91.8%
91.8%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
97.8%
90.5%
76.9%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
53.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
25.6%
26.3%
22.9%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
5.3%
21.6%
19.0%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
6.2%
8.7%
7.0%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
13.3%
4.8%
5.8%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
7.0%
2.5%
8.2%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.1%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
4.4%
0.0%
1.9%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
0.0%
0.0%
1.9%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
1.7%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

65.2%
40.0%
51.2%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
56.5%
56.5%
56.5%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
9.5%
34.8%
14.8%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.3%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
3.7%
2.4%
0.8%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened