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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 - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 20, 1993 (24 years)
Capacity100
Residents60
Percent Occupied60%
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 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN 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

September 22, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

January 6, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$36,628 fine
JFewImmediate JeopardyComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintEnsure 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.

July 23, 2015 - 2 years ago

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

July 2, 2015 - 2 years 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 - 3 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.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of The 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 50min
2hr 20min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
50min
60min
ReportedExpected
RN
4hr 30min
3hr 60min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
90.3%
90.3%
90.3%
97.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
32.7%
33.3%
34.5%
45.6%
95.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
52.2%
55.2%
44.0%
39.3%
40.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of low risk long-stay residents who lose control of their bowels or bladder
22.6%
19.6%
30.8%
28.3%
21.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antianxiety or hypnotic medication
31.5%
22.0%
24.7%
24.1%
18.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose ability to move independently worsened
20.4%
18.9%
18.9%
14.8%
15.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who received an antipsychotic medication
19.6%
8.3%
10.0%
10.2%
16.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents whose need for help with daily activities has increased
4.0%
1.9%
5.4%
3.0%
7.9%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who self-report moderate to severe pain
7.3%
3.7%
7.3%
5.3%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who lose too much weight
7.5%
3.0%
0.0%
9.7%
4.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of high risk long-stay residents with pressure ulcers
21.2%
15.7%
14.9%
20.4%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who have depressive symptoms
0.0%
1.9%
10.9%
5.3%
5.3%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a urinary tract infection
5.5%
1.9%
0.0%
1.8%
3.6%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
0.0%
4.3%
3.6%
3.1%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.8%
1.9%
0.0%
0.0%
0.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

9.5%
8.1%
7.8%
15.5%
85.4%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
58.9%
56.9%
56.9%
56.9%
80.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
53.7%
71.1%
71.2%
72.7%
75.5%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who made improvements in function
10.9%
11.5%
11.8%
19.6%
17.2%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who self-report moderate to severe pain
1.9%
0.0%
4.5%
7.1%
1.7%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents who newly received an antipsychotic medication
1.2%
2.4%
2.4%
2.7%
1.8%
Q4 2015Q1 2016Q2 2016Q3 2016IA
Percentage of short-stay residents with pressure ulcers that are new or worsened