Madison Health And Rehabilitation Center

131 MEADOWLARK DRIVE
Richmond, KY 40475
(859) 623-3564
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 92
Number of Residents: 75
Percent of Occupied Beds: 82%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? No
Special Focus Facility? No
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 3 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20070919 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Minimal harm or potential for actual harm 20071015
20071111 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Pattern Minimal harm or potential for actual harm 20071228
20071111 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Actual harm 20071228
20071111 Health Quality Care Deficiencies Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. Isolated Minimal harm or potential for actual harm 20071228
20071111 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Widespread Minimal harm or potential for actual harm 20071228
20071111 Health Environmental Deficiencies Make sure that the nursing home area is safe, easy to use, clean and comfortable. Widespread Minimal harm or potential for actual harm 20071228
20071111 Health Environmental Deficiencies Have enough backup water supply for important areas of the nursing home. Pattern Minimal harm or potential for actual harm 20071228
20080519 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Minimal harm or potential for actual harm 20080609
20081017 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Quality Care Deficiencies Provide social services for related medical problems to help each resident achieve the highest possible quality of life. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Environmental Deficiencies Provide needed housekeeping and maintenance. Isolated Minimal harm or potential for actual harm 20081121
20081017 Health Resident Rights Deficiencies Try to resolve each resident's complaints quickly. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Resident Rights Deficiencies Send and promptly deliver unopened mail to residents. Pattern Potential for minimal harm 20081121
20081017 Health Resident Rights Deficiencies Have a private telephone available for use. Pattern Potential for minimal harm 20081121
20081017 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Mistreatment Deficiencies Protect residents from mistreatment, neglect, and/or theft of personal property. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Resident Assessment Deficiencies Make a complete assessment that covers all questions for areas that are listed in official regulations. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Resident Assessment Deficiencies Do a new assessment after any major change in a resident's physical or mental health. Isolated Minimal harm or potential for actual harm 20081121
20081017 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Pattern Minimal harm or potential for actual harm 20081121
20081017 Health Environmental Deficiencies Make sure there is a program to prevent/deal with mice, insects, or other pests. Pattern Minimal harm or potential for actual harm 20081121
20081017 Health Administration Deficiencies Be administered in a way that leads to the highest possible level of well being for each resident. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Administration Deficiencies 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Administration Deficiencies Make sure that nurse aides show they have the skills to be able to care for residents. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Administration Deficiencies Keep accurate and appropriate medical records. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Administration Deficiencies Set up or keep a group of people to review and ensure quality. Pattern Immediate jeopardy to resident health or safety 20081106
20081017 Health Quality Care Deficiencies Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated Minimal harm or potential for actual harm 20081121
20081017 Health Quality Care Deficiencies Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. Isolated Actual harm 20081121
20081017 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20081106
20081017 Health Quality Care Deficiencies Make sure that each resident's nutritional needs were met. Isolated Immediate jeopardy to resident health or safety 20081106
20081017 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Immediate jeopardy to resident health or safety 20081106
20090123 Health Nutrition and Dietary Deficiencies Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern Minimal harm or potential for actual harm 20090304
20090123 Health Environmental Deficiencies Have a program to keep infection from spreading. Isolated Minimal harm or potential for actual harm 20090304
20090714 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Actual harm 20090801
20090714 Health Resident Rights Deficiencies Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. Isolated Actual harm 20090801
20090714 Health Quality Care Deficiencies Give professional services that follow each resident's written care plan. Isolated Actual harm 20090801
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 86
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 91
Percent of long-stay residents whose need for help with daily activities has increased: 11
Percent of long-stay residents who have moderate to severe pain: 2
Percent of high-risk long-stay residents who have pressure sores: 10
Percent of low-risk long-stay residents who have pressure sores: 0
Percent of long-stay residents who were physically restrained: 0
Percent of long-stay residents who are more depressed or anxious: 7
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 56
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 9
Percent of long-stay residents who spend most of their time in bed or in a chair: 12
Percent of long-stay residents whose ability to move about in and around their room got worse: 11
Percent of long-stay residents who had a urinary tract infection: 17
Percent of long-stay residents who lose too much weight: 10
Percent of short-stay residents given influenza vaccination during the flu season: 73
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 89
Percent of short-stay residents who have delirium: 2
Percent of short-stay residents who had moderate to severe pain: 11
Percent of short-stay residents who have pressure sores: 13
# of Residents: 75
# RN Hours per Resident: 0.81
# LPN Hours per Resident: 0.77
# CNA Hours per Resident: 2.53
Total Staff Hours per Resident: 1.58