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NATIONAL NURSING HOME WATCH LIST |
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MADISON LUTHERAN HOME: Actual Harm and/or Immediate Jeopardy |
900 SECOND AVENUE |
MADISON MN |
TELEPHONE: 3205987536 |
TYPE OF OWNERSHIP: Non profit - Church related |
NUMBER OF BEDS / PERCENT OCCUPIED: 87 / 90 |
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| Based on the annual and complaint survey data reported by CMS as of 06/25/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below: |
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| RATING | DEFINITION |
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 | actual harm and/or immediate jeopardy: score= G,H,I,J,K,L |
 | potential for more than minimal harm: score= D, E, F |
 | potential for minimal harm: score= A, B, C |
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| RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 07/27/2007 |
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| RATING | VIOLATION | SCOPE/SEVERITY CODE |
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1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | E |
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Make sure that the nursing home area is safe, easy to use, clean and comfortable. | B |
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Set up or keep a group of people to review and ensure quality. | E |
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Make sure that staff members wash their hands when needed. | D |
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offer Flu or Pneumococal vaccine to some residents. | B |
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Keep each resident's personal and medical records private and confidential. | D |
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Provide care in a way that keeps or builds each resident's dignity and self respect. | G |
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Make a complete assessment that covers all questions for areas that are listed in official regulations. | E |
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Do a new assessment after any major change in a resident's physical or mental health. | D |
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Have enough outside airflow. | B |
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Make sure that residents are well nourished. | B |
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Provide at least one room to use as a dining room and for activities, that is a good size, with good lighting, airflow and furniture. | B |
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Store, cook, and give out food in a safe and clean way. | F |
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Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | D |
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Check and update (if needed) each resident's assessment every 3 months. | D |
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Give professional services that follow each resident's written care plan. | D |
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Make sure that the nursing home area is free of dangers that cause accidents. | D |
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Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | E |
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Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | G |
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Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | D |
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Give each resident care and services to get or keep the highest quality of life possible. | D |
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1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla | D |
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1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | E |
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Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. | B |
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Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | D |
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Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | D |
COMPLAINT SURVEY RESULTS: SUBSTANTIATED |
| DATE | RATING | COMPLAINT VIOLATION CONFIRMED | SCOPE/SEVERITY CODE |
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| 04/26/2005 |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | D |
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