Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 525074

Madison Health And Rehabilitation Center

103 federal citations on record , including 4 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $413,433.

Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
103
Total citations
94
Last 3 years
10
Actual harm+
7
Federal penalties
$413,433
Total fines
—
Overall ★ rating

Most common violation categories here

Quality of Care30 Resident Rights22 Medication & Pharmacy11 Care Planning11 Nutrition & Dietary8

Most common F-tags at this facility

F6898 F7555 F8805 F8124 F5804

Citation history

103 on record
SurveyF-TagViolationSeveritySource
Dec 15, 2025F610Respond appropriately to all alleged violations.DComplaint
Dec 15, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DComplaint
Dec 15, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 26, 2025F880Provide and implement an infection prevention and control program.EStandard
Aug 26, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Aug 26, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Aug 26, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 26, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 26, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Aug 26, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Mar 25, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.KComplaint
Mar 25, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 25, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Mar 25, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 25, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Mar 25, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Mar 25, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Mar 25, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 25, 2025F881Implement a program that monitors antibiotic use.DStandard
Mar 25, 2025F880Provide and implement an infection prevention and control program.GStandard
Mar 25, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FStandard
Mar 25, 2025F814Dispose of garbage and refuse properly.FStandard
Mar 25, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 25, 2025F730Observe each nurse aide's job performance and give regular training.EStandard
Mar 25, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Mar 25, 2025F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard
Mar 25, 2025F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EStandard
Mar 25, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Mar 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.JStandard
Mar 25, 2025F679Provide activities to meet all resident's needs.DStandard
Mar 25, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
Nov 13, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 10, 2024F880Provide and implement an infection prevention and control program.EStandard
Oct 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 10, 2024F760Ensure that residents are free from significant medication errors.DStandard
Oct 10, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Oct 10, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 10, 2024F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.EStandard
Oct 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Oct 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Oct 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Oct 10, 2024F687Provide appropriate foot care.DStandard
Oct 10, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Oct 10, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 10, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Oct 10, 2024F641Ensure each resident receives an accurate assessment.DStandard
Oct 10, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard
Oct 10, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Oct 10, 2024F610Respond appropriately to all alleged violations.DStandard
Oct 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Oct 10, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Oct 10, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Oct 10, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Aug 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Jun 19, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 19, 2024F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Jun 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jun 19, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 19, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Jun 19, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Jun 19, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jun 19, 2024F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.GComplaint
Jun 19, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Mar 7, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
Mar 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 4, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Jan 4, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 21, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Dec 21, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Dec 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 30, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 30, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Jun 7, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DComplaint
Jun 7, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Jun 7, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jun 7, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jun 7, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Jun 7, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
May 4, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 4, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 4, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
May 4, 2023F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.EComplaint
May 4, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
May 4, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint
May 4, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 4, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 4, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 4, 2023F610Respond appropriately to all alleged violations.DComplaint
May 4, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 4, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 23, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint
Mar 23, 2023F880Provide and implement an infection prevention and control program.DComplaint
Mar 23, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 23, 2023F759Ensure medication error rates are not 5 percent or greater.EComplaint
Mar 23, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Mar 23, 2023F732Post nurse staffing information every day.CComplaint

Federal enforcement history

Federal regulators have imposed 7 enforcement actions against this facility, including 6 civil money penalties totaling $413,433 and 1 payment-denial actions spanning 15 days.

DateTypeFinePayment denial
Mar 25, 2025Fine$269,600—
Aug 27, 2024Fine$16,055—
Jun 19, 2024Payment Denial—Jul 17, 2024 · 15 days
Jun 19, 2024Fine$80,580—
Dec 21, 2023Fine$14,701—
May 4, 2023Fine$22,122—
Mar 23, 2023Fine$10,375—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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