General Information: MADISON MANOR NURSING HOME
Nursing home name MADISON MANOR NURSING HOME
Address3891 SULLIVAN ST
MADISON, AL 35758
Phone number (256) 772-9243
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils None
Certified number of beds 80
Total number of residents 65
Perc of occupied beds 81
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: MADISON MANOR NURSING HOME
Overall rating 5
5
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 5
5
Quality Measures 5
5
Nursing Home Staffing Info: MADISON MANOR NURSING HOME
National AverageAlabama AverageMADISON MANOR NURSING HOME
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 65
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.34 hours 4.4 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.67 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.64 hours 0.88 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.05 hours 0.79 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.65 hours 2.73 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.05 hours 0.04 hours
Health Survey: MADISON MANOR NURSING HOME
Heath Survey Summary on 2013-06-13
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-17
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-04-13
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Health Survey Details: MADISON MANOR NURSING HOME
Inspection Results: 06/13/2013
Corrected Deficiency Scope and Severity
07/18/2013 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Pattern/Minimal harm or potential for actual harm
07/18/2013 Maintain comfortable sound levels. Pattern/Potential for minimal harm
07/18/2013 1) Hire only people with 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

Fire Safety Survey: MADISON MANOR NURSING HOME
Fire Safety Survey Summary on 2013-06-18
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-17
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-13
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: MADISON MANOR NURSING HOME
Fire Safety Survey Results: 06/18/2013
Corrected Deficiency Severity
07/22/2013 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
07/22/2013 Walls that prevent smoke from passing through and would resist fire for at least one hour. Pattern/Minimal harm or potential for actual harm
07/22/2013 Proper backup exit lighting. Pattern/Minimal harm or potential for actual harm
07/22/2013 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
07/22/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/17/2012
Corrected Deficiency Severity
06/21/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/21/2012 Record of quarterly fire drills for each shift under varying conditions. Widespread /Minimal harm or potential for actual harm
06/21/2012 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/13/2011
Corrected Deficiency Severity
05/18/2011 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
05/18/2011 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm

Resident Complaints: MADISON MANOR NURSING HOME
Not available

Quality Measures: MADISON MANOR NURSING HOME
Quality Measures National Average Alabama Average MADISON MANOR NURSING HOME
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 12.8% 4.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 7.1% 23.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.4% 2.9%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 5.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.0% 61.1%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 0.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.1% 4.5%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 1.9% 9.8%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.4% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.0% 1.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 93.6% 99.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.7% 99.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.4% 20.7%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.0% 19.6%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.8% 0.9%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 86.1% 85.3%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 84.9% 88.2%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.8% 6.3%

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