Madera Rehabilitation & Nursing Center
MADERA REHABILITATION & NURSING CENTER in MADERA, CA — inspection on January 9, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 1/6/25 at 2:02 p.m. with LVN 3 and LVN 9, Resident 2 ' s electronic medical record (EMR) was reviewed. LVN 3 stated Resident 2 had fallen on 12/13/24 and 1/2/25. LVN 3 stated Resident 3 had fallen on 12/18/24. LVN 3 stated she was unable to locate a fall risk assessment before and after Resident 2 and Resident 3 ' s falls. LVN 9 stated the facility did not perform a formal fall risk assessment when a resident falls and located a Post Fall Review for Residents 2 and 3. LVN 9 stated the Post Fall Review was a summary of the fall but did not assess a resident ' s risk factors for falling or provide a fall risk score.
During a concurrent interview and record review on 1/9/25 at 11:05 a.m. with LVN 8, Resident 7 and 8 ' s progress notes and assessments were reviewed, LVN 8 stated Resident 7 had fallen on 10/22/24, 10/25/24, 11/13/24, 11/19/24 and 12/23/24. LVN 8 reviewed Resident 8 ' s progress notes and stated Resident 8 had fallen on 10/13/24, 12/20/24, 12/29/24, 1/1/25 and 1/8/25. LVN 8 stated the facility did not utilize fall risk assessments to determine the severity of a resident ' s fall risk. LVN 8 stated fall risk assessments were important to determine the level of a resident ' s fall risk, what factors contribute to the fall risk and to help determine what interventions would be effective.
During a review of Resident 2 ' s Admission Record (AR- a document containing resident medical and personal information), undated, the AR indicated, Resident 2 was admitted to the facility on [DATE] with diagnoses that included dementia (progressive state of decline in mental abilities), epilepsy (nerve cell activity in the brain is disturbed causing seizures [burst of sudden electrical activity]), muscle weakness, and difficulty in walking.
055147
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 055147 B.
Wing 01/09/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Madera Rehabilitation & Nursing Center 517 South A Street Madera, CA 93638