Madrid Home For The Aged
Madrid Home for the Aged in Madrid, IA — inspection on March 26, 2026.
Found 2 citations. 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
Review of a facility provided document titled Abuse Prevention, Identification, Investigation and Reporting Policy, with a last revised day of 12/2025, stated the following: All allegations of Resident Neglect, exploitation, mistreatment, injuries of unknown origin and misappropriation shall be reported to the Iowa Department of Inspections and Appeals, not later than two (2) hours after the allegation is made, if the events that caused the allegation resulted in serious bodily injury, or not later than twenty-four (24) hours if the events that caused the allegation involved neglect, exploitation, mistreatment, injuries of unknown origin and misappropriation, but do not result in serious bodily injury.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
165118 03/26/2026
Madrid Home for the Aged 613 West North Street Madrid, IA 50156
Review of Resident #27's Care Plan, that was printed on 3/24/26 at 1:30 p.m., with a revision date of 12/29/25 revealed the care plan had not been revised by the interdisciplinary team after his 3/11/26 quarterly review assessment with a focus or problem, goals, and interventions for the resident's catheter use.
During an interview and observation on 3/25/26 at 10:18 a.m. with Resident #27, he stated that his Parkinson's disease was affecting his body and slowing him down.
The resident was observed not to have a leg drainage bag on, but had a bed bag attached under his wheelchair seat covered in a cloth bag. He stated the staff had not changed his catheter to a leg bag as they had no leg bags available in his room.
During an interview on 3/25/26 at 3:05 p.m. with the DON revealed that she stated resident care plans were revised with each new diagnosis, change in condition, physician order, and MDS assessment.
She further stated the individualized care plan would be updated with new concerns, devices (including a catheter placement), or when a new intervention was implemented.
She agreed that Resident #27's physician orders and cares had changed within the last month with the placement of his indwelling catheter and should have been addressed on his care plan.
She confirmed that the resident's care plan had not addressed his catheter and they had not developed goals or person-centered, measurable objectives and interventions related to his catheter use.
During an interview on 3/25/26 at 4:03 p.m. with the Administrator regarding Resident #27, he agreed that his catheter use had not been addressed on his care plan with measurable goals or individualized interventions. He stated there were two instructions noted on his Kardex (an electronic document that contained daily tasks and essential resident data) on how to clean the resident's catheter bed bag and leg bag.
Review of the facility policy Comprehensive Person-Centered Care Planning, reviewed December 2025 revealed: a.
The comprehensive care plan will be developed and implemented consistent with the resident's rights and include measurable objectives and timeframes to meet the resident's medical, nursing, and mental/psychosocial needs that are identified in the comprehensive assessment. b.
The comprehensive care plan will be.
Reviewed and revised by the interdisciplinary team after each assessment, including both the comprehensive and quarterly review assessments.