Madison Health And Rehabilitation
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
examples of roommate incompatibility, which may also be considered abuse. These examples were: verbal bickering; complaints of inability to complete normal tasks; evidence of residents' withdrawal from others; or desire to stay out of his or her room. These in-services included reporting procedures for staff should the event occur off hours. Any active staff determined not to receive the in-service prior to August 6, 2025, will receive in-servicing by the Director of Nursing, Administrator, or designee prior to working. All education included in the plan was added to the general orientation after 8/5/25. Any new staff will be educated before working by the Payroll Coordinator during general orientation. The Administrator will track to ensure all new employees have been educated. On August 5, 2025, the Regional Operator educated the Administrator and
the Director of Nursing on conducting random daily observations of resident-to-resident interactions and staff to resident interactions for any sign of incompatibility or abuse. The Administrator added observations of resident compatibility to the Daily Rounding form to be completed by the Interdisciplinary Team to be discussed at morning meeting. On August 5, 2025, the Administrator educated the IDT on the new
observations on the rounding form.Indicate how the facility plans to monitor its performance to make sure solutions are sustained:To ensure quality assurance, the Administrator, Director of Nursing, or designated member of management will randomly interview 5 staff members per week for two weeks, 3 staff members per week for two weeks, and 2 staff members per week for an additional month. The interview will consist of
the following questions: Have you had any observations that indicate signs of abuse, resident-to-resident altercations, or signs of roommate incompatibility? Any necessary follow-up or education will be provided immediately and documented. Results of these interviews will be presented in the QAPI Committee Meeting for a minimum of two consecutive meetings, at which time a need for additional monitoring will be determined.To ensure quality assurance, the Social Worker or designated member of management will
interview five residents per week for four consecutive weeks. The interview will ensure the residents feel safe, don't have unresolved concerns, are comfortable in their current room setting, and are being treated well. Any necessary follow-up will be reported to the Director of Nursing, Social Worker, or Administrator.
Findings of these interviews will be presented in the upcoming QAPI Committee Meeting following completion of the four consecutive weeks. The committee will review and determine the need for further monitoring.Any room changes initiated as a result of roommate incompatibility will be reviewed for three consecutive QAPI Committee Meetings to ensure resolution and [NAME][TRUNCATED]
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Madison Health and Rehabilitation in Mars Hill, NC inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Mars Hill, NC, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Madison Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.