Madison Grove Post Acute
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$9,110
Outcome
Madison Grove Post Acute in Redlands, CA was fined $9,110 by CMS following 40 deficiency citations identified during federal surveys.
Details
Madison Grove Post Acute (Redlands, CA) — $9,110 in CMS Fines
Outcome: Madison Grove Post Acute in Redlands, CA was fined $9,110 by CMS following 40 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide enough food/fluids to maintain a resident's health.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Ensure medication error rates are not 5 percent or greater.
- Ensure 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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