All citations for Madison Grove Post Acute

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Madison Grove Post Acute

Last standard health inspection on record

September 17, 2025

Showing 1 to 22 of 22 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 2025).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  3. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  4. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  5. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  6. No harm, with potential for more than minimal harm

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  7. No harm, with potential for more than minimal harm

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0646, Resident Assessment and Care Planning Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  8. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  9. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  10. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  11. No harm, with potential for more than minimal harm

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  12. No harm, with potential for more than minimal harm

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0710, Nursing and Physician Services Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  13. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 19, 2022).

  14. No harm, with potential for more than minimal harm

    Provide emergency officials' contact information.

    Isolated (one or a few residents). CMS level D.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  15. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  16. No harm, with potential for more than minimal harm

    Have properly installed hallway dispensers for alcohol-based hand rub.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  17. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  18. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  19. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  20. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  21. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

  22. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 25, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.