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Inspection visit

Routine inspection

MADISON SQUARE SENIOR LIVINGLicense 3427008606 citations on this visit
6 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 10/31/23 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with Caregiver and explained the purpose of the visit. Administrator was notified and arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured the following issued were discussed and plans of correction established: R2 is non-ambulatory yet resides in a ambulatory only room. Licensee will make arrangements to move R2 to a vacant room. LPA discussed the process for modifying room three to be fire clearance compliant for non-ambulatory residents. The complaint poster was not observed. LPA reviewed resident files. 4 of 4 files are incomplete for various required forms. Medication files are also incomplete. LPA reviewed staff files. 2 of 2 files are incomplete for forms and training. S1 and S2 did not have required criminal record clearance for CA assisted living. Arrangements were made to secure clearance and transfer staff to work at the home. As a result of this inspection, the following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Exit interview conducted. Report and appeal rights provided.

Citations

6 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.17(b)(1)(B)Type A

    Based on records review and interviews, the licensee did not comply with the section cited above in 2 of 2 staff (s1 and S2) do not have a clearance prior to work in the facility which poses an immediate health, safety or personal rights risk to persons in care.

  • 1569.625(b)(1)Type B

    Based on records review the licensee did not comply with the section cited above in 2 of 2 staff (S1 and S2) which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87202(a)(1)Type A

    Facility must clear fire safety for nonambulatory persons

    Based on observation and records review, the licensee did not comply with the section cited above in1 of 1 residents (R2) currently is non-ambulatory residing in a room cleared for ambulatory only which poses an immediate health, safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Maintain required personnel records for staff

    Based on records review, the licensee did not comply with the section cited above in 2 of 2 staff which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(6)Type B

    Maintain records of centrally stored medication dosages

    Based on records review, the licensee did not comply with the section cited above in 4 of 4 client files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87506(a)Type B

    Maintain separate complete record for each resident

    Based on records review the licensee did not comply with the section cited above in 4 of 4 files reviewed which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 31, 2023 inspection of MADISON SQUARE SENIOR LIVING?

This was an inspection of MADISON SQUARE SENIOR LIVING on October 31, 2023. 6 citations were issued: 2 Type A (serious) and 4 Type B.

Were any citations issued to MADISON SQUARE SENIOR LIVING on October 31, 2023?

Yes, 6 citations were issued (2 Type A, 4 Type B). The first citation was for: "Based on records review and interviews, the licensee did not comply with the section cited above in 2 of 2 staff (s1 and..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.