MADISON HEALTH AND REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Madison Health and Rehabilitation. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

MADISON HEALTH AND REHABILITATION
345 MANOR RD
MARS HILL, NC 28754
(828) 689-5200

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

96%

Number of Residents and Certified Beds

  • Residents: 96
  • Certified Beds: 100

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Marshall | Asheville | Swannanoa

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Madison Health and Rehabilitation. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1627.9%
ADL Index Range: 6-1010.7%
ADL Index Range: 0-53.2%
Total Percent:41.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1628.3%
ADL Index Range: 6-108.2%
ADL Index Range: 0-55.0%
Total Percent:41.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.7%
ADL Index Range: 6-103.4%
Total Percent:13.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-50.1%
Total Percent:0.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
1.5%
Total Percent:1.5%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.9%
Total Percent:0.9%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
1.2%
Total Percent:1.2%
 

Rating Details For Madison Health and Rehabilitation

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours27 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours48 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 10 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 25 Minutes4 Hours and 32 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90%92%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain7%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious16%15%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased11%20%
Percent of Long-Stay Residents Who Lose Too Much Weight7%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder47%60%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Were Physically Restrained-4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season88%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination84%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium3%2%
Percent of Short-Stay Residents Who Have Pressure Sores4%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain36%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/17/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/17/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/17/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/25/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/08/2009

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/08/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/25/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 12/11/2008
  • Correction Date: 01/08/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 01/28/2010
  • Correction Date: 02/25/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 02/17/2011
  • Correction Date: 03/17/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Madison Health and Rehabilitation had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/24/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2011
  • Correction Date: 05/08/2011

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009
Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 01/28/2009
  • Correction Date: 03/14/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/18/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/04/2010
  • Correction Date: 04/18/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 03/24/2011
  • Correction Date: 05/08/2011
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011