Huntington, WV

Madison Park Healthcare

4-star overall rating with 4-star inspections with 13 recent health deficiencies

700 Madison Avenue, Huntington, WV

(304) 522-0032

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

41

Certified beds

Average residents

39

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Providence Health Group

Operator or chain grouping

Approved since

1967-03-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.88

Registered nurse staffing

LPN hours / resident day

0.91

Licensed practical nurse staffing

Aide hours / resident day

1.75

Nurse aide staffing

Weekend hours

3.11

Weekend nurse staffing

RN turnover

44%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 4.7
1.9
2.8 pts worse
1.9
2.8 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.9
0.6 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
96.7%
0.2 pts worse
93.4%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.6%
2.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 9.1%
4.5%
4.6 pts worse
3.3%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 4.0%
6.8%
2.8 pts better
11.4%
7.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.2%
6.6%
0.6 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 48.6%
27.0%
21.6 pts worse
19.6%
29 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 5.1%
15.5%
10.4 pts better
16.7%
11.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 11.3%
19.5%
8.2 pts better
16.3%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.6%
17.6%
10 pts better
14.9%
7.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.5%
0.1 pts worse
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
1.8%
0.4 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.9%
22.4%
4.5 pts better
19.8%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.3%
4.7%
2.4 pts better
5.1%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 59.5%
78.8%
19.3 pts worse
81.7%
22.2 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 19.8%
12.4%
7.4 pts worse
12.0%
7.8 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.1%
1.1 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 52.4%
79.4%
27 pts worse
79.7%
27.3 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 24.0%
23.0%
1 pts worse
23.9%
0.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-05 · Fire 2024-08-05

13 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-10-05 · Fire 2022-10-05

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2021-06-23 · Fire 2021-06-23

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-10-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-11-14

F · Potential for more than minimal harm 2022-10-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-11-14

F · Potential for more than minimal harm 2022-10-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-14

F · Potential for more than minimal harm 2022-10-05

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-11-14

E · Potential for more than minimal harm 2022-10-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-14

E · Potential for more than minimal harm 2022-10-05

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2022-11-14

D · Potential for more than minimal harm 2022-10-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-11-14

D · Potential for more than minimal harm 2022-10-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-11-22

D · Potential for more than minimal harm 2022-10-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-11-14

C · Minimal harm 2022-10-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-11-14

C · Minimal harm 2021-06-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-07-02

C · Minimal harm 2021-06-23

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-07-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-08-05

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-09-04

E · Potential for more than minimal harm 2024-08-05

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-04

E · Potential for more than minimal harm 2024-08-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-09-04

E · Potential for more than minimal harm 2024-08-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-04

E · Potential for more than minimal harm 2024-08-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-04

D · Potential for more than minimal harm 2024-08-05

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-09-04

D · Potential for more than minimal harm 2022-10-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-05

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-05

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-11-15

D · Potential for more than minimal harm 2021-06-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2021-07-07

D · Potential for more than minimal harm 2021-06-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-07-07

Penalties and ownership

What sits behind the stars

Ownership

Cox, Christopher

Operational/Managerial Control · Individual

0% 4 facilities 2023-05-01
Kappen, Katrina

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-08
Mathis, Mary-Jesse

Operational/Managerial Control · Individual

0% 1 facilities 2019-05-03
Mitchell, Gregory

Operational/Managerial Control · Individual

0% 4 facilities 2017-02-01
Mitchell, Gregory

Corporate Officer · Individual

0% 4 facilities 2017-02-01
Pinson, Cynthia

Operational/Managerial Control · Individual

0% 2 facilities 2024-06-01
Shelton, Jason

Operational/Managerial Control · Individual

0% 3 facilities 2025-04-21
Stockton, Eddy

Operational/Managerial Control · Individual

0% 3 facilities 2023-07-31

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