Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Madison Pointe Care Center during CMS and state inspections, most recent first.
The facility failed to protect two residents from verbal and psychosocial abuse by a CNA, who used inappropriate language and discussed explicit topics while on the phone. Despite reporting the behavior, the CNA returned to the room, causing further discomfort. Staff failed to communicate and report the incident properly, leading to inadequate protection for the residents.
The facility failed to provide activities for four dependent residents, leading to a lack of engagement and social interaction. Observations showed residents lying in bed or sitting alone without participating in activities, despite care plans indicating the need for assistance. The Activities Director admitted to not checking on the residents all week due to being too busy.
The facility failed to implement an effective infection control program, with staff not adhering to PPE protocols in TBP rooms, neglecting hand hygiene for residents before meals, and improperly handling PPE and hand hygiene during medication administration.
The facility failed to provide a dignified meal service for three residents and did not ensure a catheter was stored in a privacy bag for one resident. A blind resident was repeatedly observed with food on his chest and beard hours after meals, and another resident requiring feeding assistance was not served promptly. Additionally, a catheter was left uncovered, visible to bystanders.
A resident with moderate cognitive impairment repeatedly requested a room change due to conflicts with her roommate, but the facility failed to document the request or file a grievance as required by policy. The resident was not informed about the grievance process, leading to continued distress.
The facility failed to report verbal and psychosocial abuse involving two residents. A CNA used inappropriate language and discussed explicit topics, making the residents feel uncomfortable and threatened. Despite reporting the incident to an LPN, the CNA returned to the room, and the incident was not properly reported up the chain of command.
A resident with severe cognitive impairments was observed wearing the same clothes and surrounded by newspapers for three days, indicating a failure to provide necessary ADL assistance. Staff interviews revealed a lack of awareness and communication regarding the resident's care needs, and the facility's policy on daily ADL care was not followed.
The facility failed to ensure proper orders and documentation for two residents. One resident receiving hospice services had no active physician order or hospice notes in her medical record. Another resident with critically low hemoglobin levels had no documentation of provider notification on the day the results were received. The facility's policies on hospice services, lab results, and documentation were not followed, leading to incomplete and inaccurate medical records.
A resident with multiple health issues, including blindness and diabetes, did not receive proper foot care, resulting in dark nail beds and black residue around the toenails. Despite a PCP's recommendation for follow-up care, the resident's EMR showed no contact with the physician or follow-up visits since February. Staff interviews revealed a lack of awareness and follow-up regarding the resident's foot care, and the facility's policy on nail care was not adhered to.
The facility failed to accommodate dietary preferences for four residents, leading to dissatisfaction with meal options and unfulfilled alternate meal requests. Despite care plans and policies requiring the honoring of food preferences, residents frequently did not receive the meals they requested, and some were unaware they could ask for alternatives. The Dietary Manager acknowledged issues with the meal tracker system, which contributed to the problem.
Failure to Protect Residents from Verbal and Psychosocial Abuse
Penalty
Summary
The facility failed to ensure that two residents were free from verbal and psychosocial abuse by a Certified Nursing Assistant (CNA). Resident #210 reported that the CNA used inappropriate language, including the F word, and discussed explicit topics such as threesomes while on the phone with earbuds. The incident made Resident #210 and her family representative (FR) feel very uncomfortable and even threatened. Despite reporting the behavior to a Licensed Practical Nurse (LPN), the CNA returned to the room and questioned the residents about her reassignment, further exacerbating their discomfort. Resident #211's family member expressed gratitude to Resident #210 and her FR for speaking up about the CNA's behavior. Although the family member was not present during the incident, Resident #211 confirmed that the CNA was cussing and talking on the phone about inappropriate topics. Resident #211, who is legally blind, felt afraid and helpless during the incident. The facility's records showed that the CNA was assigned to both residents on the day of the incident, but no reportable incidents were documented for that date. Interviews with staff revealed a lack of communication and proper reporting of the incident. The LPN who reassigned the CNA did not inform the CNA of the reasons for her reassignment and did not follow up with the residents. The Registered Nurse (RN) supervisor was not fully informed of the extent of the CNA's behavior and did not take appropriate action. The Director of Nursing (DON) only became aware of the incident shortly before meeting with the survey team. The facility's policies on abuse and reporting were not adequately followed, leading to a failure to protect the residents from verbal and psychosocial abuse.
Failure to Provide Activities for Dependent Residents
Penalty
Summary
The facility failed to ensure that four dependent residents were provided with activities to meet their needs. Resident #45 was observed multiple times over three days lying in bed with newspapers spread out, wearing the same clothes, and not receiving any activities or room visits. The resident's care plan indicated a need for cues and assistance with activities due to severe cognitive impairment, but the Activities Director admitted to not providing any activities or room visits for the resident all week due to being too busy. Resident #72 was observed multiple times sitting alone in the dining room without participating in any activities and showing signs of restlessness and confusion. The resident's care plan indicated a need for assistance with social interactions and activities due to severe cognitive deficits and a language barrier. However, staff interviews revealed that the resident was not checked on regularly, and the Activities Director confirmed not engaging the resident in activities all week. Residents #69 and #43 were also observed lying in their beds without any activities or social interactions. Resident #69, who is legally blind, had a care plan that included listening to music and watching TV, but the Activities Director admitted to not checking on the resident all week. Resident #43, who has dementia, had a care plan that included watching TV and listening to music, but the Activities Director also confirmed not seeing the resident all week. The facility's policy on activity programs was not followed, leading to a lack of engagement and social interaction for these residents.
Infection Control Program Deficiencies
Penalty
Summary
The facility failed to ensure an effective infection control program was implemented, as evidenced by multiple deficiencies observed during the survey. Staff did not adhere to proper use of personal protective equipment (PPE) in designated transmission-based precaution (TBP) rooms. Specifically, a Certified Nursing Assistant (CNA) entered a room with a droplet precaution sign without donning PPE and wheeled a resident down the hall, despite the resident having an active order for droplet precautions. The Infection Preventionist (IP) confirmed that blue bands used in the facility were not related to droplet precautions, indicating a lack of proper communication and training among staff regarding PPE protocols for different types of precautions. Additionally, the facility failed to provide hand hygiene to residents prior to meals across all hallways. Observations revealed that staff did not offer hand hygiene during tray pass or hydration pass in multiple areas, including the front dining room and various resident rooms. Interviews with residents confirmed that they were not offered hand hygiene by staff, and some residents resorted to using their own hand hygiene products brought from home. Staff members also admitted to not carrying hand sanitizer and relying on stationary hand sanitizer stations, which were not effectively utilized. Further deficiencies were noted in the handling of PPE and hand hygiene during medication administration. Staff were observed exiting isolation rooms with PPE still on, handling medication carts without performing hand hygiene, and disposing of PPE inappropriately in hallway trash cans. The Assistant Director of Nursing (ADON) acknowledged that PPE should be removed inside the room and that staff should perform hand hygiene after each resident interaction. Despite recent guidance from the health department, the facility had not yet implemented necessary changes, such as providing adequate trash cans in rooms for PPE disposal.
Failure to Provide Dignified Meal Service and Proper Catheter Storage
Penalty
Summary
The facility failed to provide a dignified meal service for three residents and did not ensure a catheter was stored in a privacy bag for one resident. Resident #69, who is blind and has multiple health issues including Type 2 Diabetes Mellitus, malnutrition, and a Cerebral Vascular Accident, was repeatedly observed with food on his chest, beard, and clothing hours after meals. Despite the care plan indicating the need for assistance with grooming and ADLs, staff did not clean the resident promptly after meals. Interviews with CNAs revealed inconsistencies in the care provided, with some staff stating they clean residents immediately after meals, while others mentioned the resident often refuses care but did not document or report these refusals properly. Resident #43, who requires assistance with feeding, was observed without a meal tray while his roommate was served. Staff confirmed that Resident #43 is a feed and should have been assisted with his meal. Additionally, Resident #43's catheter was observed hanging below his bed without a privacy bag, making it visible to bystanders. This was confirmed by photographic evidence and acknowledged by the Assistant Director of Nursing (ADON) and the Director of Nursing (DON). During a dining observation, it was noted that residents were not served their meals simultaneously, leading to a staggered and undignified dining experience. The facility's policy on dignity, which emphasizes treating residents with respect and providing a dignified dining experience, was not adhered to. The policy also mandates that urinary bags should be covered, which was not followed in the case of Resident #43.
Failure to File Grievance for Room Change Request
Penalty
Summary
The facility failed to ensure a grievance was filed for a resident who requested a room change due to conflicts with her roommate. Resident #87, who has a moderate cognitive impairment and multiple diagnoses including bipolar disorder and major depressive disorder, expressed her desire for a room change multiple times to the Social Services Assistant (SSA). Despite these requests, no action was taken, and the resident was not informed about the facility's grievance process. The SSA acknowledged that Resident #87 had repeatedly asked for a room change but stated that no rooms were available. The Social Service Director (SSD) confirmed that the resident's request was known but not documented, and no grievance was filed on her behalf. Observations showed that Resident #87 continued to experience distress due to her living situation, including a verbal altercation with her roommate. The facility's policy requires that grievances be documented and addressed promptly, but this was not done in Resident #87's case. The failure to document the resident's request and file a grievance as per the facility's policy led to the deficiency noted in the report.
Failure to Report Verbal and Psychosocial Abuse
Penalty
Summary
The facility failed to report an allegation of verbal and psychosocial abuse involving two residents. Resident #210 reported that a CNA used inappropriate language, including profanity, and discussed explicit topics while on the phone. The resident's family representative corroborated these claims and expressed concern for the resident's well-being. Despite reporting the incident to an LPN, the CNA returned to the room and made the residents feel uncomfortable and threatened. The LPN reassigned the CNA but did not inform her of the reasons for the reassignment, and the incident was not reported up the chain of command as required by the facility's policy. Resident #211, who is legally blind, also experienced verbal abuse from the same CNA. The resident reported feeling afraid and uncomfortable due to the CNA's behavior, which included cursing and making derogatory comments. The resident's care plan indicated a need for a safe environment and support for psychosocial issues, but these needs were not met during the incident. The LPN and RN involved did not follow proper reporting procedures, and the incident was not documented as a reportable event. Interviews with staff revealed a lack of communication and understanding of the facility's abuse reporting policies. The RN and DON were unaware of the full extent of the CNA's behavior and did not take appropriate action to protect the residents. The facility's policies on abuse prevention and reporting were not followed, resulting in a failure to address and report the abuse allegations properly.
Failure to Provide ADL Assistance
Penalty
Summary
The facility failed to ensure that assistance with Activities of Daily Living (ADL) was provided to a resident who was unable to communicate their needs. Resident #45 was observed on multiple occasions over three days wearing the same red shirt and surrounded by newspapers in his bed. The resident, who has severe cognitive impairments and multiple diagnoses including Autistic Disorder and Down Syndrome, was not provided with the necessary ADL care, such as changing clothes and grooming, as outlined in his care plan. Interviews with staff revealed a lack of awareness and communication regarding the resident's care needs. A Certified Nursing Assistant (CNA) admitted to not completing full ADLs for the resident because she was unfamiliar with his care requirements and assumed the night shift staff had dressed him. A Licensed Practical Nurse (LPN) also acknowledged that she had not noticed the resident wearing the same shirt for three days and stated it was an oversight. Both staff members indicated that they did not receive reports of any behaviors or refusals of care from the resident. The Director of Nursing (DON) confirmed that the facility's policy mandates daily ADL care for residents and that any refusals of care should be documented and reported. The facility's policy on ADLs emphasizes the importance of maintaining or improving residents' ability to perform ADLs and providing necessary support for those who cannot do so independently. The lack of adherence to these policies resulted in the resident not receiving appropriate care for an extended period.
Failure to Ensure Proper Orders and Documentation for Hospice and Critical Lab Results
Penalty
Summary
The facility failed to ensure proper orders and documentation were in the medical record for two residents. For Resident #10, the care plan indicated she was receiving hospice services, but there was no active physician order for hospice services in her medical record. The previous order for hospice had been discontinued, and there were no hospice notes or documentation found in either the hard chart or electronic medical record. Interviews with staff confirmed the absence of necessary documentation and orders for hospice services for Resident #10. For Resident #255, the facility did not document the notification of a provider regarding critically low hemoglobin levels. The lab results were faxed to the facility, but there was no progress note indicating that a provider was notified of the critical lab values on the same day. The next day, a progress note showed that the resident's primary care nurse practitioner was notified, and orders were given to send the resident to the hospital. The DON confirmed the delay in drawing STAT labs and the lack of documentation showing provider notification. The facility's policies on hospice services, lab and diagnostic test results, and charting and documentation were reviewed. These policies outlined the responsibilities of the hospice and facility staff, the process for physician notification, and the requirements for documenting services provided to residents. The deficiencies observed in the care of Residents #10 and #255 indicate a failure to adhere to these policies, resulting in incomplete and inaccurate medical records.
Failure to Provide Appropriate Foot Care
Penalty
Summary
The facility did not ensure proper foot care for Resident #69, who was observed with dark nail beds and black residue around the toenails. The resident, who is blind, was unaware of the condition of his feet and toenails. A Primary Care Physician (PCP) progress note from February indicated that the resident had long, thickened, and painful nails, and required follow-up care. However, the Electronic Medical Record (EMR) did not show any contact with the physician or any follow-up visits since February. Additionally, the resident did not have active treatment orders for his skin condition, despite having a care plan that indicated a need for assistance with grooming due to various health issues, including Type 2 Diabetes Mellitus, blindness, and a Cerebral Vascular Accident (CVA). Weekly skin assessments for March and April indicated normal skin condition, despite the observed issues with the resident's feet and toenails. Interviews with staff revealed a lack of awareness and follow-up regarding the resident's foot care. A Registered Nurse (RN) observed the resident's feet and noted that skin prep should have been applied, and subsequently ordered a cream for the resident's feet. The RN also confirmed the absence of podiatry notes in the resident's record. An LPN stated that the resident had been seen by his PCP in February but was unsure if he had been seen by a podiatrist since admission. The Assistant Director of Nursing (ADON) and the Director of Nursing (DON) both acknowledged that the resident should have been seen by a podiatrist and that any skin impairments should have been documented. The facility's policy on nail care emphasized the importance of regular cleaning, trimming, and monitoring for signs of infection, which was not adhered to in this case.
Failure to Accommodate Dietary Preferences
Penalty
Summary
The facility failed to accommodate dietary preferences related to alternate meal requests for four residents. Resident #351 reported that the food was not palatable, often cold, and lacked seasoning. Despite dietary staff collecting meal choices, the resident did not receive the requested alternatives. The care plan for Resident #351 included honoring food preferences, but this was not followed. Resident #18 also did not receive the requested meal, despite ordering it the night before. The resident frequently experienced this issue, and staff acknowledged that the requested items should have been on the tray. The care plan for Resident #18 included providing diet as ordered and honoring food preferences, but this was not adhered to either. Resident #352 expressed dissatisfaction with the food, stating that it was not what he normally ate and that his alternate meal requests were not honored. The meal ticket for Resident #352 did not match his preferences, and the care plan included providing diet as ordered and honoring food preferences, which was not followed. Resident #86 generally liked the food but was unaware that she could request alternate options. The care plan for Resident #86 also included providing diet as ordered and honoring food preferences, but the resident was not informed about the option to request alternatives. The Dietary Manager (DM) acknowledged the issues with the meal tracker system, which was not fully interfaced, leading to residents not receiving their requested meal preferences. The DM was aware of the problem and had been monitoring the process, but the issues persisted. The facility's policy required that individual dining preferences be identified and honored, and that alternate meals be provided in a timely manner, but these steps were not consistently followed, leading to the deficiencies observed.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 158 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near New Port Richey
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Southern Pines Nursing Center | 0.6 mi | ★★★★★ | 0 | 0 |
| Heather Hill Healthcare Center | 0.7 mi | ★★★★★ | 1 | 0 |
| Nursing & Rehabilitation Center Of New Port Richey | 0.9 mi | ★★★★★ | 3 | 0 |
| Aspire At Ridge Haven | 1.7 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of New Port Richey | 2.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Madison Pointe Care Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.