Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Park Healthcare during CMS and state inspections, most recent first.
Improper Hair Restraint During Food Preparation: A dietary employee was observed preparing lunch while standing over cooking beef without a beard restraint in place. He acknowledged he probably should have had a hairnet over his beard, and the DSD confirmed that cooks are expected to wear hairnets on their head and beard if applicable.
A resident was observed without a lunch tray while the roommate was being assisted with lunch by a CNA. When asked about the meal, the CNA said staff were waiting for someone to free up to assist the resident, showing the resident was left watching the roommate eat instead of being served at the same time.
Incomplete and improperly executed POST forms were found for two residents. One resident with dementia had a POST for No CPR and Comfort Care that included verbal MPOA consent but no witness names or staff identification, and the physician date was incorrect; the DON could not explain the omissions. Another resident with confusion and no decision-making capacity signed a POST for CPR and Full Treatments even though the MPOA should have been involved in the discussion and signature.
The facility failed to complete necessary transfer forms for two residents transferred to acute care facilities. A resident was transferred for hyponatremia without a transfer form, and another resident was transferred twice, once for acute encephalopathy and once for a hip fracture, also without transfer forms. An LPN confirmed the absence of the required documentation.
The facility failed to notify the State Ombudsman of resident transfers to an acute care setting. This deficiency was identified for three residents who were hospitalized. A resident was transferred to the hospital without notification to the Ombudsman, confirmed by an LPN Unit Manager. Another resident was transferred twice, once for acute encephalopathy and once for a hip fracture, without the Ombudsman being notified. An LPN confirmed the lack of notification and mentioned a plan to send notifications monthly. Similarly, another resident was transferred for hyponatremia, and the Ombudsman was not notified, as confirmed by an LPN.
The facility did not consistently record temperatures for the medication refrigerator on the third floor, missing numerous checks over several months. This was confirmed by the DON, indicating a lapse in maintaining proper storage conditions for medications.
The facility failed to adhere to professional standards for food storage, as several items in the reach-in and walk-in refrigerators were found to be out of date or unlabeled. Dietary staff acknowledged the oversight and confirmed the items would be removed. The facility's policy mandates that all stored foods be covered, labeled, and dated, which was not followed.
The facility failed to maintain proper infection control during medication administration, glucometer cleaning, and catheter care. An RN touched pills with bare hands for two residents, and did not follow the manufacturer's guidelines for cleaning a glucometer. Additionally, a nurse aide did not remove soiled gloves or perform hand hygiene after catheter care, compromising infection control standards.
A facility failed to provide a bed hold policy to a resident or their representative when the resident was transferred to an acute care facility for hyponatremia. This deficiency was confirmed by an LPN during an interview, who acknowledged that the policy had not been provided at the time of transfer.
A facility failed to update the PASARR for a resident with psychotic disturbance and major depressive disorder. The last PASARR, from 2008, included outdated diagnoses such as bipolar disorder, which was not currently diagnosed. The DON acknowledged the need for an update and was uncertain about the inclusion of the bipolar disorder diagnosis.
A facility failed to update a resident's PASRR care plan to reflect current diagnoses, including major depressive disorder. The resident's most recent PASRR, dated from 2008, did not include this diagnosis, and the care plan did not address it. The DON confirmed the need for an updated PASRR and care plan.
A facility failed to follow physician's orders for a resident's pain management, as Xanax and Oxycodone were not administered as scheduled on multiple occasions. Additionally, pain monitoring was not completed on several specified dates. These issues were confirmed by the DON.
A facility failed to complete a monthly medication review for a resident, as discovered during a survey on unnecessary medications. A record review showed the December 2023 pharmacy review was missing. The DON confirmed the absence of this review.
A facility failed to maintain accurate medical records for a resident, with discrepancies found between the POST form and physician's orders regarding treatment preferences. Additionally, the resident's eligibility for a pneumococcal vaccination was incorrectly documented, as confirmed by an LPN.
A facility failed to offer a pneumococcal vaccination to a resident who was eligible according to CDC guidelines. The resident had previously received a Prevnar 13 vaccination in 2018 and was due for a PCV20 in 2023. However, facility records incorrectly indicated the resident was not eligible, an error confirmed by an LPN.
A resident's call bell was found to be inaccessible, placed across the room on a refrigerator. A nurse aide confirmed the oversight and retrieved the call bell. The DON was informed and acknowledged the issue.
Improper Hair Restraint During Food Preparation
Penalty
Summary
Dietary staff failed to maintain proper hair restraint while preparing food for the lunch meal. During observation, a dietary employee was standing over a skillet of beef cooking and had a beard without a beard restraint or other hair restraint in place. When asked whether he was supposed to have a hairnet over his beard, he responded, "probably," and was instructed to find one and place it on. Review of the facility policy for Preventing Foodborne Illness - Food Handling stated that all employees are to utilize appropriate hair restraints sufficient to prevent hair from contacting food or food surfaces. The Dietary Services Director later confirmed that all cooks should have hairnets on their head and on their beard if they have one.
Failure to Provide a Dignified Dining Experience
Penalty
Summary
Resident #25 was observed at 12:28 PM without a lunch tray while the resident's roommate was being assisted with lunch by CNA #60. When asked whether Resident #25 was getting a lunch tray, the CNA stated that staff were waiting for someone to free up to assist the resident. At 1:01 PM, the DON was informed of the observation and agreed that both residents were to be assisted with their meals at the same time.
Incomplete and Improperly Executed POST Forms
Penalty
Summary
The facility failed to complete Physicians Order for Scope of Treatment (POST) forms in accordance with accepted professional standards for two residents. For Resident #13, the POST dated [DATE] indicated No CPR, Comfort Care Treatments, and no artificial means of nutrition, and an incapacity form stated the resident had long term incapacity due to dementia. The POST included a verbal consent notation for the MPOA, but there were no witnesses or staff member names documented on the form, and it was unclear which staff member obtained the POST. The house physician signed the POST, but the date on the physician signature was incorrect. The DON could not explain why the verbal consent was not witnessed, why the MPOA was not asked to sign in person despite visiting weekly, or why the physician date was entered incorrectly. For Resident #47, the POST dated [DATE] stated CPR, Full Treatments, and no artificial means of nutrition. An incapacity form stated the resident had short term incapacity due to confusion, and at the time of survey exit the resident did not have capacity to make medical decisions. Even so, Resident #47 signed the POST on file instead of the MPOA, although the POST was to be completed after discussion with the individual or the incapacitated individual's MPOA or surrogate decision-maker regarding treatment preferences. The Administrator discussed the issue during interview with the surveyor.
Failure to Complete Transfer Forms for Residents
Penalty
Summary
The facility failed to complete necessary transfer forms for two residents who were transferred to acute care facilities. Resident #4 was transferred on 07/23/24 for hyponatremia, but no transfer form was completed. Similarly, Resident #30 was transferred on two occasions, once for acute encephalopathy on 03/05/24 and again for a hip fracture on 05/28/24, without the completion of transfer forms. These deficiencies were confirmed during a record review and staff interview with LPN #18, who acknowledged the absence of the required documentation.
Failure to Notify Ombudsman of Resident Transfers
Penalty
Summary
The facility failed to notify the State Ombudsman of resident transfers to an acute care setting, as required. This deficiency was identified during the Long Term Care Survey Process for three residents who were hospitalized. Resident #38 was transferred to the hospital on July 22, 2024, without notification to the Ombudsman. This was confirmed by the Licensed Practical Nurse Unit Manager during an interview. Resident #30 was transferred twice, once for acute encephalopathy and once for a hip fracture, without the Ombudsman being notified. Licensed Practical Nurse #18 confirmed the lack of notification and mentioned a plan to send notifications monthly. Similarly, Resident #4 was transferred for hyponatremia, and the Ombudsman was not notified, as confirmed by LPN #18.
Failure to Record Medication Refrigerator Temperatures
Penalty
Summary
The facility failed to consistently record temperatures for the medication refrigerator located on the third floor, which is a requirement to ensure the safe storage of drugs and biologicals. During a tour conducted on August 7, 2024, it was observed that the refrigerator temperatures were not being checked twice daily as required. The documentation for temperature checks was incomplete, with numerous dates and times left blank across June, July, and early August 2024. This lapse in documentation was confirmed by the Director of Nursing, indicating a failure in maintaining proper records for medication storage conditions.
Food Storage Deficiency in Kitchen
Penalty
Summary
The facility failed to store food in accordance with professional standards of practice, as observed during an initial tour of the kitchen. In the reach-in refrigerator, several items were found to be either out of date or not labeled with a use-by date, including broccoli soup with an expiration date of 08/01/24, boiled eggs, two bowls of spiral cooked noodles, and tomato soup. Dietary staff acknowledged the oversight and indicated that the eggs had been placed in the refrigerator that morning. Additionally, in the walk-in refrigerator, lunch meat ham and bologna were found to be out of date, with use-by dates of 07/27/24 and 08/02/24, respectively. The dietary staff confirmed the items were out of date and stated they would remove them. The facility's policy requires all foods stored in the refrigerator or freezer to be covered, labeled, and dated with a use-by date, which was not adhered to in these instances.
Infection Control Deficiencies in Medication Administration and Resident Care
Penalty
Summary
The facility failed to maintain an appropriate infection control program during medication administration, glucometer cleaning, and catheter care. During medication administration, RN #59 was observed touching pills with bare hands for two residents. Specifically, Flecainide and Zofran were touched for Resident #34, and Buspar was touched for Resident #13. The Director of Nursing confirmed that medications should not be handled with bare hands, indicating a breach in infection control protocols. Additionally, RN #59 did not follow the manufacturer's guidelines for cleaning the glucometer after checking Resident #13's glucose level. Instead of using the approved disinfectant wipes, the glucometer was cleaned with alcohol, which was not in accordance with the manufacturer's instructions. Furthermore, during catheter care for Resident #38, NA #42 failed to remove soiled gloves and perform hand hygiene after completing the procedure. The nurse aide then proceeded to touch various surfaces in the resident's environment with contaminated gloves, further compromising infection control standards. The Director of Nursing confirmed these lapses in protocol.
Failure to Provide Bed Hold Policy Upon Hospital Transfer
Penalty
Summary
The facility failed to provide a bed hold policy to a resident or their representative upon transfer to an acute care setting. This deficiency was identified during a record review for a resident who had been transferred to an acute care facility for hyponatremia. The review revealed that neither the resident nor their representative received the required bed hold policy documentation. This oversight was confirmed by a Licensed Practical Nurse (LPN) during an interview, acknowledging that the policy had not been provided at the time of transfer.
Failure to Update PASARR for Resident
Penalty
Summary
The facility failed to update the Preadmission Screening and Resident Review (PASARR) for a resident diagnosed with psychotic disturbance and major depressive disorder. The resident's most recent PASARR, conducted in 2008, listed diagnoses including bipolar disorder, psychosis, constipation, depression, and nutrition issues. However, there was no current medical diagnosis for bipolar disorder, and the PASARR had not been updated to reflect the resident's current diagnosis of major depressive disorder. The Director of Nursing confirmed that the PASARR should have been updated and was unsure why the bipolar disorder diagnosis was included or why the update had not occurred.
Failure to Update PASRR Care Plan for Resident
Penalty
Summary
The facility failed to implement a complete and updated care plan for a resident, identified as Resident #5, as required by the Preadmission Screening and Resident Review (PASRR) process. Upon review of the resident's records, it was found that the care plan included a focus on maintaining the resident's PASRR level 1 status, with interventions to complete and maintain the PASRR and observe for symptoms that would necessitate a referral for review. However, the resident's medical record revealed a diagnosis of psychotic disturbance and major depressive disorder, which were not addressed in the PASRR care plan. The most recent PASRR, dated from 2008, listed diagnoses including bipolar disorder, psychosis, constipation, depression, and nutrition, but did not reflect the current diagnosis of major depressive disorder. The Director of Nursing confirmed that the PASRR should have been updated to reflect the current diagnosis and that the care plan should have addressed the major depressive disorder, which it did not.
Failure to Follow Physician's Orders for Pain Management
Penalty
Summary
The facility failed to adhere to physician's orders for monitoring pain and documenting medication administration for a resident. Specifically, the Medication Administration Record (MAR) showed that Xanax was not administered as scheduled on two occasions in April and June 2024, and Oxycodone was not administered on three occasions in April and June 2024. Additionally, the Treatment Administration Record (TAR) indicated that pain monitoring was not completed on several specified dates and times in June 2024. These deficiencies were confirmed by the Director of Nursing (DON) during an interview.
Failure to Complete Monthly Medication Review
Penalty
Summary
The facility failed to complete a monthly medication review for a resident, identified as Resident #9, during a long-term care survey focused on unnecessary medications. This deficiency was identified through a record review conducted on August 6, 2024, at 3:00 PM, which revealed that the pharmacy review for December 2023 was not completed and was unavailable for review. Subsequently, at 4:45 PM on the same day, the Director of Nursing (DON) was informed of the missing pharmacy review and confirmed its absence, stating that they did not have the pharmacy review for December 2023.
Inaccurate Medical Records and Immunization Documentation
Penalty
Summary
The facility failed to maintain an accurate and complete medical record for a resident, specifically regarding the Physician's Scope of Treatment (POST) form and immunization documentation. A discrepancy was found between the POST form and the physician's order, where the POST form indicated CPR, Full Treatments, and no artificial means of nutrition, while the physician's order stated CPR, Selective Treatment, and No Artificial Nutrition. This inconsistency was confirmed by the Director of Nursing during an order audit report review. Additionally, the facility did not accurately document the resident's eligibility for a pneumococcal vaccination. The resident had previously received a Prevnar 13 vaccination and was eligible for a PCV20 in 2023 according to CDC guidelines. However, the facility's records incorrectly stated that the resident was not eligible for the vaccination, a mistake confirmed by an LPN.
Failure to Offer Pneumococcal Vaccination
Penalty
Summary
The facility failed to offer a pneumococcal vaccination to Resident #26, as required under the infection control care area. During a record review, it was found that Resident #26 had previously received a Prevnar 13 vaccination in 2018. According to CDC guidelines, the resident was eligible for a PCV20 vaccination in 2023. However, the facility's documentation incorrectly stated that the resident was not eligible for the vaccination. This oversight was confirmed by LPN #18, who acknowledged that the vaccination should have been offered to the resident.
Call Bell Accessibility Deficiency
Penalty
Summary
The facility failed to ensure that a call bell was within reach of a resident, identified as Resident #4. During an observation on August 5, 2024, at 1:00 PM, it was noted that the call light was not accessible to the resident, as it was placed across the room on top of a refrigerator. At 1:04 PM, a nurse aide entered the room and, upon being asked about the call bell's location, acknowledged that it was not near the resident and proceeded to retrieve it. The Director of Nursing was informed of the situation at 1:20 PM and acknowledged the issue, stating that they would ensure call bells are accessible to residents.
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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.
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Nursing homes near Huntington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Center | 1.8 mi | ★★★★★ | 32 | 0 |
| Huntington Health And Rehabilitation Center | 2.3 mi | ★★★★★ | 19 | 0 |
| Riverview Post Acute | 3.6 mi | ★★★★★ | 5 | 0 |
| St. Mary's Hospital | 3.7 mi | ★★★★★ | 2 | 0 |
| Kings Daughters Medical Center | 10 mi | — | 0 | 0 |
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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.