The Madison
1702 41st Street, Fort Madison IA 52627 · (319) 372-8021 · 72.55% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
The Madison is located in Fort Madison, Iowa. This is a great facility. We gave this it an overall grade of B+, which is very favorable rating. Based on our assessment, you can do much worse than this facility. While we were impressed with this facility overall, we did want to let you know that there was an ownership change in the last year. We will keep an eye on their inspections and quality scores to confirm they maintain their high marks in the future.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 90 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
In addition to being a first rate facility overall, this facility also performed well in our inspections category, where it received an A+. Few facilities fared this well in this category. Inspection grades weigh a host of factors included in a facility's inspection report. One key criteria we consider is the quantity and severity of deficiencies. Facilities with better grades in this area generally have few of these severe deficiencies. This facility was hit with 3 deficiencies on its inspection report, but fortunately none of the deficiencies were considered to be severe. This tells you that CMS didn't deem any of the deficiencies to cause an imminent threat to resident health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
Contributing to this facility's list of accomplishments, it also was awarded a superb long-term care score. We gave them an impressive strong of A- in this area. When nursing homes receive a grade in this range in long-term care it generally means it's well-staffed and is an overall good place to live on a permanent basis. After assessing the very impressive nursing care provided by this facility, we turned to the facility's vaccination record. This nursing home vaccinated 99.14163 percent of its patients for pneumonia, which is far higher than the vast majority of nursing homes. This combination proved to be successful as this nursing home keeps its patients out of the hospital. Indeed, it had just 1.61 hospitalizations per 1,000 long-term resident days.
Short-term Care Quality
The next most favorable category we gave this nursing home in any category came in the category of short-term care, where we awarded it a grade of B-. In our short-term care category, we seek to craft a fair measure for rehabilitation services. In doing so, we look at a nursing home's scope of highly-skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Fortunately, this nursing home offers both physical therapists and registered nurses. Not all facilities offer both. The last item we considered in this area is the number of residents who were able to leave the facility and return home. We found it was above average in this metric with 51.7 percent of its patients returning home.
Nurse Quality
Switching gears to the fourth area, this facility received an acceptable nursing rating. While this wasn't as strong as a few of its other scores, this is truly a middle of the pack score. Nursing ratings are based largely on nurse staffing levels. This particular nursing home provided 4.1 hours of nursing care per resident each day, which was among the higher totals we found. Finally, we also factored some quality measures into our nursing grades. Specifically, we looked at the percent of residents who sustained pressure ulcers and major falls. We look at these metrics as good indicators of the quality of nursing care, since better care tends to reduce these problems.
Overall Rating Over Time
Compared to national and state averages across all facilities.
The Madison Quality Metrics
Minimizes Pressure Ulcers
This is the percent of patients who suffered from a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be an indicator of nursing care . Pressure ulcers, which are also referred to as bed sores, are routinely caused by patients not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is an indication of the percentage of long-term care patients who had a fall which resulted in serious injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indication of lower levels of patient supervision.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percent of patients that have had a urinary tract infection. These infections are linked to inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric indicates the percent of long-term patients who are given antipsychotic drugs. High levels of antipsychotic drug use may indicate a nursing home is using these drugs to control patient behavior in scenarios where such medications aren't medically required. However, some nursing homes need to rely on these medications due to having more residents suffering from dementia.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percent of long-term residents exhibiting symptoms of depression. Many in the industry argue that this is a reliable measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents that were given the pneumonia and flu vaccines. High vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percent of residents that required additional assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's could be a sign of the decline of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric is a measure of the percent of long-term patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of hospitalizations per 1,000 days of patient care. Minimizing hospitalizations is critical to preserving the physical health of patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric tracks the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This datapoint is a measure of the percent of short-term stay residents who experienced functional improvements.
Percentage of Resident
Higher is Better