Cottages Of Madison Elmwood

Penalties

• — DQA enforcement letter ($10)

Inspection findings

Nursing homes: CMS Care Compare inspections (last three cycles), penalties and ownership. Assisted living: DHS directory data and statements of deficiencies DHS has posted since October 2026; older survey documents are on the DQA Provider Search. An absence of findings here does not mean a clean record.

1. Jul 21, 2026 DQA survey · 3 findings
   • Severity not stated

     N 357 83.32(3)(m) Rights of Residents: Recording and

     Based on observation, interview, and record review, the provider did not ensure Resident 1 provided informed written consent for the facility to film the resident for purposes other than identification, as required. This resulted in Resident 1 being recorded by facility staff while exhibiting behaviors described as disruptive or inappropriate, without evidence that Resident 1 had provided informed written consent for the recording. Findings included: On 07/21/2026 at 9:30 AM, the Surveyor reviewed Resident 1's medical record. Resident 1 was admitted to the facility on 02/23/2026 with diagnoses that included, but were not limited to: major depressive disorder, anxiety, and bilateral above-knee amputations. There was a document that consents to photographing of Resident 1 for identification purposes dated 02/23/2026. There was no document that indicated consent for filming/video of residents. Surveyor discussed with Adminsitrator A that filming a resident's behavior is not for identification and therefore not permitted. Resident 1's Individual Service Plan (ISP) indicated that Resident 1 could demonstrate challenging or disruptive behaviors in the community, including raising their v

     Statement of deficiencies (PDF)

   • Severity not stated

     N 433 83.38(1)(i) Behavior management.

     Based on observation, interview, and record review, the provider did not provide behavior-management services adequate to manage Resident 1's behaviors that presented a risk of harm to Resident 1 and others. Resident 1's Individual Service Plan (ISP) identified disruptive behaviors and directed staff to use specific interventions; however, corroborating interviews with Resident 1, multiple residents, a caregiver, and the administrator established that Resident 1 continued to engage in behaviors involving the motorized wheelchair that resulted in, or posed a risk of, physical injury to others. The administrator acknowledged that the interventions identified at admission were not effective and that Resident 1 continued to drive the wheelchair at excessive speeds and intentionally strike or attempt to strike others. Findings included: On 07/21/2026 at 9:30 AM, the Surveyor reviewed Resident 1's medical record. Resident 1 was admitted to the facility on 02/23/2026 with diagnoses that included diabetes, major depressive disorder, anxiety, hypertension, and bilateral above-the-knee amputations. Resident 1 used a motorized wheelchair for mobility. Review of Resident 1's ISP identified cha

     Statement of deficiencies (PDF)

   • Severity not stated

     N 481 83.43(1) Environment safe, clean, and

     Based on observation and interview, the provider did not ensure a safe, clean, comfortable and homelike environment appropriate for residents. There were broken cabinets, doorways and missing silverware. Findings include: On 07/21/2026 at 9:00 AM, Surveyor toured the physical environment. OBSERVATIONS: There was a missing board from the inside door frame of Resident 1's room. There were several gouges in the drywall inside of Resident 1's room from being struck by his/her wheelchair. The gouges were approximately 1 inch by 1 inch. Resident 2's bedroom door was damaged from being struck by his/her motorized wheelchair. There were 15 residents residing in the facility. Surveyor counted 4 forks and 3 spoons when lunch was served. Surveyor asked Administrator A where all the silverware was. Administrator A stated that residents take silverware back to their rooms and it never comes back. Administrator A stated that there was an order placed for more silverware and should arrive soon. Surveyor observed Resident 3 eating lunch which was ham, corn and potatoes. Resident 3 was attempting to eat using an ice cream scoop. Resident 3 shrugged his/her shoulders and said, "well that's all they

     Statement of deficiencies (PDF)