Federal inspection record · CMS data as of October 1, 2026
Brighton Cornerstone Group, LLC
55 East North Street, Madisonville, KY · (270) 821-1492
- Certified beds
- 40
- Residents per day
- 32
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Brighton Cornerstone Group, LLC carries 29 inspection points. That is fewer than 34% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights2E
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Pharmacy Service2E
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspection history
2026-01-08
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2025-03-06
4 health deficiencies · 12 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2020-03-04
0 health deficiencies · 12 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 24 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 24 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$3,387 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-30 | Fine | $3,387 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.1 pts worse | 4.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better | 100.0% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.8 pts better | 100.0% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.6% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.2 pts better | 3.7% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 6.6% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts better | 23.4% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication19.8 pts worse | 36.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.4 pts worse | 1.6% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.5 pts worse | 15.8% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better | 10.0% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence10.2 pts better | 8.1% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.9 pts worse | 7.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.1 pts better | 93.6% | 84.5% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication8.1 pts worse | 9.7% | 1.6% | 1.5% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Frances, Jay | Corporate Officer · Individual | 0% | 3 facilities |
| Frances, Jay | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Hargis, Forwood | Adp Of The SNF · Individual | 0% | 12 facilities |
| Howard, Valerie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Legacy Health Services Inc | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Legacy Health Services Inc | Adp Of The SNF · Organization | 0% | 3 facilities |
| Mcintosh, Sarah | Adp Of The SNF · Individual | 0% | 12 facilities |
| Petersen, Jalme | Adp Of The SNF · Individual | 0% | 3 facilities |
| Proactive Medical Review And Consultants LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Smith, Kimberly | Corporate Officer · Individual | 0% | 7 facilities |
| Smith, Kimberly | Operational/Managerial Control · Individual | 0% | 7 facilities |
·
Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Establish policies and procedures for volunteers.
- F
Conduct testing and exercise requirements.
- F
Provide primary/alternate means for communication.
- D
Establish policies and procedures for volunteers.
- D
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems7F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Egress7F
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Have properly located and lighted "Exit" signs.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke5E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Madisonville Health and Rehabilitation, LLC
Madisonville, KY · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Park Grove Nursing and Rehabilitation Center
Madisonville, KY · Encore Health Partners
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 38 min
- Fines
- $12,860
-
Ridgewood Terrace Health and Rehabilitation Center
Madisonville, KY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 23 min
- Fines
- $0