Federal inspection record · CMS data as of October 1, 2026
Madison Health and Rehab
2036 South Main Street, Madison, GA · (706) 342-3200
- Certified beds
- 67
- Residents per day
- 68
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1989
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Georgia.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Georgia homes
Madison Health and Rehab carries 9 inspection points. That is fewer than 91% of Georgia's 354 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Georgia: 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★ 0–11 pts
- 4★ 11–24 pts
- 3★ 24–39 pts
- 2★ 39–67 pts
- 1★ over 67 pts
Bars show every rated home in Georgia 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 2023. 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 Rights2D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service2F
- F
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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control1D
- D
Ensure staff are vaccinated for COVID-19
Inspection history
2026-08-09
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2025-05-21
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2023-03-26
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 54 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
2 h 54 min
Georgia average
3 h 36 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 38% of nursing staff and 29% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 daysAbout the same | 2.1 | 2.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.8 | 1.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.3 pts better | 100.0% | 91.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.4 pts better | 100.0% | 94.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms87.9 pts worse | 99.6% | 11.7% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 6.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse | 28.1% | 20.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.4 pts worse | 32.2% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.8 pts worse | 20.5% | 13.7% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.9 pts worse | 18.8% | 14.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.4% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.8 pts better | 8.6% | 15.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 7.6% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 81.5% | 80.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.4 pts better | 0.0% | 2.4% | 1.5% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Cook, Sheila | Direct Ownership Interest · Individual | 0% | 4 facilities |
| Cook, Sheila | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Cook, Sheila | Corporate Director · Individual | 0% | 4 facilities |
| Cook, Sheila | Corporate Officer · Individual | 0% | 4 facilities |
| Cook, Sheila | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Cook, Sheila | Adp Of The SNF · Individual | 0% | 4 facilities |
| Cook, Terry | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Cook, Terry | Corporate Director · Individual | 0% | 3 facilities |
| Cook, Terry | Corporate Officer · Individual | 0% | 3 facilities |
| Cook, Terry | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Cook, Terry | Adp Of The SNF · Individual | 0% | 3 facilities |
| Pine Leaf Investment Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Wrenn, Joanne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wrenn, Joanne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zant, Walter | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Zant, Walter | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress3D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Smoke2D
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
-
Social Circle Nsg & Rehab Ctr
Social Circle, GA · Cypress Skilled Nursing
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0
-
High Shoals Health And Rehabilitation
Bishop, GA · Ethica Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 7 min
- Fines
- $0
-
Eatonton Health And Rehabilitation
Eatonton, GA · Ethica Health
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 6 min
- Fines
- $0