Richmond, KY

Madison Health and Rehabilitation Center

1-star overall rating with 2-star inspections with $11,764 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

131 Meadowlark Drive, Richmond, KY

(859) 623-3564

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

92

Certified beds

Average residents

87

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Benjamin Landa

Operator or chain grouping

Approved since

1991-04-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing

LPN hours / resident day

0.91

Licensed practical nurse staffing

Aide hours / resident day

2.33

Nurse aide staffing

Weekend hours

3.15

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

61%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.3
1.9
0.4 pts worse
1.9
0.4 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.2
0.5 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
94.3%
2.3 pts better
93.4%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
96.2%
0.7 pts worse
95.5%
About the same
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
3.8%
0.1 pts better
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 15.7%
15.2%
0.5 pts worse
11.4%
4.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.9%
6.7%
2.2 pts worse
5.4%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 33.2%
29.6%
3.6 pts worse
19.6%
13.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 20.8%
17.6%
3.2 pts worse
16.7%
4.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 22.6%
17.3%
5.3 pts worse
16.3%
6.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.4%
15.6%
2.2 pts better
14.9%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.7%
About the same
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.8%
1.7%
1.1 pts worse
1.7%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.0%
19.8%
10.2 pts worse
19.8%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 8.9%
5.5%
3.4 pts worse
5.1%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.3%
83.8%
4.5 pts worse
81.7%
2.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 40.5%
13.9%
26.6 pts worse
12.0%
28.5 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.4%
1.8%
0.6 pts worse
1.6%
0.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 73.8%
83.6%
9.8 pts worse
79.7%
5.9 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 35.5%
24.5%
11 pts worse
23.9%
11.6 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-24 · Fire 2025-07-24

2 health deficiencies

Top issue: Environmental (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-10-11 · Fire 2024-10-11

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2024-05-03 · Fire 2024-05-03

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-07-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-18

E · Potential for more than minimal harm 2024-10-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-05-03

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-03

E · Potential for more than minimal harm 2024-05-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-20

E · Potential for more than minimal harm 2025-07-24

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-08-20

E · Potential for more than minimal harm 2024-10-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-11-04

E · Potential for more than minimal harm 2024-10-11

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-10-11

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-04

G · Actual harm 2023-07-01

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-07-29

G · Actual harm 2023-07-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-29

F · Potential for more than minimal harm 2023-07-01

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-07-29

F · Potential for more than minimal harm 2023-07-01

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-07-29

Penalties and ownership

What sits behind the stars

$5,882 2023-07-01

Fine

Fine · fine $5,882

Fine

$5,882 2023-07-01

Fine

Fine · fine $5,882

Fine

Ownership

Landa, Benjamin

5% Or Greater Direct Ownership Interest · Individual

44% 103 facilities 2018-09-01
Platschek, Goldie

5% Or Greater Direct Ownership Interest · Individual

25% 25 facilities 2018-09-01
Platschek, Alexander

5% Or Greater Direct Ownership Interest · Individual

15% 25 facilities 2018-09-01
Rubenstein, David

5% Or Greater Direct Ownership Interest · Individual

7% 50 facilities 2018-09-01
Cibc Bank Usa

5% Or Greater Security Interest · Organization

0% 121 facilities 2018-09-01
Jarman, James

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-12
Kelman, Moshe

Operational/Managerial Control · Individual

0% 35 facilities 2018-09-01
Metropolitan Commercial Bank

5% Or Greater Security Interest · Organization

0% 25 facilities 2018-09-01
Raymer, Myra

Operational/Managerial Control · Individual

0% 8 facilities 2023-03-14

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