Federal inspection record · CMS data as of October 1, 2026
Madison Health and Rehabilitation Center
131 Meadowlark Drive, Richmond, KY · (859) 623-3564
- Certified beds
- 92
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 25, 1991
1
How this home got 1 star
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 Kentucky.
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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 (already 1)
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Madison Health and Rehabilitation Center carries 37 inspection points. That is fewer than 26% 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 2024. 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.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care3E
- D
Provide routine and 24-hour emergency dental care for each resident.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-07-24
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-10-11
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-05-03
0 health deficiencies · 2 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 40 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 73% 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
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 days1.3 pts worse | 3.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.6 pts better | 99.7% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts worse | 93.2% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.7 pts worse | 26.6% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 9.2% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.3 pts worse | 36.2% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.3 pts worse | 23.5% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1 pts worse | 13.3% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better | 12.6% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.6% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts worse | 3.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.1 pts better | 10.2% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 7.1% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts worse | 82.9% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.9 pts worse | 20.1% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.7% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.7 pts better | 86.4% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.4 pts worse | 33.3% | 23.9% | 23.4% |
·
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 |
|---|---|---|---|
| Madison Health Center Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Cibc Bank Usa | 5% Or Greater Security Interest · Organization | 0% | 208 facilities |
| Ggky Opco, LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Jarman, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Jarman, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kelman, Moshe | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Kelman, Moshe | Adp Of The SNF · Individual | 0% | 35 facilities |
| Metropolitan Commercial Bank | 5% Or Greater Security Interest · Organization | 0% | 26 facilities |
| Platschek, Goldie | Indirect Ownership Interest · Individual | 0% | 22 facilities |
| Platschek, Goldie | Adp Of The SNF · Individual | 0% | 22 facilities |
| Raymer, Myra | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Rubiweb Services Group Usa, LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Rubiweb Services Group Usa, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Samzil Holdings LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Samzil Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Spky Opco, LLC | Indirect Ownership Interest · Organization | 0% | 2 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- E
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
·
Other homes nearby
-
Kenwood Health and Rehabilitation Center
Richmond, KY
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Telford Terrace
Richmond, KY
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 29 min
- Fines
- $0
-
Berea Health and Rehabilitation
Berea, KY · Bluegrass Health Ky
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 42 min
- Fines
- $16,801