Federal inspection record · CMS data as of October 1, 2026
Madison Health Care
7600 S Ridge Rd, Madison, OH · (440) 428-1492
- Certified beds
- 125
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- Embassy Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 31, 1974
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
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.
-
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
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Madison Health Care carries 104.75 inspection points. That is fewer than 25% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: 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★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio 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
36 health citations on record since 2021. 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)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Quality of Life and Care9D
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights5D
- D
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Assure the security of all personal funds of residents deposited with the facility.
Nutrition and Dietary4F
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Dispose of garbage and refuse properly.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Environmental4F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Put firmly secured handrails on each side of hallways.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Administration2F
- C
Hire a qualified full-time social worker in a facility with more than 120 beds.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nursing and Physician Services1F
- F
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
2025-03-13
12 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-28
9 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2021-09-02
15 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
3 h 5 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 43% of registered nurses left in the past year, along with 2 administrators.
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
$109,991 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-17 | Fine | $109,991 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 96.9% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.6 pts better | 16.0% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 6.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts worse | 32.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication16.7 pts worse | 25.2% | 8.5% | 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 worsened4.9 pts better | 0.4% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts better | 1.4% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 0.3% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts better | 18.4% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 2.2% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine32 pts worse | 46.4% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts worse | 54.2% | 76.4% | 80.1% |
·
Who owns and runs it
17 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 |
|---|---|---|---|
| 2020 Gsr Dynasty LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Aaron Handler Family Dynasty Trust | Indirect Ownership Interest · Organization | 0% | 12 facilities |
| Ah Dynasty LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Cerjan, Kayla | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cerjan, Kayla | Adp Of The SNF · Individual | 0% | 1 facilities |
| Embassy Healthcare Management Inc | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Embassy Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 26 facilities |
| George S. Repchick 2020 Family Dynasty Trust | Indirect Ownership Interest · Organization | 0% | 11 facilities |
| Handler, Aaron | Indirect Ownership Interest · Individual | 0% | 34 facilities |
| Handler, Aaron | Corporate Officer · Individual | 0% | 34 facilities |
| Handler, Aaron | Operational/Managerial Control · Individual | 0% | 34 facilities |
| Heritage Employment Services, LLC | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Heritage Employment Services, LLC | Adp Of The SNF · Organization | 0% | 24 facilities |
| Lele, Shreeniwas | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Lele, Shreeniwas | Adp Of The SNF · Individual | 0% | 3 facilities |
| Repchick, George | Corporate Officer · Individual | 0% | 31 facilities |
| Repchick, George | Operational/Managerial Control · Individual | 0% | 31 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- E
Construct fire resistant interior walls.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- E
Install properly constructed windows in hallway walls or doors.
Services5E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
Gas, Vacuum, and Electrical Systems4F
- E
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
Egress2E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous2F
- E
Have restrictions on the use of portable space heaters.
- F
Have simulated fire drills held at unexpected times.
Construction1E
- E
Use approved construction type or materials.
Emergency Preparedness1F
- F
Address subsistence needs for staff and patients.
·
Other homes nearby
-
Arcola Creek Health And Rehabilitation
Madison, OH
Not rated- Worst citation, 3 yrs
- none
- Nursing / resident / day
- —
- Fines
- $0
-
Rae Ann Geneva
Geneva, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Cardinal Woods Skilled Nursing & Rehab Ctr
Madison, OH · Aom Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 10 min
- Fines
- $144,478