Federal inspection record · CMS data as of October 1, 2026
Madisonville Health and Rehabilitation, LLC
419 North Seminary Street, Madisonville, KY · (270) 821-5564
- Certified beds
- 94
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Simcha Hyman & Naftali Zanziper
- 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.
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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.
-
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.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Madisonville Health and Rehabilitation, LLC carries 33 inspection points. That is fewer than 29% 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
10 health citations on record since 2020. 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
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental2D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Put firmly secured handrails on each side of hallways.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights1E
- E
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.
Pharmacy Service1D
- 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.
Inspection history
2026-05-22
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2025-05-01
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2020-01-16
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 11 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 58% 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 days0.6 pts better | 1.3 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 1.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 97.2% | 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 injury1.9 pts worse | 5.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.1 pts better | 0.8% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts worse | 8.3% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.5 pts worse | 35.4% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.2 pts better | 12.0% | 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 worsened7.1 pts better | 5.2% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4 pts better | 9.2% | 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 infection0.1 pts better | 1.4% | 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 ulcers0.9 pts worse | 5.6% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts worse | 80.6% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts better | 10.5% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.6% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.6 pts better | 94.3% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better | 22.2% | 23.9% | 23.4% |
·
Who owns and runs it
5 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 |
|---|---|---|---|
| Clearview Ky SNF Holdco LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 13 facilities |
| Clearview Healthcare Management Ky LLC | Operational/Managerial Control · Organization | 0% | 21 facilities |
| Galyen, Whitney | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Vujanovic, Mick | Corporate Officer · Individual | 0% | 33 facilities |
| Vujanovic, Mick | Operational/Managerial Control · Individual | 0% | 33 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- D
Provide properly protected cooking facilities.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Egress1F
- F
Have properly located and lighted "Exit" signs.
·
Other homes nearby
-
Brighton Cornerstone Group, LLC
Madisonville, KY
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 24 min
- Fines
- $3,387
-
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