Cycle 1
Health 2025-05-01 · Fire 2025-05-01
3 health deficiencies
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Madisonville, KY
Madisonville Health and Rehabilitation, LLC
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
419 North Seminary Street, Madisonville, KY
(270) 821-5564
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
94
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.51
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.06
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.17
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,933
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9950
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.45
Baseline 20.70% · Performance 17.05% · Measure score 9.45 · Achievement 9.45 · Improvement 9
Healthcare-associated infections
3.04
Baseline 6.82% · Performance 6.93% · Measure score 3.04 · Achievement 3.04 · Improvement 0
Total nurse turnover
3.22
Baseline 57.69% · Performance 50.54% · Measure score 3.22 · Achievement 3.22 · Improvement 1.68
Adjusted total nurse staffing
1.13
Baseline 3.43 hours · Performance 3.40 hours · Measure score 1.13 · Achievement 1.13 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.35% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 14.13% · Lower 95% interval 7.53% |
| Discharge to community | 12.17% |
50.57%
38.4 pts worse
|
Worse than the National Rate · Eligible stays 83 · Observed rate 0% · Lower 95% interval 6.64% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 98.55% |
95.27%
3.3 pts better
|
Numerator 68 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 27.45% |
53.69%
26.2 pts worse
|
Numerator 14 · Denominator 51 |
| Discharge mobility score | 27.45% |
50.94%
23.5 pts worse
|
Numerator 14 · Denominator 51 |
| Pressure ulcers or injuries, new or worsened | 11.59% |
2.29%
9.3 pts worse
|
Numerator 8 · Denominator 69 · Adjusted rate 9.05% |
| Healthcare-associated infections requiring hospitalization | 6.93% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 3.76% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 104 |
| Staff flu vaccination coverage | 10% |
42%
32 pts worse
|
Numerator 12 · Denominator 120 |
| Discharge function score | 47.06% |
56.45%
9.4 pts worse
|
Numerator 24 · Denominator 51 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.5% |
25.2%
7.3 pts better
|
Numerator 13 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.9
0.5 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.4 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.7% |
94.3%
2.4 pts better
|
93.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.3% · Q4 89.0% · 4Q avg 96.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.8%
1.9 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 3.8% · Q3 6.8% · Q4 11.0% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
15.2%
13.2 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.5% · Q3 0.0% · Q4 1.7% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
6.7%
2.3 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 12.3% · Q3 3.1% · Q4 12.5% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 34.8% |
29.6%
5.2 pts worse
|
19.6%
15.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.1% · Q2 33.3% · Q3 36.9% · Q4 32.8% · 4Q avg 34.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.4% |
17.6%
4.2 pts better
|
16.7%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 13.2% · Q3 13.7% · Q4 12.2% · 4Q avg 13.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.9% |
17.3%
12.6 pts worse
|
16.3%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.9% · Q2 28.5% · Q3 29.2% · Q4 10.7% · 4Q avg 29.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 34.3% |
15.6%
18.7 pts worse
|
14.9%
19.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 32.8% · Q3 42.6% · Q4 20.0% · 4Q avg 34.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
1.7%
0.3 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 1.4% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.1% |
19.8%
3.7 pts better
|
19.8%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 11.0% · Q3 15.5% · Q4 15.9% · 4Q avg 16.1% |
| Percentage of long-stay residents with pressure ulcers | 9.1% |
5.5%
3.6 pts worse
|
5.1%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 10.0% · Q3 9.5% · Q4 4.6% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.4% |
83.8%
0.4 pts worse
|
81.7%
1.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 86.6% · Q3 84.7% · Q4 82.1% · 4Q avg 83.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.0% |
13.9%
0.1 pts worse
|
12.0%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 13.3% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.8%
0.5 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.3% |
83.6%
1.7 pts better
|
79.7%
5.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
24.5%
0.3 pts worse
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 24.4% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-16 · Fire 2020-01-16
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-10-25 · Fire 2018-10-25
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-01
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-05-01
F · Potential for more than minimal harm
2025-05-01
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-30
D · Potential for more than minimal harm
2025-05-01
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2025-05-01
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-05-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-20
D · Potential for more than minimal harm
2025-05-01
F924 · Environmental Deficiencies
Health
Put firmly secured handrails on each side of hallways.
Corrected 2025-05-20
E · Potential for more than minimal harm
2020-01-16
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2020-02-18
E · Potential for more than minimal harm
2020-01-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-18
D · Potential for more than minimal harm
2020-01-16
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2020-02-18
D · Potential for more than minimal harm
2018-10-25
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2018-11-16
Penalties and ownership
What sits behind the stars
Ownership
Ky M53 Spe Opco Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Clearview Healthcare Management Ky LLC
Operational/Managerial Control · Organization
Clearview Ky SNF Holdco LLC
5% Or Greater Indirect Ownership Interest · Organization
Galyen, Whitney
W-2 Managing Employee · Individual
Hc Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Shnz Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sweet Home Management LLC
5% Or Greater Indirect Ownership Interest · Organization
Vujanovic, Mick
Operational/Managerial Control · Individual
Vujanovic, Mick
Corporate Officer · Individual
Zanziper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Brighton Cornerstone Group, LLC
Madisonville, KY
3-star overall rating with 3-star inspections with $3,387 in total fines with 4 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Park Grove Nursing and Rehabilitation Center
Madisonville, KY
1-star overall rating with 2-star inspections with $12,860 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Ridgewood Terrace Health and Rehabilitation Center
Madisonville, KY
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out