Cycle 1
Health 2025-05-23 · Fire 2025-05-23
1 health deficiencies
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Madisonville, KY
Ridgewood Terrace Health and Rehabilitation Center
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
150 Cornwall Drive, Madisonville, KY
(270) 825-0166
Overall
4 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
110
Certified beds
Average residents
95
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-09-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.48
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.20
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.23
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.02
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.81
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
4.50
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,363
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.01% · Performance 22.41% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.10% · Performance 8.37% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.82
Baseline 57.27% · Performance 52.14% · Measure score 2.82 · Achievement 2.82 · Improvement 1.08
Adjusted total nurse staffing
4
Baseline 3.69 hours · Performance 4.22 hours · Measure score 4 · Achievement 4 · Improvement 2.04
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.44% |
10.72%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 18.64% · Lower 95% interval 9.81% |
| Discharge to community | 31.49% |
50.57%
19.1 pts worse
|
Worse than the National Rate · Eligible stays 119 · Observed rate 24.37% · Lower 95% interval 23.93% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 68 · Denominator 68 |
| Falls with major injury | 4.41% |
0.77%
3.6 pts worse
|
Numerator 3 · Denominator 68 |
| Discharge self-care score | 9.68% |
53.69%
44 pts worse
|
Numerator 3 · Denominator 31 |
| Discharge mobility score | 12.9% |
50.94%
38 pts worse
|
Numerator 4 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 65 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.37% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 11.76% · Lower 95% interval 5.16% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 162 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 9.68% |
56.45%
46.8 pts worse
|
Numerator 3 · Denominator 31 |
| Transfer of health information to provider | 93.48% |
95.95%
2.5 pts worse
|
Numerator 43 · Denominator 46 |
| 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 | 16.28% |
25.2%
8.9 pts worse
|
Numerator 7 · Denominator 43 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.9
0.8 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
2.2
0.2 pts better
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.3%
5.1 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.7% · Q4 98.8% · 4Q avg 99.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
96.2%
1.8 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.2% |
3.8%
5.4 pts worse
|
3.3%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 12.1% · Q3 6.3% · Q4 6.0% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
15.2%
14.5 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 1.4% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
6.7%
3.6 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.4% · Q3 9.9% · Q4 14.3% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.0% |
29.6%
0.4 pts worse
|
19.6%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 31.5% · Q3 27.6% · Q4 28.0% · 4Q avg 30.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.1% |
17.6%
5.5 pts worse
|
16.7%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 23.9% · Q3 22.4% · Q4 27.9% · 4Q avg 23.1% · 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 | 27.1% |
17.3%
9.8 pts worse
|
16.3%
10.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 37.1% · Q3 18.5% · Q4 22.2% · 4Q avg 27.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.6% |
15.6%
10 pts worse
|
14.9%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 25.9% · Q3 22.2% · Q4 26.7% · 4Q avg 25.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.7%
1.1 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.7% · Q3 1.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.6% |
1.7%
3.9 pts worse
|
1.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.8% · Q3 3.8% · Q4 7.5% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
19.8%
11.4 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 30.1% · Q3 23.5% · Q4 39.8% · 4Q avg 31.2% |
| Percentage of long-stay residents with pressure ulcers | 8.2% |
5.5%
2.7 pts worse
|
5.1%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 8.8% · Q3 7.2% · Q4 4.1% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
83.8%
9.3 pts better
|
81.7%
11.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 91.0% · Q3 94.9% · Q4 94.5% · 4Q avg 93.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.1% |
13.9%
0.8 pts better
|
12.0%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 13.7% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% |
1.8%
2 pts worse
|
1.6%
2.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.9% · Q3 4.9% · Q4 2.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.4% |
83.6%
4.8 pts better
|
79.7%
8.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.7% |
24.5%
7.2 pts worse
|
23.9%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.7% · Observed 37.0% · Expected 27.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-07 · Fire 2020-02-07
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2018-11-28 · Fire 2018-11-28
10 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-23
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-06-24
F · Potential for more than minimal harm
2025-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-24
F · Potential for more than minimal harm
2025-05-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-24
F · Potential for more than minimal harm
2025-05-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-24
E · Potential for more than minimal harm
2025-05-23
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-24
D · Potential for more than minimal harm
2025-05-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-24
D · Potential for more than minimal harm
2025-05-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-24
D · Potential for more than minimal harm
2025-05-23
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-24
F · Potential for more than minimal harm
2020-02-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-03-07
E · Potential for more than minimal harm
2020-02-07
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-03-07
D · Potential for more than minimal harm
2020-02-07
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2020-03-07
D · Potential for more than minimal harm
2018-11-28
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2018-12-31
D · Potential for more than minimal harm
2018-11-28
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-12-31
D · Potential for more than minimal harm
2018-11-28
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2018-12-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-11
D · Potential for more than minimal harm
2020-02-07
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-03-15
D · Potential for more than minimal harm
2020-02-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-03-15
D · Potential for more than minimal harm
2020-02-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-15
F · Potential for more than minimal harm
2018-11-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-12-31
F · Potential for more than minimal harm
2018-11-28
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 2018-12-31
F · Potential for more than minimal harm
2018-11-28
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2018-12-31
F · Potential for more than minimal harm
2018-11-28
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2018-12-31
F · Potential for more than minimal harm
2018-11-28
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 2018-12-31
D · Potential for more than minimal harm
2018-11-28
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2018-12-31
D · Potential for more than minimal harm
2018-11-28
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-12-31
D · Potential for more than minimal harm
2018-11-28
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2018-12-31
D · Potential for more than minimal harm
2018-11-28
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2018-12-31
C · Minimal harm
2018-11-28
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-12-31
Penalties and ownership
What sits behind the stars
Ownership
David Lowry Irrv Tr Fbo Matthew Lowry
5% Or Greater Direct Ownership Interest · Organization
Lowry, Brenda
5% Or Greater Direct Ownership Interest · Individual
Lowry, David
5% Or Greater Direct Ownership Interest · Individual
Brenda Lowry Irrv Tr Fbo James Lowry
5% Or Greater Direct Ownership Interest · Organization
James Lowry Family Irrv Tr
5% Or Greater Direct Ownership Interest · Organization
Concord Health Systems Management Group Inc
Operational/Managerial Control · Organization
Lopez, Jessica
Operational/Managerial Control · Individual
Lowry, Brenda
Operational/Managerial Control · Individual
Lowry, James
Corporate Officer · Individual
Lowry, Matthew
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
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
#2
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
#3
Madisonville Health and Rehabilitation, LLC
Madisonville, KY
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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