Madison Health and Rehabilitation Center
131 Meadowlark Drive, Richmond, KY 40475
Madison Health and Rehabilitation Center, a 92-bed for profit - corporation nursing facility in Richmond, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #239 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8596233564
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #239 of 265
- In-state rank among rated KY homes
- 3.56
- Below average · nurse hrs/day · nat'l 3.86
- 8
- Inspection findings
The verdict
Madison Health and Rehabilitation Center, a 92-bed for profit - corporation nursing facility in Richmond, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #239 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 1 / 5
- CMS overall · national 3.0
- #239 of 265
- In-state rank among rated KY homes
- 3.56
- Nurse hrs/resident-day · national 3.86
- 8
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 267 KY nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 185262
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 92
- Residents
- 86
- In Hospital
- No
- County
- Madison
- Last Inspection
- Jul 24, 2025
Staffing Data
How the 3.56 total nursing hours per resident-day are staffed:
- RN Hours
- 0.25 (nat'l avg: 0.69)
- LPN Hours
- 0.96
- CNA Hours
- 2.35
- Total Nursing Hours
- 3.56 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 51.6%
- RN Turnover
- 63.6%
What the CMS Record Reveals About Madison Health and Rehabilitation Center
According to CMS Nursing Home Compare, Madison Health and Rehabilitation Center ranks #239 of 265 rated nursing homes in KY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madison Health and Rehabilitation Center operates 92 certified beds in Richmond, KY with approximately 86 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 3★ · staffing 1★ · quality 1★).
The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Staffing is reported at 3.56 total nursing hours per resident day (national average 3.86), with RN coverage at 0.25 per resident day.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Madison Health and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (8 most recent)
Provide routine and 24-hour emergency dental care for each resident.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 28, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Aug 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 20, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Nov 4, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 13, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 4, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 4, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Nov 4, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 20.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.4% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 33.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 12.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 80.1% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 73.8% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Madison Health and Rehabilitation Center, both outside KY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside KY (92 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside KY (3.29 here).
Nearby Nursing Homes in KY
266 other nursing homes are on record in KY; 6 are shown here.
Auburn Nursing and Rehabilitation Center
Auburn, KY
Baptist Health Hardin
Elizabethtown, KY
Barbourville Health and Rehabilitation Center
Barbourville, KY
Bardstown Health & Rehabilitation
Bardstown, KY
Barren County Nursing and Rehabilitation
Glasgow, KY
Beaver Dam Nursing & Rehab Center, INC
Beaver Dam, KY
Understanding Nursing Home Data
What the CMS records show for Madison Health and Rehabilitation Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The KY registry aggregates state averages and the highest-rated homes in this cohort. View KY registry
- Peer homes near 92 beds show how CMS stars vary at a similar scale in KY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Madison Health and Rehabilitation Center?
Where does Madison Health and Rehabilitation Center rank among nursing homes in KY?
What are the staffing levels at Madison Health and Rehabilitation Center?
How many beds does Madison Health and Rehabilitation Center have?
Does Madison Health and Rehabilitation Center have any deficiencies on record?
Has Madison Health and Rehabilitation Center received any fines or penalties?
Who owns Madison Health and Rehabilitation Center?
When was Madison Health and Rehabilitation Center last inspected?
What quality measures are tracked for Madison Health and Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
