Overall rating: not rated. Madison Health and Rehabilitation Center is a Special Focus Facility with an attention flag, and it has had $271,875 in fines in the last 24 months; reported nurse staffing is 3.80 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: February 19, 2026Penalties, last 24 months: $271,875special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7956.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
1.15
Nurse aides
2.05
Weekend nursing
3.39
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 73%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
21.9%6.7%Improving
Residents with a fall causing major injury
0%1.8%Worsening
Residents with pressure ulcers (bedsores)
3.7%4.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
15.6%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.5%24.4%Worsening
Residents whose ability to walk got worse
9.3%34.5%Worsening
Long-stay residents on antianxiety or sleep medication
15.2%7%Improving
Short-stay residents newly given an antipsychotic
2.4%5%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.5%30.5%Worsening
Residents with depressive symptoms
8.3%2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—70%—
Long-stay residents given the pneumonia vaccine
90.6%85.7%Worsening
Short-stay residents given the seasonal flu vaccine
—72.5%—
Short-stay residents given the pneumonia vaccine
83.3%58.8%Worsening
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited March 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $175,240 was recorded.
PENALTY
A federal fine of $16,055 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $80,580 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $286,576 in total fines · 1 payment denial.
Federal fine
Mar 25, 2025
$175,240
Federal fine
Aug 27, 2024
$16,055
Medicare/Medicaid payment denial
Jun 19, 2024
15 days
Federal fine
Jun 19, 2024
$80,580
Federal fine
Dec 21, 2023
$14,701
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of CHAMPION CARE · 21 homes · 2.2 stars avg
Occupancy
68.5 residents on an average day (83% of 83 beds)
Resident voice
Resident council
Medicare history
Certified for 51 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.