Madison Health and Rehabilitation Center in Richmond, KY has a 1-star overall rating, with 2-star health inspection and quality measures ratings and a 1-star staffing rating. It reports 3.56 nursing hours per resident per day versus the 4.1-hour federal benchmark, has $0 in fines over the last 24 months, and is flagged for the lowest overall rating.
Last inspection: July 24, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5644.
Staffing detail
Registered nurses
0.34
Licensed practical nurses
0.92
Nurse aides
2.30
Weekend nursing
3.12
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 73%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20%Improving
Residents with a fall causing major injury
2.4%Improving
Residents with pressure ulcers (bedsores)
8.4%Improving
Residents with a urinary tract infection
2.5%Improving
Residents who lost too much weight
7.3%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.7%Improving
Residents whose ability to walk got worse
16.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
33.9%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.6%Worsening
Residents with new or worsening incontinence
20.7%Improving
Residents with depressive symptoms
18.5%Worsening
Long-stay residents given the seasonal flu vaccine
95.5%Steady
Long-stay residents given the pneumonia vaccine
98.8%Improving
Short-stay residents given the seasonal flu vaccine
73.8%Steady
Short-stay residents given the pneumonia vaccine
78.7%Worsening
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited July 2023 — widespread issue, potential for harm.
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F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2023 — widespread issue, potential for harm.
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F-Tag 804 — 42 CFR §483.60 — S/S: F
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 July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $11,764 in total fines.
Federal fine
Jul 1, 2023
$5,882
Operator & ownership
Ownership
For profit - Corporation
Occupancy
87 residents on an average day (95% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.