The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Madison Health and Rehabilitation Center
Richmond, KY · Medicare-certified · 92 beds
Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall
Madison Health and Rehabilitation Center in Richmond, KY has an overall rating of 1 out of 5 stars, with 1-star staffing and quality measures and 2-star health inspections. Its reported nurse staffing is 3.56 hours per resident per day, below the 4.1-hour federal benchmark, and it has the lowest overall rating; no fines were reported in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5632 hrs/resident/day
Quality measures
Last inspection: July 27, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5632.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.35
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 64%
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).
Long-stay residents on antipsychotic medication
21.4%25.8%Worsening
Residents with a fall causing major injury
3.6%2.5%Improving
Residents with pressure ulcers (bedsores)
7.5%6.7%Improving
Residents with a urinary tract infection
1.2%5.2%Worsening
Residents who lost too much weight
11%9.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%14.3%Worsening
Residents whose ability to walk got worse
—19.7%—
Long-stay residents on antianxiety or sleep medication
29.3%36.7%Worsening
Short-stay residents newly given an antipsychotic
0%2.8%Worsening
Residents with a long-term catheter
0%0.8%Worsening
Residents with new or worsening incontinence
19.4%3.1%Improving
Residents with depressive symptoms
15.3%25%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—73.8%—
Short-stay residents given the pneumonia vaccine
86.1%87.9%Improving
What the inspectors found
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
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — 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 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Sep 1, 2018
Now operated by Madison Health Center LLC, previously Richmond Health Facilities - Madison LP.
- Ownership
- For profit - Corporation
- Occupancy
- 86.1 residents on an average day (94% 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.