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Nursing home report

Madison Health and Rehabilitation Center

Richmond, KY · Medicare-certified · 92 beds

Needs attention
For-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.5644 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

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.