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Nursing home report

Madison Health and Rehabilitation Center

Richmond, KY · Medicare-certified · 92 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Madison Health and Rehabilitation Center in Richmond, KY has a 1 out of 5 overall rating, with 1-star staffing and quality measures and 2-star health inspections. It reports 3.56 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $0 in fines in the last 24 months, and is flagged for the lowest overall rating.

Facility ratings

Health inspections

Staffing

3.5632 hrs/resident/day

Quality measures

Last inspection: April 8, 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 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 1 health deficiency.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  6. 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.