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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Madison Health & Rehabilitation Center in Richmond, Kentucky provides a warm and friendly environment dedicated to delivering top-notch services to its residents. With licensed nurses available around the clock, residents can enjoy peace of mind knowing their health and well-being are in capable hands.
The home offers a comprehensive range of services, including medication management, wound care, physician visits, and dental and vision care. Residents can also engage in social activities while housekeeping and laundry services are taken care of. The center prides itself on its hospital readmission reduction program, disease management, and early intervention initiatives. With a trusted reputation, the center boasts a skilled team of clinical and rehabilitation staff committed to providing expert care and support for long-term residents.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 90th out of 184 homes in Kentucky. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 22m per day | ▼ 52% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 55m per day | ▲ 12% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 20m per day | ▼ 4% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 7m per day | ▼ 11% State avg: 3h 30m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 25% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 9m per day | ▼ 71% State avg: 31m per day · National avg: 28m per day |
Higher than the Kentucky average: 81.3%Madison Health & Rehabilitation Center is legally operated by Madison Health Center, Llc, and administrated by James.
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKentucky average 2.9
Last Health inspection on Oct 2024
Kentucky average 13.5
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 16 citations resulted from standard inspections; and 4 of 16 resulted from complaint investigations.
100% better than Kentucky averageKentucky average: 1.1
233% worse than Kentucky averageKentucky average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
8% worse than Kentucky average
0% compared with Kentucky average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.9 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,768 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 15,170 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,967 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 9 | 0 | 9 | 3,280 | 92 | 100% | 10.1 |
| RN Director of Nursing | 3 | 0 | 3 | 1,434 | 68 | 74% | 8 |
| Registered Nurse | 6 | 0 | 6 | 1,285 | 82 | 89% | 10.9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 880 | 75 | 82% | 7.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 816 | 80 | 87% | 8.2 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 68 | 74% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 63 | 68% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 485 | 66 | 72% | 6.6 |
| Dietitian | 2 | 0 | 2 | 475 | 61 | 66% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 465 | 47 | 51% | 9.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 349 | 59 | 64% | 5.9 |
| Speech Language Pathologist | 0 | 6 | 6 | 321 | 63 | 68% | 3.4 |
| Qualified Social Worker | 0 | 4 | 4 | 319 | 66 | 72% | 4.7 |
| Qualified Activities Professional | 1 | 0 | 1 | 263 | 37 | 40% | 7.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Feeding Assistant | 0 | 1 | 1 | 56 | 14 | 15% | 4 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Physical Therapy Aide | 0 | 1 | 1 | 47 | 11 | 12% | 4.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 4 | 4% | 8.8 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
81% lower than Kentucky averageKentucky average: $63K
13% fewer fines than Kentucky averageKentucky average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 1, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 1, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
11% worse than Kentucky averageKentucky average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
15% worse than Kentucky averageKentucky average: 18.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
18% better than Kentucky averageKentucky average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
19.9%
In line with Kentucky averageKentucky average: 19.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.7%
55% worse than Kentucky averageKentucky average: 20.5%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
15% worse than Kentucky averageKentucky average: 3.8%
Percent of long-stay high risk residents with pressure ulcers
10.4%
81% worse than Kentucky averageKentucky average: 5.8%
Percent of long-stay residents with a urinary tract infection
3.5%
84% worse than Kentucky averageKentucky average: 1.9%
Percent of long-stay residents who lose too much weight
9.6%
42% worse than Kentucky averageKentucky average: 6.8%
Percent of long-stay residents who have depressive symptoms
12.1%
15% better than Kentucky averageKentucky average: 14.3%
Percent of long-stay residents who received an antipsychotic medication
18.6%
19% worse than Kentucky averageKentucky average: 15.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
In line with Kentucky averageKentucky average: 93.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Kentucky averageKentucky average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.31
24% worse than Kentucky averageKentucky average: 1.87
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.70
22% better than Kentucky averageKentucky average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
In line with Kentucky averageKentucky average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
5.2%
170% worse than Kentucky averageKentucky average: 1.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.8%
12% worse than Kentucky averageKentucky average: 83.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.5%
45% worse than Kentucky averageKentucky average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
40.5%
191% worse than Kentucky averageKentucky average: 13.9%
Percentage of SNF residents who experience falls with major injury during their stay.
8.7%
1030% worse than Kentucky averageKentucky average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
14% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
59% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Madison Health & Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #61 / 188Payroll — State benchmarkedThis home is ranked 61st out of 188 homes in Kentucky. Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Most residents stay for extended periods and receive ongoing daily care.
1.4 miles from city center
Estimated distance in miles from Richmond's city center to Madison Health & Rehabilitation Center's address, calculated via Google Maps.
— 1.16 miles to nearest hospital (Baptist Health Richmond Allergy & Asthma)
Add your location
Madison Health & Rehabilitation Center is located in Richmond, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
The legal owner and operator of Madison Health & Rehabilitation Center is Madison Health Center, Llc.
Madison Health & Rehabilitation Center has a walk score of 36. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to KY state health department records, Madison Health & Rehabilitation Center's license number is 100454.
According to KY state health department records, Madison Health & Rehabilitation Center's license expires on March 31, 2026.
Madison Health & Rehabilitation Center's occupancy is 89%.
James is the administrator of Madison Health & Rehabilitation Center.
Madison Health & Rehabilitation Center has 92 beds.
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