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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Madison Health and Rehab is a privately owned 70-bed skilled nursing and rehabilitation facility in Madison, Georgia, serving Morgan County residents on South Main Street. Skilled nursing, memory care, rehabilitation, hospice and palliative care, and respite stays with 24-hour staffing are offered. Medicare, Medicaid, and private pay accepted.
Staffing is the biggest weakness in the data. Nurse hours of 2h 38m per resident day rank 180th among 190 Georgia SNFs, 27 percent below the state average of 3h 37m and below the national 3-hour floor, driving the 1-star staffing sub-rating that anchors the 2-star CMS overall. Nurse aide hours run 12 percent above state average, which means direct care aide staffing is stronger than the overall picture suggests, but licensed nurse coverage runs substantially below state norms. Over seven years on file, the facility averaged 6 deficiencies per year against a 4.9 Georgia average, with no immediate jeopardy findings, fines, or enforcement actions. A January 2023 substantiated complaint figured the facility failed to report abuse allegations to the state survey agency for two residents and failed to conduct a thorough investigation of a sexual abuse allegation. A March 2023 annual survey found incomplete background checks for two nursing staff and pureed food recipe compliance affecting seven residents. The June 2021 annual survey documented an uncertified dietary manager and privacy curtains providing inadequate visual privacy in 11 of 12 rooms on one hall. Life safety deficiencies have appeared in both 2023 and 2025 surveys, concentrated in fire system maintenance and egress. The health inspection sub-rating of 11.9 percent above Georgia’s average reflects the recency weighting of cleaner recent surveys against an older record. Occupancy at 94 percent runs well above Georgia’s 78.1 percent average.
An outdoor courtyard, a fishing pond, a beauty salon, and a dining program are some amenities. Programs feature cardiac rehabilitation, stroke recovery, a Pathway to Home discharge program, a dementia program, and hospice and palliative care.
The facility suits residents in Morgan County seeking skilled nursing or post-acute rehabilitation with an unusually broad specialty services menu, particularly those whose care needs include cardiac recovery, stroke rehabilitation, or end-of-life planning.
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 180th out of 190 homes in Georgia for nurse hours. 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.
| 24m per day | ▼ 17% State avg: 29m 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.
| 37m per day | ▼ 34% State avg: 56m 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 24m per day | ▲ 12% State avg: 2h 9m 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 12m per day | ▲ 3% State avg: 3h 6m 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.
| 1m per day | ▼ 67% State avg: 3m 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.
| 15m per day | ▼ 25% State avg: 20m per day · National avg: 28m per day |
Higher than the Georgia average: 78.1%Madison Health and Rehab is administrated by Ms Joanne Wrenn.
In Georgia, the Department of Community Health, Healthcare Facility Regulation Division conducts unannounced inspections to ensure facilities adhere to state health and safety requirements.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Georgia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | GA Average | vs. GA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 54 | 21 | This facility has 157% more total deficiencies than a typical Georgia nursing home (54 vs. GA avg 21).↑ 157% worse |
|
Deficiencies per year
Average deficiencies per year since 2017.
| 6 | 2.3 | This facility has 161% more deficiencies per year than a typical Georgia nursing home (6 vs. GA avg 2.3).↑ 161% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Georgia average 3.4
Last Health inspection on May 2025
Georgia average 16.6
Georgia average 4.68
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 14 citations resulted from standard inspections; and 2 of 14 resulted from complaint investigations.
100% better than Georgia averageGeorgia average: 0.7
100% better than Georgia averageGeorgia average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% fewer staff per resident than Georgia average
6% better than Georgia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 32 CNA Staff are full-time employees. No contractors work on this role.
32
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
49 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 0 | 32 | 12,732 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 7 | 0 | 7 | 3,524 | 92 | 100% | 9.6 |
| Registered Nurse | 4 | 0 | 4 | 1,118 | 80 | 87% | 9.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,070 | 78 | 85% | 10.4 |
| Administrator | 2 | 0 | 2 | 1,024 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 637 | 65 | 71% | 7.3 |
| Dietitian | 1 | 0 | 1 | 560 | 69 | 75% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 548 | 58 | 63% | 9.4 |
| Nurse Practitioner | 1 | 0 | 1 | 533 | 53 | 58% | 10 |
| RN Director of Nursing | 1 | 0 | 1 | 482 | 79 | 86% | 6.1 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 124 | 41 | 45% | 3 |
| Physical Therapy Assistant | 1 | 0 | 1 | 72 | 29 | 32% | 2.5 |
| Qualified Social Worker | 1 | 0 | 1 | 62 | 36 | 39% | 1.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 47 | 13 | 14% | 3.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
15.3
49% worse than Georgia averageGeorgia average: 10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.2
34% worse than Georgia averageGeorgia average: 17.4
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
21.1%
25% worse than Georgia averageGeorgia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
40.6%
109% worse than Georgia averageGeorgia average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.0%
51% better than Georgia averageGeorgia average: 16.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.8%
77% better than Georgia averageGeorgia average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.9%
7% better than Georgia averageGeorgia average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.1%
17% better than Georgia averageGeorgia average: 2.5%
Percent of long-stay residents who lose too much weight
8.3%
38% worse than Georgia averageGeorgia average: 6.0%
Percent of long-stay residents who have depressive symptoms
98.0%
1020% worse than Georgia averageGeorgia average: 8.7%
Percent of long-stay residents who received an antipsychotic medication
30.1%
57% worse than Georgia averageGeorgia average: 19.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
8% better than Georgia averageGeorgia average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Georgia averageGeorgia average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
3.22
48% worse than Georgia averageGeorgia average: 2.18
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.50
78% worse than Georgia averageGeorgia average: 1.97
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
77.2%
In line with Georgia averageGeorgia average: 80.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Georgia averageGeorgia average: 2.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Georgia averageGeorgia average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
14.3%
73% worse than Georgia averageGeorgia average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
37% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
66Residents 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 and Rehab 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 #103 / 185Payroll — State benchmarkedThis home is ranked 103rd out of 185 homes in Georgia for payroll. Shows total annual staff payroll benchmarked to the Georgia 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.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Madison's city center to Madison Health and Rehab's address, calculated via Google Maps.
Add your location
Madison Health and Rehab is located in MADISON, Georgia.
Here are the financial assistance programs available to residents in Georgia.
The information below is reported by the Georgia Department of Community Health, Healthcare Facility Regulation Division.
| Cedar Valley Nursing & Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cedartown | 100
Facility
100
GA AVG
88
Rank
#194 / 672 | 78.0% | 0% | 3.57 | +3% | 0% | $0 | 3 | 1.0 | - | 78 | - |
63
Facility
63
GA AVG
39
Rank
#168 / 873 | Rhonda Blankenship | $11.4M | $2.4M | 21.3% | 115436 | ||||
| Spring Harbor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Columbus | 60
Facility
60
GA AVG
88
Rank
#455 / 672 | 71.4% | -9% | 5.70 | -35% | +60% | $0 | 9 | 3.0 | - | 32 | - |
3
Facility
3
GA AVG
39
Rank
#812 / 873 | Maurice S Hill | $23.0M | $5.8M | 25.3% | 115716 | ||||
| Cumming Health and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cumming | 87
Facility
87
GA AVG
88
Rank
#308 / 672 | 100.0% | +28% | 4.70 | +110% | +32% | $0 | 7 | 3.5 | - | 87 | - |
32
Facility
32
GA AVG
39
Rank
#510 / 873 | - | $10.8M | $5.0M | 46.2% | 115551 | ||||
| Madison Health and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Madison | 70
Facility
70
GA AVG
88
Rank
#398 / 672 | 94.3% | +21% | 2.63 | -24% | -26% | $0 | 14 | 3.5 | - | 66 | - |
64
Facility
64
GA AVG
39
Rank
#157 / 873 | Joanne Wrenn | $7.5M | $4.9M | 65.1% | 115457 | ||||
| Chestnut Ridge Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Cumming (Samaritan Drive) | 150
Facility
150
GA AVG
88
Rank
#69 / 672 | 90.0% | +15% | 3.15 | -2% | -12% | $15.6k | 30 | 6.0 | 4 | 135 | C+ |
29
Facility
29
GA AVG
39
Rank
#548 / 873 | - | $20.0M | $2.8M | 14% | 115423 |
Madison Health and Rehab has a walk score of 64. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Madison Health and Rehab's occupancy is 94%.
The team at Madison Health and Rehab can be reached at [email protected].
Ms JOANNE WRENN is the administrator of Madison Health and Rehab.
Madison Health and Rehab has 70 beds.
Yes — there are 8 photos of Madison Health and Rehab in the photo gallery on this page.
Madison Health and Rehab is located at 2036 SOUTH MAIN STREET.
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