Occupancy rate
89%
In line with Kentucky averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living Home
Madison Health & Rehabilitation Center
Overview of Madison Health & Rehabilitation Center
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.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
92
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.1%
Residents per day (avg)
87
Occupancy rate
89.1%
Residents per day (avg)
87
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
14% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
27% of new residents, often for short stays.
Typical stay
1 months
Medicaid
59% of new residents, often for long-term daily care.
Typical stay
7 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$7.7M
Operating loss
-$1.9M
Privately-owned community
Operated by a business corporation.
Home revenue
$7,726,051.00
Operating loss
$-1,939,859.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.7M
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 36 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Occupancy
In line with Kentucky averageOccupied beds
82 / 92
Average residents
80 per day
License details
Facility type
Long Term Care (nursing Facility)
Status
Active
Issuance
April 1, 2025
Expiration
March 31, 2026
County:
MADISON
Additional licensing details
License number:
100454
CMS Certification Number:
185262
Ownership & operating entity
Madison Health & Rehabilitation Center is legally operated by MADISON HEALTH CENTER, LLC, and administrated by JAMES.
Type Of Units
NF (Nursing Facility)
92 units
Total beds
92 units
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing, Specialty Services, Individualized Care, Rehabilitation, Amenities, Activities, Activities Calendar, Community Living Program
What does this home offer?
Pets Allowed: Yes, Pets Allowed
Building Type: Single-story
Transportation Services
Fitness and Recreation
Types of Care at Madison Health & Rehabilitation Center
Nursing Home
Assisted Living
Inspection History
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.
2 visits/inspections
Show Inspection Reports
Latest inspection
Date:September 9, 2025
Type:Abbreviated Survey
Inspection Report Summary for Madison Health & Rehabilitation Center
The most recent inspection on September 9, 2025, found the facility to be in substantial compliance with no deficiencies noted. Earlier inspections also showed no deficiencies, including a March 5, 2025, survey that investigated prior concerns but found no deficit practices. There were no complaint investigations or enforcement actions listed in the available reports. The facility has maintained compliance across recent inspections. This pattern suggests consistent adherence to regulatory requirements over time.
Health Inspection History
Inspections
Total health inspections
3
Kentucky average 2.9
Last Health inspection on Oct 2024
Total health citations
16
Kentucky average 13.5
Citations per inspection
5.33
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
2
2
233% worse than Kentucky averageKentucky average: 0.6
0 critical citations
2 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 11, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 11, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 11, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 11, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 11, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Oct 11, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Richmond The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Madison Health & 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).
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.
Richmond
92
Yes
36
Places of interest near Madison Health & Rehabilitation Center
1.4 miles from city center — 1.16 miles to nearest hospital (Baptist Health Richmond Allergy & Asthma)
131 Meadowlark Dr, Richmond, KY 40475
Calculate Travel Distance to Madison Health & Rehabilitation Center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
124
Employees
105
Contractors
19
Staff to resident ratio
1.49:1
15% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
41
Average shift
8.6 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
32,270
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.6%
1,815 contractor hours this quarter
Speech Language Pathologist: 4
Physical Therapy Assistant: 4
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Occupational Therapy Aide: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Feeding Assistant: 1
Staff by category
| Certified Nursing Assistant | 59 | 0 | 59 | 15,460 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 18 | 0 | 18 | 5,641 | 91 | 100% | 8.9 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,631 | 91 | 100% | 10.4 |
| RN Director of Nursing | 4 | 0 | 4 | 1,449 | 67 | 74% | 8 |
| Registered Nurse | 6 | 0 | 6 | 1,068 | 78 | 86% | 9.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 946 | 62 | 68% | 7.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 560 | 74 | 81% | 5.8 |
| Other Dietary Services Staff | 3 | 0 | 3 | 552 | 59 | 65% | 8.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 488 | 67 | 74% | 6.9 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 53 | 58% | 8.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 429 | 54 | 59% | 7.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 310 | 63 | 69% | 3.5 |
| Qualified Activities Professional | 1 | 0 | 1 | 306 | 39 | 43% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 250 | 63 | 69% | 3.9 |
| Occupational Therapy Aide | 0 | 2 | 2 | 96 | 15 | 16% | 6.4 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Feeding Assistant | 0 | 1 | 1 | 38 | 5 | 5% | 7.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.5 |
59 Certified Nursing Assistant
% of Days
100%
18 Licensed Practical Nurse
% of Days
100%
6 Medication Aide/Technician
% of Days
100%
4 RN Director of Nursing
% of Days
74%
6 Registered Nurse
% of Days
86%
3 Clinical Nurse Specialist
% of Days
68%
4 Physical Therapy Assistant
% of Days
81%
3 Other Dietary Services Staff
% of Days
65%
1 Administrator
% of Days
70%
1 Dietitian
% of Days
69%
3 Respiratory Therapy Technician
% of Days
74%
1 Nurse Practitioner
% of Days
67%
1 Dental Services Staff
% of Days
58%
1 Mental Health Service Worker
% of Days
59%
4 Speech Language Pathologist
% of Days
69%
1 Qualified Activities Professional
% of Days
43%
3 Qualified Social Worker
% of Days
69%
2 Occupational Therapy Aide
% of Days
16%
1 Medical Director
% of Days
14%
1 Feeding Assistant
% of Days
5%
1 Occupational Therapy Assistant
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
83 residents
Residents by payment source
Medicare
4 residents (4.8%)
Medicaid
75 residents (90.4%)
Private pay or other
4 residents (4.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.6
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.8
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
18% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.9%
Percent of long-stay residents whose ability to move independently worsened
19.9%
In line with Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.7%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.3%
15% worse than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.4%
Percent of long-stay high risk residents with pressure ulcers
10.4%
81% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.5%
Percent of long-stay residents with a urinary tract infection
3.5%
84% worse than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.6%
Percent of long-stay residents who lose too much weight
9.6%
42% worse than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
12.1%
Percent of long-stay residents who have depressive symptoms
12.1%
15% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.6%
Percent of long-stay residents who received an antipsychotic medication
18.6%
19% worse than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
In line with Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.9%
In line with Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.2%
Percent of short-stay residents who newly received an antipsychotic medication
5.2%
170% worse than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.8%
12% worse than Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$12K
81% lower than Kentucky averageKentucky average: $63K
Number of fines
2
13% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$12K
Kentucky average
$63K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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, 2023
$6K
Civil Money Penalty
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, 2023
$6K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Madison Health & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
79.1%
↑ 4.0pp vs 2022
Net Income
-$1,939,859
↑ ~$470K vs 2022
Total Payroll
$5,856,381
↑ ~$3.0M vs 2022
Profit Margin
-26.0%
↑ 7.5pp vs 2022
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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