Madison Health & Rehabilitation Center

Madison Health & Rehabilitation Center is an Assisted Living Home in Kentucky

Madison Health & Rehabilitation… is an Assisted Living Home in Kentucky

Madison Health & Rehabilitation Center

131 Meadowlark Dr, Richmond, KY 40475 View Map

Madison Health & Rehabilitation Center is an Assisted Living Home in Kentucky

Madison Health & Rehabilitation… is an Assisted Living Home in Kentucky

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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. 

+1 859-623-3564

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.27/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 92

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Kentucky average
Occupancy rate 79.1%
Residents per day (avg) 87
Occupancy rate
79.1%
Residents per day (avg)
87

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

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

Proprietary home
Corporation
Home revenue
$7.7M
Loss
-$1.9M
Proprietary home Corporation
Home revenue
$7,726,051.00
Loss
$-1,939,859.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
57.6% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.2M
Total costs $9.7M
Bed community size
92-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 36 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Status
Active
Facility Type
Long Term Care (Nursing Facility)
License Date
April 1, 2025
License Expiration
March 31, 2026

Additional licensing details

License number: 100454
CMS Certification Number: 185262
County: MADISON

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

What does this home offer?

Pets allowed icon
Check icon

Pets Allowed: Yes, Pets Allowed

Building type icon
Check icon

Building Type: Single-story

Transportation services icon
Check icon

Transportation Services

Fitness and recreation icon
Check icon

Fitness and Recreation

Types of Care at Madison Health & Rehabilitation Center

Nursing Home Assisted Living
Contact Madison Health & Rehabilitation Center

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.

Places of interest near Madison Health & Rehabilitation Center

Address 1.4 miles from city center

Address 131 Meadowlark Dr, Richmond, KY 40475

Calculate Travel Distance to Madison Health & Rehabilitation Center

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

124
Total Staff
105
Employees
19
Contractors
32,270
Total Hours (Quarter)
41
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse69.4 No
Licensed Practical Nurse188.9 No
Certified Nursing Assistant599.4 No
Staff by Category
Administration
2 staff
7.3hs shift avg
Nursing Staff
94 staff
9.3hs shift avg
Physicians & Practitioners
4 staff
7.8hs shift avg
Therapy Services
14 staff
5.4hs shift avg
Activities & Recreation
1 staff
7.8hs shift avg
Social Services
3 staff
3.9hs shift avg
Dietary Services
4 staff
8.4hs shift avg
Other Services
2 staff
8.4hs shift avg
Contractor Analysis
5.6%
of total hours from contractors
1,815 contractor hours this quarter
Respiratory Therapy Technician: 3 Speech Language Pathologist: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 3 Medical Director: 1 Occupational Therapy Aide: 2 Occupational Therapy Assistant: 1 Feeding Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant5905915,46091100%9.4
Licensed Practical Nurse180185,64191100%8.9
Medication Aide/Technician6062,63191100%10.4
RN Director of Nursing4041,4496774%8
Registered Nurse6061,0687886%9.4
Clinical Nurse Specialist3039466268%7.7
Physical Therapy Assistant0445607481%5.8
Other Dietary Services Staff3035525965%8.9
Administrator1015126470%8
Dietitian1015036369%8
Respiratory Therapy Technician0334886774%6.9
Nurse Practitioner1014886167%8
Dental Services Staff1014715358%8.9
Mental Health Service Worker1014295459%7.9
Speech Language Pathologist0443106369%3.5
Qualified Activities Professional1013063943%7.8
Qualified Social Worker0332506369%3.9
Occupational Therapy Aide022961516%6.4
Medical Director011521314%4
Feeding Assistant0113855%7.5
Occupational Therapy Assistant0112333%7.5

Health Inspection History

Source: CMS Health Citations (Jul 2023 – Oct 2024)

3
Inspections
16
Total Citations
0
Critical (J-L)
2
Serious (G-I)
5.33
Citations/Inspection
Oct 2024
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
14
Serious (G-I)
2
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
5
31% of total
Infection Control
3
19% of total
Resident Rights
2
13% of total
Pharmacy Services
1
6% of total
Citation Sources
Standard Inspections 12
Complaint Investigations 4
State Comparison (KY)
Citations
16
Kentucky average: 13.5
Critical Citations
0
Kentucky average: 1.1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Oct 11, 2024 D Infection ControlF0880 Corrected
Oct 11, 2024 E Quality of CareF0676 Corrected
Oct 11, 2024 D Quality of CareF0693 Corrected
Oct 11, 2024 D Care PlanningF0641 Corrected
Oct 11, 2024 E Care PlanningF0657 Corrected
Nov 17, 2023 E Infection ControlF0880 Corrected
Nov 17, 2023 F Infection ControlF0945 Corrected
Nov 17, 2023 E PharmacyF0761 Corrected
Nov 17, 2023 D Quality of CareF0675 Corrected
Nov 17, 2023 E Quality of CareF0679 Corrected
Nov 17, 2023 D Resident RightsF0550 Corrected
Nov 17, 2023 E Resident RightsF0584 Corrected
Jul 01, 2023 F NutritionF0803 Corrected
Jul 01, 2023 F NutritionF0804 Corrected
Jul 01, 2023 G Quality of CareF0689 Corrected
Jul 01, 2023 G Care PlanningF0657 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: Topaz
Resident Census by Payment Source
83 Total Residents
Medicare 4 (4.8%)
Medicaid 75 (90.4%)
Private Pay/Other 4 (4.8%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
11.6 Score
11% worse than avg Kentucky avg: 10.5

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
21.8 Score
15% worse than avg Kentucky avg: 18.9

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
13.8%
Lost Too Much Weight
9.6%
Urinary Tract Infection
3.5%
Depressive Symptoms
12.1%
Falls with Major Injury
4.3%
Pneumococcal Vaccine
95.4%
Antipsychotic Use
18.6%
Walking Ability Worsened
19.9%
Influenza Vaccine
95.5%
High Risk Residents with Pressure Ulcers
10.4%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
31.7%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
83.9% Near average Kentucky: 83.7%
Short-Stay Residents Who Received a New Antipsychotic Medication
5.2% 170% worse than avg Kentucky: 1.9%
Influenza Vaccine
73.8% 12% worse than avg Kentucky: 83.6%

Penalties & 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 $12K Kentucky avg: $63K 81% better than avg
Number of Fines 2 Kentucky avg: 2.3
Compared to Kentucky Average Facility: $12K | Kentucky Avg: $63K
Penalty History

Showing all 2 penalties (Jul 2023 - Jul 2023)

Jul 1, 2023 Civil Money Penalty
$6K
Jul 1, 2023 Civil Money Penalty
$6K

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Kentucky Seniors

Program
State Program Name
Eligibility
Benefits
Home and Community Based Waiver
Kentucky Medicaid HCB Waiver
  • General: Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • KY Specifics: Rural focus; waitlists possible.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), homemaker services, home modifications.
Hart-Supported Living Program
KY Hart-Supported Living
Official government program page
  • General: Age 65+ or disabled, Kentucky resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • KY Specifics: Competitive grants; limited availability.
  • Services: In-home support (up to 10 hours/week), respite (varies), adaptive equipment (~$500 avg.).
Kentucky Homecare Program
Kentucky Homecare Program
  • General: Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
  • Income Limits (2025): No strict limit; prioritizes low-income (~$24,980/year individual).
  • Asset Limits: Not assessed; need-based focus.
  • KY Specifics: 15 AAAs; rural focus; not in nursing homes.
  • Services: Personal care (4-6 hours/day), respite (5 days/year), chore services, meal delivery ($7/meal), minor home repairs.
Medicare Savings Program (MSP)
Kentucky Medicare Savings Program
  • General: Age 65+ or disabled, Kentucky resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • KY Specifics: Three tiers; no waitlist; auto Extra Help for Part D.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
National Family Caregiver Support Program (NFCSP) Respite
Kentucky NFCSP Respite Care
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • KY Specifics: 15 AAAs; prioritizes low-income, rural caregivers.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training, supplies (~$500/year).
Kentucky Family Caregiver Program
Kentucky Family Caregiver Program
  • General: Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
  • Income Limits (2025): ~$31,225/year (individual); varies by AAA.
  • Asset Limits: Not strictly assessed; need-based.
  • KY Specifics: Max $1,500/year; statewide via AAAs.
  • Services: Grants (~$500-$1,500/year) for respite, supplies, care costs; counseling, training.
Senior Community Service Employment Program (SCSEP)
Kentucky SCSEP
  • General: Age 55+, unemployed, low-income, Kentucky resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • KY Specifics: Priority for veterans, rural residents.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Kentucky VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • KY Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Claim What’s Yours Financial Aid for Kentucky Seniors

Kentucky Medicaid HCB Waiver

Home and Community Based Waiver

Requirements:
  • General:
    Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • KY Specifics:
    Rural focus; waitlists possible.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), homemaker services, home modifications.
KY Hart-Supported Living

Hart-Supported Living Program

Requirements:
  • General:
    Age 65+ or disabled, Kentucky resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • KY Specifics:
    Competitive grants; limited availability.
Benefits without Contact:
  • Services: In-home support (up to 10 hours/week), respite (varies), adaptive equipment (~$500 avg.).
Kentucky Homecare Program

Kentucky Homecare Program

Requirements:
  • General:
    Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.
  • Income Limits (2025):
    No strict limit; prioritizes low-income (~$24,980/year individual).
  • Asset Limits:
    Not assessed; need-based focus.
  • KY Specifics:
    15 AAAs; rural focus; not in nursing homes.
Benefits without Contact:
  • Services: Personal care (4-6 hours/day), respite (5 days/year), chore services, meal delivery ($7/meal), minor home repairs.
Kentucky Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Kentucky resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • KY Specifics:
    Three tiers; no waitlist; auto Extra Help for Part D.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Kentucky NFCSP Respite Care

National Family Caregiver Support Program (NFCSP) Respite

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • KY Specifics:
    15 AAAs; prioritizes low-income, rural caregivers.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($55/day), caregiver training, supplies (~$500/year).
Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Requirements:
  • General:
    Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.
  • Income Limits (2025):
    ~$31,225/year (individual); varies by AAA.
  • Asset Limits:
    Not strictly assessed; need-based.
  • KY Specifics:
    Max $1,500/year; statewide via AAAs.
Benefits without Contact:
  • Services: Grants (~$500-$1,500/year) for respite, supplies, care costs; counseling, training.
Kentucky SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Kentucky resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • KY Specifics:
    Priority for veterans, rural residents.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Kentucky VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • KY Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
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