Madison Health & Rehabilitation Center

Assisted Living Home

Madison Health & Rehabilitation Center

131 Meadowlark Dr, Richmond, KY 40475 View Map
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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. 

(859) 623-3564

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Kentucky average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Kentucky average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Kentucky average: 2.7/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Kentucky average: 2.9/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 16m per day

This home provides 13% less nursing time per resident than the state average.

Kentucky average: 3h 45m per day

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
Operating loss
-$1.9M
Proprietary home Corporation
Home revenue
$7,726,051.00
Operating 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

Occupancy Rate
89%
Occupied Beds
82 of 92
Percentage of available beds currently in use by residents.
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

Care Services

Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

Licensed nurses on-site 24/7
Medication management
Wound care
Physical
Occupational
Speech
and Respiratory Therapies
Physician visits
Dietary and nutritional counseling
Restorative rehabilitation
Vision and dental care
Disease management and early intervention
Hospital readmission reduction program
Individualized resident care plans
Assistance with activities of daily living
Housekeeping and laundry services
Social activities

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 icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation 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.

2 visits/inspections

Results

0 with issues

2 without issues

Latest inspection

Date:September 9, 2025
Type:Abbreviated Survey

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
SNF

Nursing Homes 24/7 care needed

RC

Respite Care

Richmond
92
Yes
36
SUMMIT CARE MANAGEMENT LLC
79.1%
$7,467,038.00
$4,447,949.00
59.6%
86.50
1/5
3.2660
2/5
1/5
1/5
2
16
2
-54%
-13%
-3%

Places of interest near Madison Health & Rehabilitation Center

Address 1.4 miles from city center — 1.16 miles to nearest hospital (Baptist Health Richmond Allergy & Asthma)

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

Inspections
Total health inspections 3

Kentucky average 2.9


Last Health inspection on Oct 2024

Total health citations 16
Citations per inspection
5.33

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 More info 0
100% better than Kentucky average

Kentucky average: 1.1


Serious Health citations More info 2
233% worse than Kentucky average

Kentucky average: 0.6

0 critical citations More info Kentucky average: 1.1

2 serious citations More info Kentucky average: 0.6

14 moderate citations More info Kentucky average: 11.6

0 minor citations More info Kentucky average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Oct 11, 2024
Corrected

Quality of Care moderate citation Oct 11, 2024
Corrected

Quality of Care moderate citation Oct 11, 2024
Corrected

Care Planning moderate citation Oct 11, 2024
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 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 Info 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 average

Kentucky average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.8
15% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.8%
18% better than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.9%
In line with Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.7%
55% worse than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.3%
15% worse than Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 10.4%
81% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.5%
84% worse than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.6%
42% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 12.1%
15% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.6%
19% worse than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
In line with Kentucky average

Kentucky average: 93.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.5%
In line with Kentucky average

Kentucky average: 96.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 83.9%
In line with Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 5.2%
170% worse than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 73.8%
12% worse than Kentucky average

Kentucky average: 83.6%

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 average

Kentucky average: $63K

Number of fines 2
13% fewer fines than Kentucky average

Kentucky average: 2.3

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Kentucky average

Kentucky 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 Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 1, 2023
$6K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jul 1, 2023
$6K

Last updated: Jan 2026

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Financial Aid for Kentucky Seniors

Get financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled, Kentucky resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled, Kentucky resident.

No strict limit; prioritizes low-income.

Not applicable.

Competitive grants; limited availability.

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+, Kentucky resident, at risk of nursing home placement, not eligible for Medicaid waivers.

No strict limit; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based focus.

15 AAAs; rural focus; not in nursing homes.

Medicare Savings Program (MSP)

Kentucky Medicare Savings Program

Age 65+ or disabled, Kentucky resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; auto Extra Help for Part D.

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Kentucky resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

15 AAAs; prioritizes low-income, rural caregivers.

Kentucky Family Caregiver Program

Kentucky Family Caregiver Program

Grandparents (often 55+) as primary caregivers to grandchildren under 18, Kentucky resident, not on Kinship Care.

~$31,225/year (individual); varies by AAA.

Not strictly assessed; need-based.

Max $1,500/year; statewide via AAAs.

Senior Community Service Employment Program (SCSEP)

Kentucky SCSEP

Age 55+, unemployed, low-income, Kentucky resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Kentucky resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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