Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
132
110 employees · 22 contractors · 42 on an average day Madison Health & Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Richmond, KY
CMS overall rating
1/5
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.
1/5
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 & Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Richmond, KY
CMS overall rating
1/5
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.
1/5
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 & Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Overview of Madison Health & Rehabilitation Center
Madison Health Center operates Madison Health & Rehabilitation Center, a 92-bed nursing community in Richmond, Kentucky. Available programs encompass short- and long-term nursing, skilled clinical monitoring, hospice support, and temporary respite stays. Total nurse staffing averages 3 hours and 26 minutes per resident each day to cover direct personal and medical needs.
Short-term rehabilitation patients recover in private therapy suites before transitioning home. Long-term amenities include an on-site beauty and barber salon, pet-friendly living policies, and scheduled local church trips. Daily engagement draws from the Community Living Program, which schedules cooking sessions, gentle movement classes, live music performances, table games, and one-on-one visits. Financial coverage accommodates Medicare, Medicaid, and private funds.
Prospective residents considering dedicated rehabilitation or nursing care can contact Madison Health & Rehabilitation Center to review room availability and tour the therapy wing.
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.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Total nursing care per resident / day
This nursing home is ranked 81st out of 188 nursing homes we track in Kentucky 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.
3h 26m
This nursing home is ranked 81st out of 188 nursing homes we track in Kentucky 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.
3h 26mStandout metric: LPN / LVN is +26% above Kentucky average
5 of 6 metrics below Kentucky average
Daily care time per resident, by role
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. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 10.9-hour shifts
10m
↓ 78% · KY 46mThis facility: 10m per resident per day, 78% below the Kentucky average of 46m (among Kentucky facilities reporting a recent figure).
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. All 6 are the facility's own employees; no agency contractors work in this role.
6 staff · 10.9-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 8.8-hour shifts
1h 2m
↑ 26% · KY 49mThis facility: 1h 2m per resident per day, 26% above the Kentucky average of 49m (among Kentucky facilities reporting a recent figure).
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. All 17 are the facility's own employees; no agency contractors work in this role.
17 staff · 8.8-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 63 are the facility's own employees; no agency contractors work in this role.
63 staff · 9.2-hour shifts
2h 15m
↓ 8% · KY 2h 26mThis facility: 2h 15m per resident per day, 8% below the Kentucky average of 2h 26m (among Kentucky facilities reporting a recent figure).
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. All 63 are the facility's own employees; no agency contractors work in this role.
63 staff · 9.2-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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
↓ 22% · KY 4mThis facility: 3m per resident per day, 22% below the Kentucky average of 4m (among Kentucky facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 9m
↓ 10% · KY 3h 30mThis facility: 3h 9m per resident per day, 10% below the Kentucky average of 3h 30m (among Kentucky facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
6m
↓ 80% · KY 31mThis facility: 6m per resident per day, 80% below the Kentucky average of 31m (among Kentucky facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
132
110 employees · 22 contractors · 42 on an average day
132 total staff / 83 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.59 : 1
↓ 5% · KY 1.67This facility: 1.59 staff per resident, 5% below the Kentucky average of 1.67 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
132 staff ÷ 83 residents
See full Kentucky ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.6 h
↑ 1% · KY 8.5 hThis facility: 8.6 h, 1% above the Kentucky average of 8.5 h (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
33,299 staff hours this quarter
See full Kentucky ranking →94.7% of staff hours were worked by the facility's own employees
Kentucky average: 92.7% · Contractors this quarter: Speech Language Pathologist (6), Physical Therapy Assistant (4), Qualified Social Worker (4), Respiratory Therapy Technician (3), Feeding Assistant (1), Medical Director (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Physical Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
92
Rank #110 / 194Bed count — State benchmarked This nursing home is ranked 110th out of 194 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
92
Rank #110 / 194Bed count — State benchmarked This nursing home is ranked 110th out of 194 nursing homes we track in Kentucky for bed count. Shows this facility's certified or reported bed count compared to other Kentucky facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #16 / 144Years in operation — State benchmarked This nursing home is ranked 16th out of 144 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #16 / 144Years in operation — State benchmarked This nursing home is ranked 16th out of 144 nursing homes we track in Kentucky for years in operation. Shows how long this facility has been in operation compared to other Kentucky facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #135 / 204Walk Score — State benchmarked This nursing home is ranked 135th out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #135 / 204Walk Score — State benchmarked This nursing home is ranked 135th out of 204 nursing homes we track in Kentucky for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Kentucky facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
36
/ 100
Occupancy rate
Occupancy between 85% and 95% suggests balanced demand.
Rank #84 / 162Occupancy rate — State benchmarked This nursing home is ranked 84th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy between 85% and 95% suggests balanced demand.
Rank #84 / 162Occupancy rate — State benchmarked This nursing home is ranked 84th out of 162 nursing homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
89.1%
This home usually has limited availability
Based on 82 residents and 92 beds. Source: state inspection report (Sep 2025)
Similar to the Kentucky average: 85.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
104
days
About This Community
Facility TypeLong Term Care (Nursing Facility)
IssuanceApril 1, 2025
CountyMadison
License Number100454
CMS Certification Number185262
Madison Health & Rehabilitation Center is legally operated by Madison Health Center, LLC.
NF (Nursing Facility)
92 units
Total beds
92 units
Resident Council
Respiratory Therapy (In-House, Four Days a Week and On Call)
Orthopedic Recovery
Physical Therapy
Occupational Therapy
Speech Therapy
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
In-House Physician Visits
Nutritional Counseling
Diabetes Management
IV Therapy
Post-Surgical Care
Disease Management and Early Intervention
Hospital Readmission Reduction Program
Certified Wound Nurse
Psychological Services
End of Life Care
Comfort/Palliative Care Program
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Discharge Planning
Daily Living Assistance
Housekeeping
Laundry & Linen
Transportation
Pets AllowedVaccination records required.
Wi-Fi
Meeting Room
Fish Tank
Medify Air Purifiers
Conference Room/Media Center
Beauty Salon
Nail Services
Library
Activities
Exercise/Movement Class (Moves & Groves)
Live Music (Music with Tim Jones)
Happy Hour
Table Games
Cornhole
Cooking Classes
One-To-One Visits
Bingo
Resident Council Meeting
Volleyball
Yoga Classes
Social Outings (E.g., Restaurant Outings)
Social Gatherings with Friends and Family
Bible Trivia
Daily Devotional
Bible Study
Building TypeSingle-story
In-Room Features
Cable TV In Every Room
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
Since 2025 · 1 year of data
These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 0 deficiencies 2 inspections
Includes all inspection records for this property, which could include management/ownership changes. 0 deficiencies 2 inspections
Inspection Scorecard
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kentucky state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2025 vs. Kentucky state average
Overall vs. KY average
0 Worse
No metrics in this bucket.
1 Better
Metrics better than Kentucky average:
• Total deficiencies (100% below)
• Total deficiencies (100% below)
Deficiencies
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 2.0 | This facility has 100% fewer total deficiencies than a typical Kentucky nursing home (0 vs. KY avg 2).↓ 100% better |
Inspections
| This Facility | KY Average | vs. KY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 2 | 2.0 | This facility has total inspections in line with the Kentucky average (2 vs. KY avg 2).— At avg |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
3
↑ 3% · KY 2.9This facility: 3, 3% above the Kentucky average of 2.9 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
8
Rank #59 / 189Health citations — State benchmarked This nursing home is ranked 59th out of 189 nursing homes we track in Kentucky for health citations. Shows this facility's total health deficiency citations benchmarked to the Kentucky State average, with a ranking across all 189 KY facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · KY 12.5This facility: 8, 36% below the Kentucky average of 12.5 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
2.67
Rank #39 / 189Citations per inspection — State benchmarked This nursing home is ranked 39th out of 189 nursing homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 189 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · KY 4.18This facility: 2.67, 36% below the Kentucky average of 4.18 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
8 of 8 citations corrected
Critical
J–L
0
↓ 100% · KY 1This facility: 0, 100% below the Kentucky average of 1 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · KY 0.6This facility: 0, 100% below the Kentucky average of 0.6 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
8
↓ 26% · KY 10.8This facility: 8, 26% below the Kentucky average of 10.8 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · KY 0.1This facility: 0, 100% below the Kentucky average of 0.1 (among Kentucky facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Apr 08, 2026 · 1 citation (Quality of Care, moderate), corrected
Most cited category: Quality of Life & Care, 3 of 8 citations · 4 categories in total
Citations history
Most recent first
Apr 08, 2026
1 citation
Quality of Care moderate citation
Corrected
Corrected
Jul 24, 2025
2 citations
Environmental moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Oct 11, 2024
5 citations
Infection Control moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Top deficiency categories
Share of 8 citations
Quality of Life & Care
3 deficiencies (38%)
Infection Control
2 deficiencies (25%)
Resident Assessment & Care Planning
2 deficiencies (25%)
Environmental
1 deficiency (13%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 8 citations resulted from standard inspections; and 1 of 8 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Total fines
$0
KY avg $49KKentucky average: $48,846. Average among the 91 Kentucky facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0
KY avg 2.14Kentucky average: 2.14. Average among the 91 Kentucky facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
KY avg 0.29Kentucky average: 0.29. Average among the 91 Kentucky facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Kentucky average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below average
↓ 43% · KY 3.5This facility: 2.0, 43% below the KY average of 3.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
1
/ 5
Significantly below average
↓ 55% · KY 2.2This facility: 1.0, 55% below the KY average of 2.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
9.2
Score · lower is better
↑ 7% · KY 8.6This facility: 9.2, 7% above the KY average of 8.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.6
Score · lower is better
↓ 13% · KY 15.6This facility: 13.6, 13% below the KY average of 15.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 5 better, 7 worse, 1 near KY average
7 short-stay measures: 1 better, 4 worse, 1 compared with US only, 1 without a benchmark
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
↓ 10% · KY 13.8This facility: 12.5, 10% below the KY average of 13.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
12.5%
↓ 10% · KY 13.8This facility: 12.5, 10% below the KY average of 13.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
15.5%
↑ 11% · KY 14.0This facility: 15.5, 11% above the KY average of 14.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
15.5%
↑ 11% · KY 14.0This facility: 15.5, 11% above the KY average of 14.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.7%
↓ 33% · KY 19.0This facility: 12.7, 33% below the KY average of 19.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.7%
↓ 33% · KY 19.0This facility: 12.7, 33% below the KY average of 19.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 79% · KY 1.6This facility: 2.8, 79% above the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.8%
↑ 79% · KY 1.6This facility: 2.8, 79% above the KY average of 1.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
↓ 45% · KY 3.9This facility: 2.1, 45% below the KY average of 3.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
↓ 45% · KY 3.9This facility: 2.1, 45% below the KY average of 3.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
7.2%
↑ 51% · KY 4.8This facility: 7.2, 51% above the KY average of 4.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
7.2%
↑ 51% · KY 4.8This facility: 7.2, 51% above the KY average of 4.8 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
8.7%
↑ 30% · KY 6.6This facility: 8.7, 30% above the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
8.7%
↑ 30% · KY 6.6This facility: 8.7, 30% above the KY average of 6.6 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
20.8%
↑ 18% · KY 17.7This facility: 20.8, 18% above the KY average of 17.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
20.8%
↑ 18% · KY 17.7This facility: 20.8, 18% above the KY average of 17.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
21.3%
↑ 32% · KY 16.1This facility: 21.3, 32% above the KY average of 16.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
21.3%
↑ 32% · KY 16.1This facility: 21.3, 32% above the KY average of 16.1 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
↑ 5% · KY 94.3This facility: 99.4, 5% above the KY average of 94.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
↑ 5% · KY 94.3This facility: 99.4, 5% above the KY average of 94.3 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↓ 1% · KY 96.2This facility: 95.5, 1% below the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↓ 1% · KY 96.2This facility: 95.5, 1% below the KY average of 96.2 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.31
↑ 24% · KY 1.87This facility: 2.31, 24% above the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.31
↑ 24% · KY 1.87This facility: 2.31, 24% above the KY average of 1.87 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.70
↓ 22% · KY 2.19This facility: 1.70, 22% below the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.70
↓ 22% · KY 2.19This facility: 1.70, 22% below the KY average of 2.19 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 7 measures
Daily care & independence
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
45.6%
↓ 10% · US 50.6This facility: 45.6, 10% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
45.6%
↓ 10% · US 50.6This facility: 45.6, 10% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
8.7%
Percentage of SNF residents who experience falls with major injury during their stay.
8.7%
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 48% · KY 1.7This facility: 0.9, 48% below the KY average of 1.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
↓ 48% · KY 1.7This facility: 0.9, 48% below the KY average of 1.7 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.1%
↓ 5% · KY 84.0This facility: 80.1, 5% below the KY average of 84.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.1%
↓ 5% · KY 84.0This facility: 80.1, 5% below the KY average of 84.0 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.8%
↓ 12% · KY 83.5This facility: 73.8, 12% below the KY average of 83.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.8%
↓ 12% · KY 83.5This facility: 73.8, 12% below the KY average of 83.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.5%
↑ 45% · KY 24.5This facility: 35.5, 45% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
35.5%
↑ 45% · KY 24.5This facility: 35.5, 45% above the KY average of 24.5 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
40.5%
↑ 191% · KY 13.9This facility: 40.5, 191% above the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
40.5%
↑ 191% · KY 13.9This facility: 40.5, 191% above the KY average of 13.9 (among KY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Madison Health & Rehabilitation Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 186 Kentucky nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−2.2% operating margin
+28.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($0.0M) trims the net loss to −$0.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Kentucky homes
53.1% payroll share of revenue
KY average 45.8%Rank #33 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 33rd out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $2.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Kentucky homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $9.7M | +$2.6M | Trend 20162024 | KY median $10.7M | Rank in KY Rank #118 / 186Net patient revenue — State benchmarked This nursing home is ranked 118th out of 186 nursing homes we track in Kentucky for net patient revenue. Shows this facility's net patient revenue compared to the Kentucky average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 37% of homes | Below KY median Higher net patient revenue than 37% of KY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $9.9M | +$0.6M | Trend 20162024 | KY median — | Rank in KY Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.2M | +$2.0M | Trend 20162024 | KY median — | Rank in KY Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −2.2% | +28.7 pts | Trend 20162024 | KY median — | Rank in KY Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | KY median — | Rank in KY Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.2M | +$1.7M | Trend — | KY median — | Rank in KY Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Kentucky homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | KY median | Compared with KY homesRank in KY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.1M | +$0.2M | Trend 20162024 | KY median $4.7M | Rank in KY Rank #77 / 186Payroll costs — State benchmarked This nursing home is ranked 77th out of 186 nursing homes we track in Kentucky for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Kentucky average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 59% of homes | Above KY median Higher payroll than 59% of KY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 53.1% | −15.9 pts | Trend 20162024 | KY median 45.7% | Rank in KY Rank #33 / 186Payroll % of net patient revenue — State benchmarked This nursing home is ranked 33rd out of 186 nursing homes we track in Kentucky for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Kentucky average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Kentucky that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 83% of homes | 7.3 pts over KY average The KY average is 45.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · KY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Kentucky payroll average.
% of net patient revenue
Payroll share Operating margin KY payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018no report | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $7.4M | $7.2M | $6.1M | $6.4M | $6.7M | $6.6M | $7.1M | $9.7M | |
| Operating expenses | $7.7M | $9.4M | $7.4M | $7.8M | $7.0M | $9.3M | $9.3M | $9.9M | |
| Net patient income | −$0.3M | −$2.2M | −$1.2M | −$1.4M | −$0.3M | −$2.7M | −$2.2M | −$0.2M | |
| Operating margin | −3.9% | −30.9% | −20.0% | −21.6% | −4.9% | −41.6% | −30.9% | −2.2% | |
| Net income | −$0.3M | −$2.2M | −$1.2M | −$1.3M | $0.1M | −$2.4M | −$1.9M | −$0.2M | |
| Payroll costs | $3.2M | $3.2M | $3.1M | $3.3M | $3.0M | $2.9M | $4.9M | $5.1M | |
| Payroll share of revenue | 43.7% | 45.1% | 49.8% | 52.0% | 45.1% | 43.4% | 69.0% | 53.1% | |
| Beds | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | |
| Gross revenue | $10.9M | $10.4M | $7.9M | $7.4M | $7.1M | $7.2M | $7.5M | $9.3M | |
| Salaries | $2.7M | $2.6M | $2.7M | $3.0M | $2.7M | $2.5M | $4.4M | $4.6M | |
| Wage-related costs | $0.5M | $0.7M | $0.3M | $0.4M | $0.3M | $0.3M | $0.5M | $0.5M | |
| Contract labor | $0.5M | $0.5M | — | — | — | — | $0.9M | $0.5M | |
| Other operating costs | $4.4M | $6.2M | $4.3M | $4.5M | $4.0M | $6.5M | $4.4M | $4.8M | |
| Net patient revenue per day | $247 | $234 | $212 | $237 | $261 | $262 | $268 | $325 | |
| Cost per day | $257 | $306 | $255 | $288 | $274 | $370 | $351 | $332 | |
| Average length of stay | 126.4 days | 116.7 days | 507.5 days | 138.4 days | 207.3 days | 136.3 days | 134.2 days | 103.7 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Jun 2026
Arriving
297 admissions · FY2024
Residents admitted during the year.
Medicare
52 · 18%
Medicaid
178 · 60%
Private pay & other
67 · 23%
Resident snapshot
83 residents · Jun 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
4 · 5%
Medicaid
75 · 90%
Private pay & other
4 · 5%
Leaving
288 discharges · FY2024
Residents discharged during the year.
Medicare
28 · 10%
Medicaid
204 · 71%
Private pay & other
56 · 19%
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Places of interest near Madison Health & Rehabilitation Center
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.
Calculate Travel Distance to Madison Health & Rehabilitation Center
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Info below is compiled from CMS reports & the KY Cabinet for Health & Family Services (CHFS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Kentucky average is: 45.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Terrace Nursing & Rehabilitation Facility | NH SNF | Berea | 102
Facility
102
KY AVG
98
Rank
#81 / 194 |
95.0%
Facility
95.0%
KY AVG
85.1%
Rank
#34 / 162 | +12% | 2.83
Facility
2.83
KY AVG
3.76
Rank
#140 / 188 | -49% | -25% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 5
Facility
5
KY AVG
12.5
Rank
#26 / 189 | 1.7
Facility
1.7
KY AVG
4.2
Rank
#15 / 189 | - | 97 | - |
2
Facility
2
KY AVG
46
Rank
#203 / 204 | - | $12.1MFiscal year ending 12/2024
Facility
$12.1MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#66 / 186 | $6.1MFiscal year ending 12/2024
Facility
$6.1MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#52 / 186 | 50.2%Fiscal year ending 12/2024
Facility
50.2%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#51 / 186 | 185103 | ||||
| Kenwood Health and Rehabilitation Center | NH RC SNF | Richmond | 93
Facility
93
KY AVG
98
Rank
#108 / 194 |
92.5%
Facility
92.5%
KY AVG
85.1%
Rank
#58 / 162 | +9% | 3.35
Facility
3.35
KY AVG
3.76
Rank
#104 / 188 | -48% | -11% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 1
Facility
1
KY AVG
12.5
Rank
#1 / 189 | 1.0
Facility
1.0
KY AVG
4.2
Rank
#1 / 189 | - | 86 | - |
78
Facility
78
KY AVG
46
Rank
#8 / 204 | Kenwood Health Center, LLC | $10.2MFiscal year ending 12/2024
Facility
$10.2MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#104 / 186 | $5.0MFiscal year ending 12/2024
Facility
$5.0MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#81 / 186 | 48.8%Fiscal year ending 12/2024
Facility
48.8%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#62 / 186 | 185061 | ||||
| Madison Health & Rehabilitation Center | NH HOS RC SNF | Richmond | 92
Facility
92
KY AVG
98
Rank
#110 / 194 |
89.1%
Facility
89.1%
KY AVG
85.1%
Rank
#84 / 162 | +5% | 3.44
Facility
3.44
KY AVG
3.76
Rank
#81 / 188 | -58% | -8% | $0
Facility
$0
KY AVG
$48.8k
Rank
#1 / 192 | 8
Facility
8
KY AVG
12.5
Rank
#59 / 189 | 2.7
Facility
2.7
KY AVG
4.2
Rank
#39 / 189 | - | 82 | - |
36
Facility
36
KY AVG
46
Rank
#135 / 204 | Madison Health Center, LLC | $9.7MFiscal year ending 12/2024
Facility
$9.7MFiscal year ending 12/2024
KY AVG
$11.4M
Rank
#118 / 186 | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
KY AVG
$5.2M
Rank
#77 / 186 | 53.1%Fiscal year ending 12/2024
Facility
53.1%Fiscal year ending 12/2024
KY AVG
45.8%
Rank
#33 / 186 | 185262 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other KY nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Kentucky
Madison Health & Rehabilitation Center is located in Richmond, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Frequently Asked Questions about Madison Health & Rehabilitation Center
Who is the owner of Madison Health & Rehabilitation Center?
Madison Health & Rehabilitation Center is legally operated by Madison Health Center, LLC.
Is Madison Health & Rehabilitation Center in a walkable area?
Madison Health & Rehabilitation Center has a walk score of 36. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Madison Health & Rehabilitation Center?
According to KY state health department records, Madison Health & Rehabilitation Center's license number is 100454.
What is the occupancy rate at Madison Health & Rehabilitation Center?
Madison Health & Rehabilitation Center's occupancy is 89.1%.
How long has Madison Health & Rehabilitation Center been in business?
Madison Health & Rehabilitation Center has been operating for approximately 1 year, based on available licensing and registration records.
Are pets allowed at Madison Health & Rehabilitation Center?
Yes, Madison Health & Rehabilitation Center allows residents to bring their pets.
Does Madison Health & Rehabilitation Center operate as a for-profit or non-profit?
Madison Health & Rehabilitation Center is registered as a for-profit in KY.
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