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Madison Health & Rehabilitation Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Richmond, KY
CMS overall rating Info 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.
Signage for Madison Health & Rehabilitation Center Bright interior of a lounge with seating Bright dining area with tables and a fireplace Cozy bedroom setup with a welcoming pillow Staff members posing in the rehabilitation area

Madison Health & Rehabilitation Center

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Richmond, KY
CMS overall rating Info 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.
131 Meadowlark Dr, Richmond, KY 40475 View map Calculator: See prices in your area
Madison Health & Rehabilitation Center accepts Medicare, Medicaid, and private pay.
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Madison Health & Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Madison Health & Rehabilitation Center

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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. 

Facility Direct Line (859) 623-3564
Facility Direct Line (859) 623-3564
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 64.5% Below KY avg. ▼ 64.5% Below KY avg.KY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 31.4% Below KY avg. ▼ 31.4% Below KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 62.5% Below KY avg. ▼ 62.5% Below KY avg.KY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 65.5% Below KY avg. ▼ 65.5% Below KY avg.KY average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Kentucky averages

Rank #86 / 190Nurse hours — State benchmarkedThis home is ranked 86th out of 190 homes we track in Kentucky for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 190 Kentucky facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 86th out of 190 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 17m

12% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
14m
−70% State avg: 46m per day · National avg: 41m per day
LPN / LVN Info 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.
53m
+9% State avg: 49m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 10m
−11% State avg: 2h 26m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
2h 59m
−15% State avg: 3h 30m per day · National avg: 3h 26m per day
Physical Therapist Info 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
−18% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
8m
−75% State avg: 31m per day · National avg: 28m per day

5 of 6 metrics below state avg

Standout metric: LPN / LVN is +9% above Kentucky average

Capacity and availability

Residents per day
82
Avg. Length of Stay Info 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.
134 days
Bed community size
92-bed community Rank #128 / 340Bed count — State benchmarkedThis home is ranked 128th out of 340 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
1 year in operation Rank #55 / 167Years in operation — State benchmarkedThis home is ranked 55th out of 167 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 36 / 100 Rank #243 / 402Walk Score — State benchmarkedThis home is ranked 243rd out of 402 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
89%
Rank #82 / 168Occupancy rate — State benchmarkedThis home is ranked 82nd out of 168 homes we track in Kentucky for occupancy. Shows this facility's occupancy rate versus the Kentucky average, with its Statewide rank out of 168. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Kentucky average: 81.3%
Occupied beds
82 / 92
Average occupied beds in Kentucky homes 80 beds

License Details

Facility TypeLong Term Care (Nursing Facility)
IssuanceApril 1, 2025
CountyMadison
License Number100454
CMS Certification Number185262

Ownership & Operating Entity

Madison Health & Rehabilitation Center is legally operated by Madison Health Center, LLC, and administered by James.

Type Of Units

NF (Nursing Facility)
92 units
Total beds
92 units

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Housekeeping
Laundry
Specific ProgramsIndividualized Care, Community Living Program

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.

Since 2025 · 1 year of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 0 deficiencies 2 inspections

Inspection Scorecard Info 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)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKY Averagevs. KY Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 013 This facility has 100% fewer total deficiencies than a typical Kentucky nursing home (0 vs. KY avg 13).↓ 100% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityKY Averagevs. KY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 24 This facility has had 50% fewer total inspections than the Kentucky average (2 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 3

Kentucky average 2.9

Last Health inspection on Oct 2024

Total health citations
16 Rank #125 / 190Health citations — State benchmarkedThis home is ranked 125th out of 190 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 190 KY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Kentucky average 13.5

Citations per inspection
5.33 Rank #136 / 190Citations per inspection — State benchmarkedThis home is ranked 136th out of 190 homes we track in Kentucky for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 190 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Kentucky average 4.4

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 16 citations resulted from standard inspections; and 4 of 16 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Kentucky average

Kentucky average: 1.1

Serious health citations
2
233% worse than Kentucky average

Kentucky average: 0.6

0 critical citations Kentucky average: 1.1
2 serious citations Kentucky average: 0.6
14 moderate citations Kentucky average: 11.6
0 minor citations 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

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 132
Employees 110
Contractors 22
Staff to resident ratio 1.59 : 1
8% fewer staff per resident than Kentucky average
Kentucky average ratio: 1.72 : 1 Kentucky average ratio: 1.72 : 1See full Kentucky ranking
Avg staff/day 42
Average shift 8.6 hours
0% compared with Kentucky average
Kentucky average: 8.5 hours Kentucky average shift: 8.5 hoursSee full Kentucky ranking
Total staff hours (quarter) 33,299

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 17 LPN Staff are full-time employees. No contractors work on this role. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 63 CNA Staff are full-time employees. No contractors work on this role. 63
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

5.3%

1,768 contractor hours 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

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6306315,17092100%9.2
Licensed Practical Nurse170175,96792100%8.8
Medication Aide/Technician9093,28092100%10.1
RN Director of Nursing3031,4346874%8
Registered Nurse6061,2858289%10.9
Clinical Nurse Specialist2028807582%7.8
Other Dietary Services Staff3038168087%8.2
Nurse Practitioner1015286874%7.8
Mental Health Service Worker1014966368%7.9
Physical Therapy Assistant0444856672%6.6
Dietitian2024756166%7.8
Administrator1014725964%8
Dental Services Staff1014654751%9.9
Respiratory Therapy Technician0333495964%5.9
Speech Language Pathologist0663216368%3.4
Qualified Social Worker0443196672%4.7
Qualified Activities Professional1012633740%7.1
Occupational Therapy Aide0111041314%8
Feeding Assistant011561415%4
Medical Director011521314%4
Physical Therapy Aide011471112%4.3
Occupational Therapy Assistant0113544%8.8
63 Certified Nursing Assistant
% of Days 100%
17 Licensed Practical Nurse
% of Days 100%
9 Medication Aide/Technician
% of Days 100%
3 RN Director of Nursing
% of Days 74%
View All Staffing Data in Richmond

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 Rank #146 / 194Federal fines — State benchmarkedThis home is ranked 146th out of 194 homes we track in Kentucky for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kentucky average among facilities with fines, and where it ranks among 194 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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
Below average Kentucky avg: 3.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.31
24% worse than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.70
22% better than Kentucky average

Kentucky average: 2.19

Short-stay resident measures
Significantly below average Kentucky avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 35.5%
45% worse than Kentucky average

Kentucky average: 24.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 40.5%
191% worse than Kentucky average

Kentucky average: 13.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 8.7%
1030% worse than Kentucky average

Kentucky average: 0.8%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.6%
10% worse than Kentucky average

Kentucky average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 83
Medicare
4
4.8% of residents
Medicaid
75
90.4% of residents
Private pay or other
4
4.8% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.2M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M Rank #130 / 183Net patient revenue — State benchmarkedThis home is ranked 130th out of 183 homes we track in Kentucky. 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$259.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #67 / 183Payroll costs — State benchmarkedThis home is ranked 67th out of 183 homes we track in Kentucky. 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.9M 69% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #7 / 183Payroll % of net patient revenue — State benchmarkedThis home is ranked 7th out of 183 homes we track in Kentucky. 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 cover every community we track in Kentucky that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$4.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.3M
How we calculate these figures

This home is administered by James.

This home is owned by Summit Care Management LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 185262

Show certification details

What does this home offer?

Pets allowed icon
Pets allowed icon

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

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

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

Most new residents arrive under Medicaid (59% of admissions), and a typical Medicaid stay runs around 7 months.

Admissions
192 total

Coverage residents most often arrive under.

Medicare 14%
Private pay 27%
Medicaid 59%
Discharges
198 total

Coverage residents most often leave under.

Medicare 6%
Private pay 20%
Medicaid 74%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Madison Health & Rehabilitation Center

Address 1.4 miles from city center Info 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 to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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: 48.8% 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.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Kenwood Health and Rehabilitation Center ★ ★ ★ ★ ★
NH
RC
SNF
Richmond
93
Facility 93
KY AVG 83
Rank #126 / 340
92.5%
Facility 92.5%
KY AVG 84.5
Rank #57 / 168
+9%
3.20
Facility 3.20
KY AVG 3.75
Rank #108 / 190
 ★ ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ -48%-15%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
1
Facility 1
KY AVG 13.5
Rank #1 / 190
1.0
Facility 1.0
KY AVG 4.4
Rank #1 / 190
-86-
78
Facility 78
KY AVG 43
Rank #18 / 402
Benita Dickenson
$8.8MFiscal year ending 12/2023
Facility $8.8MFiscal year ending 12/2023
KY AVG $9.8M
Rank #103 / 183
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
KY AVG $4.8M
Rank #86 / 183
49.4%Fiscal year ending 12/2023
Facility 49.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #74 / 183
185061
The Terrace Nursing & Rehabilitation Facility ★ ★ ★ ★ ☆
NH
SNF
Berea
102
Facility 102
KY AVG 83
Rank #94 / 340
94.7%
Facility 94.7%
KY AVG 84.5
Rank #33 / 168
+12%
2.98
Facility 2.98
KY AVG 3.75
Rank #143 / 190
 ★ ★ ★ ★ ★ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -49%-20%
$0
Facility $0
KY AVG $65.4k
Rank #1 / 194
5
Facility 5
KY AVG 13.5
Rank #19 / 190
1.7
Facility 1.7
KY AVG 4.4
Rank #9 / 190
-97-
2
Facility 2
KY AVG 43
Rank #400 / 402
-
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
KY AVG $9.8M
Rank #62 / 183
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
KY AVG $4.8M
Rank #51 / 183
52.4%Fiscal year ending 12/2023
Facility 52.4%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #51 / 183
185103
Madison Health & Rehabilitation Center ★ ☆ ☆ ☆ ☆
NH
HOS
RC
SNF
Richmond
92
Facility 92
KY AVG 83
Rank #128 / 340
89.1%
Facility 89.1%
KY AVG 84.5
Rank #82 / 168
+5%
3.29
Facility 3.29
KY AVG 3.75
Rank #86 / 190
 ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -58%-12%
$11.8k
Facility $11.8k
KY AVG $65.4k
Rank #146 / 194
16
Facility 16
KY AVG 13.5
Rank #125 / 190
5.3
Facility 5.3
KY AVG 4.4
Rank #136 / 190
282-
36
Facility 36
KY AVG 43
Rank #243 / 402
Summit Care Management LLC
$7.1MFiscal year ending 12/2023
Facility $7.1MFiscal year ending 12/2023
KY AVG $9.8M
Rank #130 / 183
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
KY AVG $4.8M
Rank #67 / 183
69%Fiscal year ending 12/2023
Facility 69%Fiscal year ending 12/2023
KY AVG 48.8%
Rank #7 / 183
185262
Nursing Home Explorer

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.

Get Financial aid guidance

Home and Community Based Waiver

Kentucky Medicaid HCB Waiver

Age 65+ or disabled
General 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

Rural focus; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Homemaker services Home modifications

Hart-Supported Living Program

KY Hart-Supported Living

Age 65+ or disabled
General Kentucky resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
KY

Competitive grants; limited availability.

Benefits
In-home support (up to 10 hours/week) Respite (varies) Adaptive equipment (~$500 avg.)

Kentucky Homecare Program

Kentucky Homecare Program

Age 60+
General 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

15 AAAs; rural focus; not in nursing homes.

Benefits
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

Age 65+ or disabled
General 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

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

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Kentucky NFCSP Respite Care

Age —
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

15 AAAs; prioritizes low-income, rural caregivers.

Benefits
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

Age —
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

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

Benefits
Grants (~$500-$1,500/year) for respite Supplies Care costs; counseling Training

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

Kentucky VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General 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

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

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, and administered by James.

Is Madison Health & Rehabilitation Center in a walkable area?

Madison Health & Rehabilitation Center has a walk score of 36. Somewhat walkable. 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%.

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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