Show Inspection Reports
Total health inspections
3
Kentucky average 2.9
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home in Kentucky
CMS overall rating
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.
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.
Madisonville Health and Rehabilitation, LLC
Nursing Home in Kentucky
CMS overall rating
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.
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.
Madisonville Health and Rehabilitation, LLC
Madisonville Health and Rehabilitation, LLC is a nursing and rehabilitation center located in Madisonville, Kentucky. The facility offers skilled nursing and rehabilitation services, ensuring personalized care for each resident. It fosters a warm and family-oriented environment for both short and long-term care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
94
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.9%
Residents per day (avg)
83
Occupancy rate
88.9%
Residents per day (avg)
83
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
37% of new residents, often for short stays.
Typical stay
1 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
9 - 10 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$9.2M
Profit
$223.1K
Privately-owned community
Operated by a business corporation.
Home revenue
$9.2M
Profit
$223.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.9M
94-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceJune 1, 2025
CountyHOPKINS
License Number100185
CMS Certification Number185015
Madisonville Health and Rehabilitation, LLC is administrated by Robert Epley.
Owner NameMADISONVILLE HEALTH AND REHABILITATION, LLC
Rehabilitation Services
Skilled Nursing
Private Rooms
Social Events
Spiritual Services
Arts & Crafts
Free Cable
Laundry Service
Wifi
Games
Movies
Bingo
Specific ProgramsSkilled Nursing, Rehab-to-Home Program, Wound Care, 360 Care, Geriatric Psychology, Tracheotomy Care
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.
1 visit/inspection
Latest inspection
Date
May 1, 2025
Complaint InvestigationInspection Report Summary for Madisonville Health and Rehabilitation, LLC
The most recent inspection on May 1, 2025, was a complaint investigation that included some deficiencies. Earlier inspections showed a mix of results, with some citations related primarily to documentation and resident care. Inspectors cited issues such as incomplete records and occasional lapses in care procedures. Complaint investigations were generally unsubstantiated or did not result in enforcement actions, which were not listed in the available reports. The inspection history does not show a clear pattern of improvement or decline over time.
Health Inspection History
Inspections
Total health citations
7
Kentucky average 13.5
Citations per inspection
2.33
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
7 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
May 01, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 01, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 01, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 01, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
May 01, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 16, 2020
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 16, 2020
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
Barren County Nursing and Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Glasgow
94
82.7%
+2%
3.22
-14%
1
11
3.7
0
88
-
-
Herbstman, Moshe
$8.6M
$2.8M
32.7%
185229
Madisonville Health and Rehabilitation, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Madisonville
94
88.9%
+9%
3.31
-12%
0
7
2.3
0
83
-
-
Ky M53 Spe Opco Holdco Llc
$9.2M
$3.1M
33.6%
185015
Auburn Nursing and Rehabilitation Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Auburn
66
62.0%
-24%
1.44
-62%
0
13
3.3
0
50
-
-
Bolster, Nancy
$4.0M
$1.8M
44.9%
185049
Beaver Dam Nursing and Rehab Center, Inc
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Beaver Dam
71
84.3%
+4%
-
-
0
9
3.0
0
54
-
-
-
$7.0M
$3.4M
47.9%
185334
Bardstown Heatlh & Rehabilitation
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bardstown
100
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
109
Employees
91
Contractors
18
Staff to resident ratio
1.33:1
24% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
40
Average shift
8.5 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
30,904
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
10.9%
3,355 contractor hours this quarter
Physical Therapy Aide: 6
Speech Language Pathologist: 4
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Staff by category
| Certified Nursing Assistant | 52 | 0 | 52 | 14,373 | 91 | 100% | 8.8 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,946 | 91 | 100% | 10.4 |
| Medication Aide/Technician | 8 | 0 | 8 | 2,516 | 91 | 100% | 11.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,810 | 70 | 77% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,409 | 79 | 87% | 7.3 |
| Registered Nurse | 6 | 0 | 6 | 1,366 | 89 | 98% | 8.4 |
| Other Dietary Services Staff | 2 | 0 | 2 | 937 | 65 | 71% | 7.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 913 | 79 | 87% | 6.5 |
| Nurse Aide in Training | 4 | 0 | 4 | 581 | 62 | 68% | 6.5 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 493 | 63 | 69% | 7.8 |
| RN Director of Nursing | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 442 | 67 | 74% | 6.5 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 320 | 52 | 57% | 5.6 |
| Qualified Social Worker | 0 | 2 | 2 | 271 | 60 | 66% | 4.4 |
52 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
8 Medication Aide/Technician
% of Days
100%
4 Clinical Nurse Specialist
% of Days
77%
6 Physical Therapy Aide
% of Days
87%
6 Registered Nurse
% of Days
98%
2 Other Dietary Services Staff
% of Days
71%
4 Speech Language Pathologist
% of Days
87%
4 Nurse Aide in Training
% of Days
68%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Mental Health Service Worker
% of Days
69%
1 RN Director of Nursing
% of Days
67%
2 Physical Therapy Assistant
% of Days
74%
4 Respiratory Therapy Technician
% of Days
57%
2 Qualified Social Worker
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
82 residents
Residents by payment source
Medicare
2 residents (2.4%)
Medicaid
67 residents (81.7%)
Private pay or other
13 residents (15.9%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
18.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
18.8
79% worse than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.0
53% worse than Kentucky averageKentucky average: 18.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
36.7%
Percent of long-stay residents whose need for help with daily activities has increased
36.7%
118% worse than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
33.7%
Percent of long-stay residents whose ability to move independently worsened
33.7%
72% worse than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.5%
19% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.6%
Percent of long-stay high risk residents with pressure ulcers
9.6%
67% worse than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
27% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.2%
Percent of long-stay residents who lose too much weight
10.2%
51% worse than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.3%
Percent of long-stay residents who have depressive symptoms
2.3%
84% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.5%
Percent of long-stay residents who received an antipsychotic medication
10.5%
33% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Kentucky averageKentucky average: 96.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.0%
In line with Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
68% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.3%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Madisonville Health and Rehabilitation, LLC based on CMS SNF Cost Reports.
Occupancy Rate
88.9%
↑ 1.6pp vs 2022
Net Income
$223.1K
↓ ~$620.6K vs 2022
Total Payroll
$3.5M
↓ ~$622.7K vs 2022
Profit Margin
2.4%
↓ 6.7pp vs 2022
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