Facility type
Long Term Care (nursing Facility)
Status
Active
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.
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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
$9,164,366.00
Profit
$223,096.00
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
License details
Issuance
June 1, 2025
County:
HOPKINS
Additional licensing details
License number:
100185
CMS Certification Number:
185015
Ownership & operating entity
Madisonville Health and Rehabilitation, LLC is administrated by ROBERT EPLEY.
Owner name:
MADISONVILLE HEALTH AND REHABILITATION, LLC
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled 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
Show Inspection Reports
Latest inspection
Date:May 1, 2025
Type:Complaint Investigation
Inspection 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 inspections
3
Kentucky average 2.9
Last Health inspection on May 2025
Total health citations
7
Citations per inspection
2.33
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
May 01, 2025
Corrected
Infection Control moderate citation
May 01, 2025
Corrected
Quality of Care moderate citation
May 01, 2025
Corrected
Nutrition moderate citation
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.
Barren County Nursing and Rehabilitation
-36%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42141
94
HERBSTMAN, MOSHE
82.7%
$8,631,885.00
$2,825,267.00
32.7%
88.30
3.2236
1
11
-36%-14%+2%
Madisonville Health and Rehabilitation, LLC
-47%
-12%
+9%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42431
94
KY M53 SPE OPCO HOLDCO LLC
88.9%
$9,164,230.00
$3,074,687.00
33.6%
83.30
3.3147
-
7
-47%-12%+9%
Auburn Nursing and Rehabilitation Center
-49%
-62%
-24%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42206
66
BOLSTER, NANCY
62.0%
$4,023,909.00
$1,805,984.00
44.9%
49.60
1.4392
-
13
-49%-62%-24%
Beaver Dam Nursing and Rehab Center, Inc
-7%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 42320
71
-
84.3%
$7,017,998.00
$3,361,771.00
47.9%
53.80
-
-
9
-7%
-
+4%
Bardstown Heatlh & Rehabilitation
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
KY 40004
100
-
-
-
-
-
-
-
-
-
-
-
Barren County Nursing and Rehabilitation
Type of care:
SNF
AL
Community:
KY 42141
Bed Count:
94
Operator:
HERBSTMAN, MOSHE
CCN:
185229
Occupancy:
82.7%
Home Revenue:
$8,631,885.00
Payroll Costs:
$2,825,267.00
Payroll %:
32.7%
Avg Residents/Day:
88.30
Overall Rating:
Adj Nurse Hours:
3.2236
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
11
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Madisonville Health and Rehabilitation, LLC
Type of care:
SNF
AL
Community:
KY 42431
Bed Count:
94
Operator:
KY M53 SPE OPCO HOLDCO LLC
CCN:
185015
Occupancy:
88.9%
Home Revenue:
$9,164,230.00
Payroll Costs:
$3,074,687.00
Payroll %:
33.6%
Avg Residents/Day:
83.30
Overall Rating:
Adj Nurse Hours:
3.3147
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-47%
-47%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
+9%
+9%
Auburn Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
KY 42206
Bed Count:
66
Operator:
BOLSTER, NANCY
CCN:
185049
Occupancy:
62.0%
Home Revenue:
$4,023,909.00
Payroll Costs:
$1,805,984.00
Payroll %:
44.9%
Avg Residents/Day:
49.60
Overall Rating:
Adj Nurse Hours:
1.4392
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
13
RN share vs State Avg:
-49%
-49%
Staffing vs State Avg:
-62%
-62%
Occupancy vs State Avg:
-24%
-24%
Beaver Dam Nursing and Rehab Center, Inc
Type of care:
SNF
AL
Community:
KY 42320
Bed Count:
71
CCN:
185334
Occupancy:
84.3%
Home Revenue:
$7,017,998.00
Payroll Costs:
$3,361,771.00
Payroll %:
47.9%
Avg Residents/Day:
53.80
Overall Rating:
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
9
RN share vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+4%
+4%
Places of interest near Madisonville Health and Rehabilitation, LLC
0.0 miles from city center
MADISONVILLE, KY 42431
Calculate Travel Distance to Madisonville Health and Rehabilitation, LLC
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
109
Total Staff
91
Employees
18
Contractors
30,904
Total Hours (Quarter)
40
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 8.4 | No |
| Licensed Practical Nurse | 11 | 10.4 | No |
| Certified Nursing Assistant | 52 | 8.8 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
82 staff
9.1hs shift avg
Physicians & Practitioners ⓘ
5 staff
8hs shift avg
Therapy Services ⓘ
16 staff
6.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
4.4hs shift avg
Dietary Services ⓘ
2 staff
7.8hs shift avg
Other Services ⓘ
1 staff
7.8hs shift avg
Contractor Analysis
10.9%
of total hours from contractors
3,355 contractor hours this quarter
Physical Therapy Aide: 6
Speech Language Pathologist: 4
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Respiratory Therapy Technician: 4
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
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
$223,096
↓ ~$621K vs 2022
Total Payroll
$3,493,621
↓ ~$623K vs 2022
Profit Margin
2.4%
↓ 6.7pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Kentucky Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Madisonville Health and Rehabilitation, LLC
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
