Madisonville Health and Rehabilitation, LLC

Nursing Home & Skilled Nursing · Madisonville, KY

CMS overall rating

419 North Seminary St, Madisonville, KY 42431 View map

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Madisonville Health and Rehabilitation, LLC accepts Medicare, Medicaid, and private pay.

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Madisonville Health and Rehabilitation, LLC accepts Medicare, Medicaid, and private pay.

Overview of Madisonville Health and Rehabilitation

Madisonville Health and Rehabilitation manages a 94-bed skilled nursing facility located on North Seminary Street in Madisonville, Kentucky. This community accepts standard financial options, processing billing via private pay, Medicare, and Medicaid. Because the surrounding neighborhood scores a 70 for walkability, visiting guests and families can complete most of their daily errands and short trips entirely on foot.

The facility structures its workflow around an average resident stay of 120 days. This timeline keeps the daily schedule centered on a mix of short-term recovery and standard long-term housing. The nursing team remains on the floor around the clock, delivering 3 hours and 19 minutes of direct care per resident daily to monitor specialized tracks like geriatric psychology, a Rehab-to-Home program, and complex clinical procedures such as tracheotomy support.

The building is equipped with facility-wide Wi-Fi and complimentary cable television across its residential spaces. Every day household operations pair standard laundry, room cleaning, and building upkeep with a recreational schedule that features movies, bingo, games, arts and crafts, and spiritual services. For families tracking regulatory safety files, a recent complaint-focused state inspection documented zero compliance issues or deficiencies.

Individuals can examine how the team manages its daily nursing rotations, transitional home-bound therapy paths, and recent state compliance records. The facility pairs these clinical frameworks with standard provisions, including building-wide internet access, regular household cleaning, structured social activities, and straightforward walking access to the local town.

Facility Direct Line (270) 821-5564 info@madisonvillehealthandrehab.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours 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

Total nursing care This home is ranked 91st out of 189 homes 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 19m

12% below state avg

Staff type

Hours / day / resident

vs state avg

Registered Nurse (RN)

32m

LPN / LVN

33m

Nurse Aide

2h 11m

Weekend Total Nursing

2h 56m

Physical Therapist

Weekend RN

16m

All 6 underlying metrics fall below the state average

Capacity and availability

120 days

94-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 70 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

85%

Similar to the Kentucky average: 81.3%

Occupied beds

80 / 94

Average occupied beds in Kentucky homes 80 beds

Facility TypeLong Term Care (Nursing Facility)

StatusActive

IssuanceJune 1, 2025

CountyHopkins

License Number100185

CMS Certification Number185015

Madisonville Health and Rehabilitation, LLC is administered by Robert Epley.

Owner NameMadisonville Health And Rehabilitation, LLC

Rehabilitation Services

Pets not allowed

Social Events

Arts & Crafts

Cable Tv

Laundry

Wi-Fi

Game Room

Movie Theater

Bingo

Since 2018 · 8 years of data 7 deficiencies 3 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 2018 vs. Kentucky state average

Overall vs. KY average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	KY Average	vs. KY Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	7	6	This facility has 17% more total deficiencies than a typical Kentucky nursing home (7 vs. KY avg 6).↑ 17% worse
Deficiencies per inspection Average deficiencies per inspection.	2.3	1.5	This facility has 53% more deficiencies per inspection than a typical Kentucky nursing home (2.3 vs. KY avg 1.5).↑ 53% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	KY Average	vs. KY Avg
Total inspections Combined count of all inspections conducted at this facility.	3	4	This facility has had 25% fewer total inspections than the Kentucky average (3 vs. KY avg 4). More inspections can mean more regulatory scrutiny rather than worse care.↓ 25% fewer

Show Inspection Reports

Inspections since 2018

Total health inspections 3

State average 2.9

Last Health inspection on May 2025

Total health citations

State average 13.5

Citations per inspection

2.33

State 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 8 years)

Critical health citations

100% better than State average

State average: 1.1

Serious health citations

100% better than State average

State average: 0.6

0 critical citations State average: 1.1

0 serious citations State average: 0.6

7 moderate citations State average: 11.6

0 minor citations State average: 0.1

Citations history (last 8 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

Total staff 105

Employees 85

Contractors 20

Staff to resident ratio 1.28 : 1

26% fewer staff per resident than Kentucky average

Avg staff/day 37

Average shift 8.5 hours

0% compared with Kentucky average

Total staff hours (quarter) 28,828

Nursing staff breakdown

8.5 hours

10 hours

9.1 hours

Contractor staffing

3,179 contractor hours this quarter

Physical Therapy Aide: 8 Speech Language Pathologist: 4 Respiratory Therapy Technician: 3 Qualified Social Worker: 3 Physical Therapy Assistant: 2

Staff by category


Certified Nursing Assistant	42	0	42	12,434	92	100%	9.1
Licensed Practical Nurse	10	0	10	4,062	92	100%	10
Medication Aide/Technician	11	0	11	3,118	92	100%	11.3
Registered Nurse	9	0	9	2,138	92	100%	8.5
Physical Therapy Aide	0	8	8	1,399	79	86%	7.1
Clinical Nurse Specialist	4	0	4	1,196	79	86%	6.2
Speech Language Pathologist	0	4	4	844	79	86%	6
Other Dietary Services Staff	3	0	3	735	63	68%	7.8
Nurse Practitioner	2	0	2	554	66	72%	7.8
Administrator	1	0	1	528	66	72%	8
Nurse Aide in Training	2	0	2	458	43	47%	9.5
Physical Therapy Assistant	0	2	2	434	69	75%	6.2
Mental Health Service Worker	1	0	1	426	55	60%	7.8
Qualified Social Worker	0	3	3	406	69	75%	5.3
Respiratory Therapy Technician	0	3	3	96	45	49%	1.9

42 Certified Nursing Assistant

% of Days 100%

10 Licensed Practical Nurse

% of Days 100%

11 Medication Aide/Technician

% of Days 100%

9 Registered Nurse

% of Days 100%

8 Physical Therapy Aide

% of Days 86%

4 Clinical Nurse Specialist

% of Days 86%

4 Speech Language Pathologist

% of Days 86%

3 Other Dietary Services Staff

% of Days 68%

2 Nurse Practitioner

% of Days 72%

1 Administrator

% of Days 72%

2 Nurse Aide in Training

% of Days 47%

2 Physical Therapy Assistant

% of Days 75%

1 Mental Health Service Worker

% of Days 60%

3 Qualified Social Worker

% of Days 75%

3 Respiratory Therapy Technician

% of Days 49%

View All Staffing Data

No penalties in the past 3 years

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

High-risk clinical events score 18.8

79% worse than Kentucky average

Kentucky average: 10.5

Functional decline score 29.0

53% worse than Kentucky average

Kentucky average: 18.9

Long-stay resident measures

Below average Kentucky avg: 3.5

Need for Help with Daily Activities Increased 36.7%

118% worse than Kentucky average

Kentucky average: 16.8%

Walking Ability Worsened 33.7%

72% worse than Kentucky average

Kentucky average: 19.6%

Low Risk Residents with Bowel/Bladder Incontinence 16.5%

19% better than Kentucky average

Kentucky average: 20.5%

Falls with Major Injury 3.6%

In line with Kentucky average

Kentucky average: 3.8%

High Risk Residents with Pressure Ulcers 9.6%

67% worse than Kentucky average

Kentucky average: 5.8%

Urinary Tract Infection 1.4%

27% better than Kentucky average

Kentucky average: 1.9%

Lost Too Much Weight 10.2%

51% worse than Kentucky average

Kentucky average: 6.8%

Depressive Symptoms 2.3%

84% better than Kentucky average

Kentucky average: 14.3%

Antipsychotic Use 10.5%

33% better than Kentucky average

Kentucky average: 15.6%

Pneumococcal Vaccine 95.1%

In line with Kentucky average

Kentucky average: 93.9%

Influenza Vaccine 100.0%

In line with Kentucky average

Kentucky average: 96.2%

Hospitalizations per 1,000 days 1.38

26% better than Kentucky average

Kentucky average: 1.87

ED visits per 1,000 days 2.07

5% better than Kentucky average

Kentucky average: 2.19

Short-stay resident measures

Significantly below average Kentucky avg: 2.2

Pneumococcal Vaccine 82.0%

In line with Kentucky average

Kentucky average: 83.7%

Antipsychotic medication increase 0.6%

68% better than Kentucky average

Kentucky average: 1.9%

Influenza Vaccine 85.3%

In line with Kentucky average

Kentucky average: 83.6%

Re-hospitalized after SNF stay 24.8%

In line with Kentucky average

Kentucky average: 24.5%

Emergency department visits 14.0%

In line with Kentucky average

Kentucky average: 13.9%

Falls with major injury 0.0%

100% better than Kentucky average

Kentucky average: 0.8%

Ability to care for self at discharge 27.5%

49% worse than Kentucky average

Kentucky average: 53.7%

Successful return to home or community 12.2%

76% worse than Kentucky average

Kentucky average: 50.6%

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

Total residents 82

Medicare

2.4% of residents

Medicaid

81.7% of residents

Private pay or other

15.9% of residents

Programs & Services

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Financial Trends

Historical financial and operational data for Madisonville Health and Rehabilitation, LLC from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 88.9% ↑ 1.6pp vs 2022

Net Patient Income $223.0K ↑ ~$49.0K vs 2022

Payroll Costs $3.5M ↑ ~$137.1K vs 2022

Operating Margin 2.6% ↑ 0.5pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	90.7%	93.4%	91.6%	94.2%	91.8%	90.3%	88.4%	88.2%	85.9%	78.1%	87.3%	88.9%
Beds	94	94	90	94	94	94	94	94	94	94	94	94
Net Income	-$192,779	-$154,367	-$282,545	-$78,004	-$501,760	-$500,586	-$871,528	$593,948	$541,090	$1,067,171	$843,740	$223,096
Gross Revenue	$6,916,861	$7,861,667	$7,723,199	$8,304,926	$8,279,061	$8,329,409	$8,483,460	$7,677,915	$8,230,315	$8,882,226	$9,239,471	$9,164,230
Operating Expenses	$6,090,609	$6,568,318	$6,337,265	$6,422,732	$6,584,814	$6,491,866	$6,736,597	$6,589,870	$7,192,554	$7,343,621	$8,264,976	$8,477,640
Net Patient Income	-$204,570	-$162,430	-$289,780	-$88,660	-$640,552	-$511,410	-$881,089	$585,393	$370,289	$855,013	$173,932	$222,959
Net Patient Revenue	$5,886,039	$6,405,888	$6,047,485	$6,334,072	$5,944,262	$5,980,456	$5,855,508	$7,175,263	$7,562,843	$8,198,634	$8,438,908	$8,700,599
Payroll Costs	$3,264,535	$3,430,059	$3,369,811	$3,411,904	$3,648,324	$3,582,529	$3,784,257	$3,139,586	$3,017,813	$2,911,882	$3,356,477	$3,493,621
Operating Margin %	-3.5%	-2.5%	-4.8%	-1.4%	-10.8%	-8.6%	-15.1%	8.2%	4.9%	10.4%	2.1%	2.6%
Medicare %	9.6%	15.8%	10.7%	7.9%	9.4%	8.5%	8.7%	11.4%	11.0%	15.5%	8.1%	7.3%
Medicaid %	71.2%	65.7%	69.1%	75.3%	61.6%	76.3%	75.1%	76.0%	78.2%	73.1%	78.6%	82.9%
Private %	19.2%	18.5%	20.2%	16.8%	29.0%	15.2%	16.1%	12.5%	10.8%	11.4%	13.3%	9.8%
Net Patient Revenue/Day	$189	$199	$198	$196	$189	$193	$193	$237	$256	$306	$282	$285
Cost/Day	$196	$204	$208	$199	$209	$209	$222	$218	$243	$274	$276	$278
Avg Length of Stay	168.1 days	136.8 days	200.9 days	252.6 days	168.4 days	203.0 days	189.6 days	128.3 days	114.6 days	109.3 days	126.4 days	119.6 days

Finances and operations

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

Net patient revenue

$8.7M

Net patient income

$223.0K

For-profit Corporation

Net patient revenue

$8.7M

Net patient income

$223.0K

Other income

$136

Payroll costs

$3.5M 40.2% of net patient revenue

Other operating costs

$5.0M

Total costs

$8.5M

TYPE OF STAY

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.

New residents most often arrive under private pay (37% of admissions), and a typical private pay stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 30%

Private pay 37%

Medicaid 34%

Coverage residents most often leave under.

Medicare 22%

Private pay 35%

Medicaid 43%

0.0 miles from city center Estimated distance in miles from Madisonville's city center to Madisonville Health and Rehabilitation, LLC's address, calculated via Google Maps.

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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.


Hermitage Care & Rehabilitation Center	NH SNF	Owensboro	92 Facility 92 KY AVG 82 Rank #128 / 341	88.0% Facility 88.0% KY AVG 84.3 Rank #90 / 168	+4%	4.18 Facility 4.18 KY AVG 3.75 Rank #24 / 189	+14%	+12%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	4 Facility 4 KY AVG 13.5 Rank #10 / 191	2.0 Facility 2.0 KY AVG 4.4 Rank #16 / 191	-	81	A+	49 Facility 49 KY AVG 43 Rank #170 / 403	Matthew Clark	$11.2MFiscal year ending 12/2023 Facility $11.2MFiscal year ending 12/2023 KY AVG $9.8M Rank #54 / 184	$4.4MFiscal year ending 12/2023 Facility $4.4MFiscal year ending 12/2023 KY AVG $4.8M Rank #84 / 184	39.3%Fiscal year ending 12/2023 Facility 39.3%Fiscal year ending 12/2023 KY AVG 48.9% Rank #154 / 184	185346
Westport Place Health Campus	NH AL RC SNF	Louisville	22 Facility 22 KY AVG 82 Rank #325 / 341	-	-	3.44 Facility 3.44 KY AVG 3.75 Rank #74 / 189	+46%	-8%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	5 Facility 5 KY AVG 13.5 Rank #19 / 191	2.5 Facility 2.5 KY AVG 4.4 Rank #30 / 191	-	55	-	47 Facility 47 KY AVG 43 Rank #183 / 403	Lauren Powers	$11.5MFiscal year ending 12/2023 Facility $11.5MFiscal year ending 12/2023 KY AVG $9.8M Rank #52 / 184	$5.9MFiscal year ending 12/2023 Facility $5.9MFiscal year ending 12/2023 KY AVG $4.8M Rank #40 / 184	50.9%Fiscal year ending 12/2023 Facility 50.9%Fiscal year ending 12/2023 KY AVG 48.9% Rank #59 / 184	185466
Magnolia Village	NH SNF	Bowling Green (Eastland Park)	60 Facility 60 KY AVG 82 Rank #223 / 341	96.7% Facility 96.7% KY AVG 84.3 Rank #15 / 168	+15%	2.56 Facility 2.56 KY AVG 3.75 Rank #176 / 189	-32%	-32%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	8 Facility 8 KY AVG 13.5 Rank #47 / 191	4.0 Facility 4.0 KY AVG 4.4 Rank #89 / 191	-	58	-	37 Facility 37 KY AVG 43 Rank #237 / 403	Magnolia Village Health Center LLC	$6.8MFiscal year ending 12/2023 Facility $6.8MFiscal year ending 12/2023 KY AVG $9.8M Rank #139 / 184	$2.8MFiscal year ending 12/2023 Facility $2.8MFiscal year ending 12/2023 KY AVG $4.8M Rank #154 / 184	41.2%Fiscal year ending 12/2023 Facility 41.2%Fiscal year ending 12/2023 KY AVG 48.9% Rank #145 / 184	185435
Twin Rivers Nursing And Rehab Center	NH HOS PC RC SNF	Owensboro	132 Facility 132 KY AVG 82 Rank #36 / 341	72.7% Facility 72.7% KY AVG 84.3 Rank #145 / 168	-14%	3.39 Facility 3.39 KY AVG 3.75 Rank #74 / 189	-6%	-10%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	18 Facility 18 KY AVG 13.5 Rank #140 / 191	9.0 Facility 9.0 KY AVG 4.4 Rank #183 / 191	-	96	-	52 Facility 52 KY AVG 43 Rank #147 / 403	Myra Raymer	$9.7MFiscal year ending 12/2023 Facility $9.7MFiscal year ending 12/2023 KY AVG $9.8M Rank #81 / 184	$5.5MFiscal year ending 12/2023 Facility $5.5MFiscal year ending 12/2023 KY AVG $4.8M Rank #52 / 184	57.2%Fiscal year ending 12/2023 Facility 57.2%Fiscal year ending 12/2023 KY AVG 48.9% Rank #34 / 184	185087
Madisonville Health and Rehabilitation, LLC	NH SNF	Madisonville	94 Facility 94 KY AVG 82 Rank #120 / 341	84.8% Facility 84.8% KY AVG 84.3 Rank #106 / 168	+1%	3.31 Facility 3.31 KY AVG 3.75 Rank #91 / 189	-20%	-12%	$0 Facility $0 KY AVG $65.4k Rank #1 / 195	7 Facility 7 KY AVG 13.5 Rank #36 / 191	2.3 Facility 2.3 KY AVG 4.4 Rank #26 / 191	-	80	-	70 Facility 70 KY AVG 43 Rank #50 / 403	Ky M53 Spe Opco Holdco LLC	$8.7MFiscal year ending 12/2023 Facility $8.7MFiscal year ending 12/2023 KY AVG $9.8M Rank #108 / 184	$3.5MFiscal year ending 12/2023 Facility $3.5MFiscal year ending 12/2023 KY AVG $4.8M Rank #127 / 184	40.2%Fiscal year ending 12/2023 Facility 40.2%Fiscal year ending 12/2023 KY AVG 48.9% Rank #149 / 184	185015

Nursing Home Explorer

Is Madisonville Health and Rehabilitation, LLC in a walkable area?

Madisonville Health and Rehabilitation, LLC has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Madisonville Health and Rehabilitation, LLC?

According to KY state health department records, Madisonville Health and Rehabilitation, LLC's license number is 100185.

What is the occupancy rate at Madisonville Health and Rehabilitation, LLC?

Madisonville Health and Rehabilitation, LLC's occupancy is 85%.

How long has Madisonville Health and Rehabilitation, LLC been in business?

Madisonville Health and Rehabilitation, LLC has been operating for approximately 1 year, based on available licensing and registration records.

Are pets allowed at Madisonville Health and Rehabilitation, LLC?

No, Madisonville Health and Rehabilitation, LLC has a no-pet policy.

Does Madisonville Health and Rehabilitation, LLC operate as a for-profit or non-profit?

Madisonville Health and Rehabilitation, LLC is registered as a for-profit in KY.

Who is the administrator of Madisonville Health and Rehabilitation, LLC?

Robert Epley is the administrator of Madisonville Health and Rehabilitation, LLC.

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Madisonville Health and Rehabilitation, LLC

Overview of Madisonville Health and Rehabilitation

Quality ratings

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Additional Policies & Features

Amenities & Lifestyle

Contact Madisonville Health and Rehabilitation, LLC

Inspection History

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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

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

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

42 Certified Nursing Assistant

10 Licensed Practical Nurse

11 Medication Aide/Technician

9 Registered Nurse

8 Physical Therapy Aide

4 Clinical Nurse Specialist

4 Speech Language Pathologist

3 Other Dietary Services Staff

2 Nurse Practitioner

1 Administrator

2 Nurse Aide in Training

2 Physical Therapy Assistant

1 Mental Health Service Worker

3 Qualified Social Worker

3 Respiratory Therapy Technician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Nurse Aide Training

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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