Home / Kentucky / Madisonville
Brighton Cornerstone Group, LLC
55 East North Street, Madisonville, KY 42431 · Hopkins County · (270) 821-1492
40 certified beds, about 32 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185013 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 8, 2026, inspectors cited 5 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 9 health citations since March 2020 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $3,387 in the last three years; the largest was $3,387, and the latest is dated January 30, 2024.
Nurses and nurse aides worked 4.39 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
44.6% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
January 8, 2026Standard inspection · 5 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on interview, and facility policy review, the facility failed ensure residents had the right to be informed of, and participate in their treatment by failing to inform residents and/or their representatives in advance of the risks and benefits of psychotropic medication use prior to administration, which affected 5 (Residents 2, 20, 4, 6, and 5) of 5 residents reviewed for unnecessary medications.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, record review, review of facility policy and manufacturer instructions, the facility failed to ensure a medication error rate of less than 5 percent (%). There were six errors out of 26 opportunities, which yielded a medication error rate of 23.08%, which affected 2 (Resident 36 and Resident 15) of 8 residents observed during medication administration.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure 1 of 2 sampled residents (R14) reviewed for beneficiary notifications was provided a Notice of Medicare Non-Coverage (NOMNC) and a Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) prior to the end of covered Medicare Part A services.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide necessary activity of daily living (ADL) care for 1 of 1 sampled resident's (Resident 12) reviewed for ADL care. Specifically, the facility failed to offer to shave Resident 12's facial hair.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure staff implemented Enhanced Barrier Precautions (EBP) and followed infection prevention and control practices for 1 (Resident 29) of 1 resident's reviewed for tube feeding.
March 6, 2025Standard inspection, Complaint inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to cover, store and serve food in accordance with professional standards for food service safety which had the potential to affect 36 of the facility's 36 residents who consumed food from the kitchen. Observation of the kitchen revealed food items stored in the refrigerator and freezers that were not covered and exposed to air, and which were outdated and not rotated to ensure older items were used first. Further observation of the dry pantry storage revealed two large bins, one filled with cornmeal and a second filled with flour which were undated to indicate when they were opened or when the items should be discarded.
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview, record review, and review of the facility staffing schedules, it was determined the facility failed to ensure the services of a Registered Nurse (RN) were utilized for at least 8 consecutive hours a day, 7 days a week as required. Review of the facility's staffing schedules revealed the facility failed to provide eight consecutive hours of RN coverage for 15 days between 07/27/2024 and 09/29/2024. This failure affected all persons residing in the facility during those 15 days.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure all drugs were labeled in accordance with professional standards. Observation of the front hall medication room revealed a vial of Tubersol solution (an injectable medication used to test for tuberculosis) was not properly stored in the medication refrigerator.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to establish and maintain a proper infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases. Observation during wound care on 03/06/2025 at 9:50 AM, revealed Licensed Practical Nurse (LPN) 3 failed to clean the bedside table or place a barrier device to cover it, prior to placing the residents' clean wound dressing supplies on the table for 2 of 14 sampled residents (Resident (R)3 and R11).
March 4, 2020Standard inspection · 0 citations
Fire safety inspections
28 fire safety citations on file: 4 on January 8, 2026, 12 on March 6, 2025, 12 on March 4, 2020.
Every fire safety citation28 citations
- F Establish emergency prep training and testing.
- F Establish staff and initial training requirements.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F Establish policies and procedures for volunteers.
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have properly located and lighted "Exit" signs.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have simulated fire drills held at unexpected times.
- F Provide primary/alternate means for communication.
- F Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have properly located and lighted "Exit" signs.
- E Ensure proper usage of power strips and extension cords.
- D Conduct risk assessment and an All-Hazards approach.
- D Establish policies and procedures for volunteers.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2024 | Fine | $3,387 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.39 | 3.95 | 3.86 |
| Registered nurses | 0.31 | 0.79 | 0.69 |
| All nursing staff on weekends | 4.10 | 3.49 | 3.42 |
| Nurse aides | 3.16 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 44.6% | 46.4% | 45.8% |
| Registered nurse turnover | not reported | 41.8% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.51 on weekdays and 4.10 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.45 in April to June 2025 to 4.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.39 | 0.31 | 4.51 | 4.10 | 0.1% | 1 of 90 | 32 |
| Oct to Dec 2025 | 4.34 | 0.31 | 4.45 | 4.06 | 0.0% | 0 of 92 | 32 |
| Jul to Sep 2025 | 4.62 | 0.34 | 4.81 | 4.15 | 0.1% | 1 of 92 | 32 |
| Apr to Jun 2025 | 4.45 | 0.31 | 4.57 | 4.15 | 0.2% | 0 of 91 | 34 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.5 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 32.3 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.2 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.2 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 37.0 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.1 | 1.8 |
Owners and operators
Legal business name: BRIGHTON CORNERSTONE GROUP LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Frances, Jay | Corporate officer | Individual | 01/01/2016 | |
| Smith, Kimberly | Corporate officer | Individual | 01/01/2016 | |
| Legacy Health Services Inc | Operational/managerial control | Organization | 08/01/2015 | |
| Frances, Jay | Operational/managerial control | Individual | 01/01/2016 | |
| Smith, Kimberly | Operational/managerial control | Individual | 01/01/2016 | |
| Legacy Health Services Inc | Adp of the SNF | Organization | 04/08/2025 | |
| Proactive Medical Review and Consultants LLC | Adp of the SNF | Organization | 03/01/2022 | |
| Hargis, Forwood | Adp of the SNF | Individual | 01/01/2024 | |
| Howard, Valerie | Adp of the SNF | Individual | 10/28/2024 | |
| McIntosh, Sarah | Adp of the SNF | Individual | 08/01/2015 | |
| Petersen, Jalme | Adp of the SNF | Individual | 08/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Ensure medication error rates are not 5 percent or greater."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 8, 2026: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
Other nursing homes nearby
- Madisonville Health and Rehabilitation, LLC Madisonville, 0.3 mi · 2 of 5 stars · 10 citations
- Park Grove Nursing and Rehabilitation Center Madisonville, 0.9 mi · 2 of 5 stars · 16 citations
- Ridgewood Terrace Health and Rehabilitation Center Madisonville, 1.5 mi · 4 of 5 stars · 4 citations
- Joseph Eddie Ballard Western Kentucky Veterans Cen Hanson, 5.8 mi · 5 of 5 stars · 2 citations
- Tradewater Pointe Dawson Springs, 15.9 mi · 3 of 5 stars · 6 citations
- Dawson Springs Health and Rehabilitation Center Dawson Springs, 16 mi · 2 of 5 stars · 4 citations
- Redbanks Colonial Terrace Sebree, 18.5 mi · 5 of 5 stars · 3 citations
- Greenville Nursing and Rehabilitation Greenville, 19.2 mi · 5 of 5 stars · 7 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Brighton Cornerstone Group, LLC's Medicare star rating?
- CMS rates Brighton Cornerstone Group, LLC 1 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brighton Cornerstone Group, LLC get at its last inspection?
- 5 health deficiencies at the standard inspection on January 8, 2026. The Kentucky average is 2.9.
- Has Brighton Cornerstone Group, LLC been fined?
- Yes. CMS lists 1 fine totaling $3,387 in the last three years.
- Does Brighton Cornerstone Group, LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brighton Cornerstone Group, LLC?
- CMS lists 11 owners and managers. Legal business name: BRIGHTON CORNERSTONE GROUP LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.