Madison Health and Rehab
2036 South Main Street, Madison, GA 30650 · Morgan County · (706) 342-3200
67 certified beds, about 68 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 115457 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2025, inspectors cited 3 health deficiencies (the Georgia average is 5, the national average 9.2).
None of its 12 health citations since June 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.06 hours per resident per day, against 3.56 across Georgia and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
34.5% of nursing staff left within the year CMS measured (Georgia average 46.0%).
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.
406/21
503/23
305/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
1E
5F
Potential for minimal harm
0A
0B
0C
May 21, 2025Standard inspection · 3 citations
- F 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 observations, staff interviews, and review of the facility's policy titled, Medication Storage in the Facility, the facility failed to dispose of expired medical supplies in one of one medication storage rooms. This deficient practice had the potential to place residents at risk for infection and ineffective treatment. The facility census was 66 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, staff interviews, record review, and review of the facility's policy titled Resident's Rights Policy and Procedure, the facility failed to ensure that the right to respect, dignity and privacy was maintained by displaying clinical information related to incontinence care and pressure ulcer care that was posted openly in the room for one out of 26 sampled residents (R) R63.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record review, the facility failed to ensure the resident environment was free from accident hazards for one out of 26 sampled residents (R) (R19). Specifically, the facility failed to replace an assistance device to prevent accidents as evidence by the bed control was defective with exposed wires present.
March 26, 2023Standard inspection · 5 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 observations, staff interviews, and review of the facility's policies titled, Food Storage, Dietary Safety Rules, Dishwashing, and Cooking pots and Steam Table Insert Storage Policy & Procedure, the facility failed to label, and date opened food items in the freezers, walk-in refrigerator, and dry storage area; failed to ensure male staff cover facial hair while in the kitchen; and failed to store pans properly to prevent wet nesting and cross contamination. This affected 61 of 62 residents receiving an oral diet.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, staff interviews, and review of facility policy titled, Abuse Prohibition, Policy and Procedure, the facility failed to complete a background check screening process for two of 10 nursing staff reviewed.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review, staff interview, and review of the facility's policy titled, Automatic Stop Orders, the facility failed to ensure a stop date was implemented, not to exceed 14 days for antipsychotic medications, for one of six residents (R) (R#10) reviewed for unnecessary medications. Specifically, the facility failed to implement a stop date for antipsychotic medication ordered as needed (PRN) for R#10, increasing the potential for adverse consequences.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to ensure dietary staff followed recipes for preparing pureed foods to avoid compromising the nutritive value, flavor, or appearance. This affected seven of 61 residents receiving an oral diet.
- D Ensure staff are vaccinated for COVID-19
Inspectors wroteBased on staff interviews, record review, and review of the facility's policy titled, Facility COVID-19 Vaccination Plan, the facility failed to ensure 100 percent (%) of all current staff that were providing care for facility residents were fully vaccinated against COVID-19.
June 10, 2021Standard inspection · 4 citations
- F Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Inspectors wroteBased on interviews and record review the facility failed to employ a qualified Dietary Manager. This had the potential to affect 60 of 60 residents residing in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews and review of policies titled Food Storage, Food Production, and General Food Preparation and Handling, the facility failed to properly label food items, failed to properly thaw meat, failed to maintain clean equipment, and failed to keep staff drinks separate from facility foods. This had the potential to affect 60 of 60 residents residing in the facility.
- F Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observation and staff interview the facility failed to ensure that privacy curtains provided full visual privacy, which included a total of 11 of 12 rooms on one hall.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interviews and the review of the policy titled, Maintenance Department Policy and Procedure the facility failed to provide a safe/clean/comfortable/ homelike environment on one out of two halls (front hall) and two out of two shower rooms. The facility census was 60.
Fire safety inspections
8 fire safety citations on file: 4 on May 21, 2025, 4 on March 26, 2023.
Every fire safety citation8 citations
- D Meet requirements for sections of health care facilities separated by fire resistive construction.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Georgia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.06 | 3.56 | 3.86 |
| Registered nurses | 0.41 | 0.50 | 0.69 |
| All nursing staff on weekends | 2.71 | 3.10 | 3.42 |
| Nurse aides | 2.05 | ||
| Licensed practical nurses | 0.60 | ||
| Nursing staff turnover (share who left in a year) | 34.5% | 46.0% | 45.8% |
| Registered nurse turnover | 28.6% | 44.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.80 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 3.20 on weekdays and 2.71 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.06 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 | 3.06 | 0.41 | 3.20 | 2.71 | 0.0% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.29 | 0.37 | 3.47 | 2.83 | 0.0% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.41 | 0.39 | 3.57 | 3.00 | 0.0% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.44 | 0.35 | 3.53 | 3.20 | 0.0% | 0 of 91 | 66 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Georgia, Jan to Mar 2026 | 3.50 | 0.46 | 3.68 | 3.03 | 3.3% | 0.6% 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 | Georgia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.0 | 15.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.0 | 2.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.6 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.1 | 15.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.1 | 5.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.4 | 19.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.9 | 1.8 |
Owners and operators
Legal business name: PINE LEAF INVESTMENT INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cook, Sheila | Direct ownership interest | Individual | 05/15/2013 | |
| Cook, Sheila | Managing control - governing body | Individual | 05/15/2013 | |
| Cook, Terry | Managing control - governing body | Individual | 05/15/2013 | |
| Cook, Sheila | Corporate director | Individual | 05/15/2013 | |
| Cook, Terry | Corporate director | Individual | 05/15/2013 | |
| Cook, Sheila | Corporate officer | Individual | 05/15/2013 | |
| Cook, Terry | Corporate officer | Individual | 05/15/2013 | |
| Cook, Sheila | Operational/managerial control | Individual | 05/15/2013 | |
| Cook, Terry | Operational/managerial control | Individual | 05/15/2013 | |
| Wrenn, Joanne | Operational/managerial control | Individual | 02/15/2008 | |
| Zant, Walter | Operational/managerial control | Individual | 07/15/2015 | |
| Pine Leaf Investment Inc | Adp of the SNF | Organization | 01/01/2016 | |
| Cook, Sheila | Adp of the SNF | Individual | 05/15/2013 | |
| Cook, Terry | Adp of the SNF | Individual | 05/15/2013 | |
| Wrenn, Joanne | Adp of the SNF | Individual | 02/15/2008 | |
| Zant, Walter | Adp of the SNF | Individual | 07/15/2015 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on March 26, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 21, 2025: "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."
- 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 May 21, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 May 21, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.71 hours per resident per day, below the Georgia average of 3.10.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Social Circle Nsg & Rehab Ctr Social Circle, 14.5 mi · 3 of 5 stars · 18 citations
- High Shoals Health and Rehabilitation Bishop, 17.5 mi · 4 of 5 stars · 10 citations
- Eatonton Health and Rehabilitation Eatonton, 19.4 mi · 3 of 5 stars · 16 citations
- Park Place Nursing Facility Monroe, 19.9 mi · 2 of 5 stars · 13 citations
- Retreat, the Monticello, 22.1 mi · 5 of 5 stars · 6 citations
- Riverside Health Care Center Covington, 22.3 mi · 2 of 5 stars · 30 citations
- Pruitthealth - Covington Covington, 22.4 mi · 3 of 5 stars · 9 citations
- Greene Point Health and Rehabilitation Union Point, 23.4 mi · 4 of 5 stars · 7 citations
Georgia contacts for a concern about a nursing home
These are the official offices in Georgia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Georgia Department of Community Health, Healthcare Facility Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Georgia Long-Term Care Ombudsman Program, 1-866-552-4464. 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: GaMap2Care, Find a Facility, where Georgia publishes its own records on licensed homes.
Common questions
- What is Madison Health and Rehab's Medicare star rating?
- CMS rates Madison Health and Rehab 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madison Health and Rehab get at its last inspection?
- 3 health deficiencies at the standard inspection on May 21, 2025. The Georgia average is 5.
- Has Madison Health and Rehab been fined?
- CMS lists no fines in the last three years.
- Does Madison Health and Rehab 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 Madison Health and Rehab?
- CMS lists 16 owners and managers. Legal business name: PINE LEAF INVESTMENT INC.
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.