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Madison Health and Rehabilitation Center

2481 West Us 90, Madison, FL 32340 · Madison County · (850) 973-4880

60 certified beds, about 55 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105807 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 31, 2025, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 2 health citations since June 2023 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 3.63 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

34.5% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Summit Care, an affiliated group of 22 nursing homes.

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.

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 2 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
0F
Potential for minimal harm
0A
0B
0C
July 31, 2025Standard inspection · 0 citations
August 15, 2024Standard inspection · 2 citations
  1. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 20, 2024
    Inspectors wroteBased on observations and interviews, the facility failed to maintain the laundry room area in a clean and sanitary [NAME] and failed to maintain laundry equipment in proper working condition.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 20, 2024
    Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to implement a care plan for 1 of 1 resident reviewed for respiratory care. (Resident #7)
June 1, 2023Standard inspection · 0 citations

Fire safety inspections

1 fire safety citation on file: 1 on August 15, 2024.

Every fire safety citation1 citation
  1. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 15, 2024 · Corrected (the home has a date of correction)

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.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.633.823.86
Registered nurses0.580.730.69
All nursing staff on weekends3.263.493.42
Nurse aides2.18
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)34.5%41.4%45.8%
Registered nurse turnover77.8%46.0%42.9%
Administrators who left0

CMS expects 3.37 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 3.78 on weekdays and 3.26 on weekends, 14% 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 3.56 in April to June 2025 to 3.63 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.630.583.783.26 0.0%0 of 9055
Oct to Dec 20253.630.483.763.28 0.0%0 of 9257
Jul to Sep 20253.630.453.763.29 0.0%0 of 9257
Apr to Jun 20253.560.523.683.27 0.0%0 of 9158
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% 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.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.18.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.10.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.52.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.39.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.24.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.88.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
33.726.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.99.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.72.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.21.11.8

Owners and operators

Legal business name: CG MADISON LLC. CMS links this home to Summit Care, a group of 22 nursing homes averaging 3.4 stars overall.

NameRoleTypeShareSince
Madison SNF Operations LLC5% or greater direct ownership interestOrganization45%08/02/2023
Davis, Alan5% or greater direct ownership interestIndividual25%01/01/2014
Mitchell, Joseph5% or greater direct ownership interestIndividual30%03/01/1998
Ch Summit Care Holdings LLC5% or greater indirect ownership interestOrganization08/02/2023
Seam Trust5% or greater indirect ownership interestOrganization08/04/2023
Sk Summit Care II Holdings LLC5% or greater indirect ownership interestOrganization08/02/2023
Summit Care Group II Operations Holdings LLC5% or greater indirect ownership interestOrganization08/02/2023
McManus, JohnCorporate directorIndividual08/04/2023
Davis, AlanCorporate officerIndividual01/01/2014
Summit Care Management LLCOperational/managerial controlOrganization08/04/2023
Kovary, PaulOperational/managerial controlIndividual10/11/2021
Summit Care Management LLCAdp of the SNFOrganization08/04/2023
Kovary, PaulAdp of the SNFIndividual12/21/2025
McManus, JohnAdp of the SNFIndividual08/03/2023
Perkins, DanielAdp of the SNFIndividual02/16/2026

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Florida average of 3.49.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Madison Health and Rehabilitation Center's Medicare star rating?
CMS rates Madison Health and Rehabilitation Center 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Madison Health and Rehabilitation Center get at its last inspection?
0 health deficiencies at the standard inspection on July 31, 2025. The Florida average is 7.1.
Has Madison Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Madison Health and Rehabilitation Center 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 Rehabilitation Center?
CMS lists 15 owners and managers, and links the home to Summit Care. Legal business name: CG MADISON LLC.

Sources

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