131 Meadowlark Drive, Richmond, KY 40475 · Madison County · (859) 623-3564
92 certified beds, about 86 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185262 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 24, 2025, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
Of 9 health citations since May 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.56 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
51.6% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
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.
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.
Inspectors wroteBased on interview, record review, review of facility policies, and review of [NAME] 9th edition - Standard of Practice for Nursing Assessment of Change in Condition information which the facility followed as its standard of practice, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one (Resident (R) 1) of eight sampled residents. The facility identified a change in condition for R1 on [DATE] and notified the physician of the change in condition. However, the physician ordered labs were not obtained promptly. Additionally, staff had no evidence of ongoing monitoring of the resident for a period of 12 hours, until they documented R1 had decreased blood pressure. Staff notified the Licensed Practical Nurse (LPN) of additional changes in condition and the need to send R1 out to the hospital; [...]
Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to ensure timely dental referral and appropriate follow-up for a resident with missing dentures for one of four sampled residents(R) (R3). In April of 2025, R3's lower dentures were reported missing. There was no documented evidence that the facility initiated a timely dental referral or offered prompt replacement of the missing dentures. Review of the facility's policy titled Dental Services Standard of Practice dated 10/2020 and last reviewed 4/2025, indicated the facility was responsible for assisting residents in obtaining routine and emergency dental services. Further review of the policy revealed residents with lost or damaged dentures should receive prompt dental referrals, and if the facility was responsible for the loss, the facility would incur replacement costs. [...]
Inspectors wroteBased on observation, interview, record review, and review of the facility's policies, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for five of 28 residents on three of three separate hallways.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to provide the residents with a right to a safe, clean, comfortable, and homelike environment for five of 28 sampled residents (Resident (R)6, R7, R64, R37and R48) on one of three hallways.
Inspectors wroteThe facility failed to have an effective system to ensure that all resident care plans were updated and revised to include individualized interventions for four of 27 sampled residents (Resident #36, Resident #64, Resident #79, and Resident #84). Review of Comprehensive Care Plans Standard of Practice dated 10/2020 revealed that each resident's comprehensive care plan is designed to identify problem areas, incorporate risk factors associated with identified problems, build on the resident's strengths, reflect the resident's expressed wishes regarding care and treatment goals, reflect treatment goals, timetables, and objectives in measurable outcomes. 1. [...]
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to ensure the residents were given the appropriate treatment and services to maintain personal hygiene-bathing for five of 27 sampled residents, Resident (R) 36, Resident 55, Resident 64, Resident 79, Resident 84. Review of a facility policy, titled Activities of Daily Living (ADLs), dated 10/2020, revealed the facility would provide care and services for the following ADLs: hygiene (bathing, dressing, grooming, oral care). According to the policy, any resident who was unable to carry out ADLs would receive the necessary services to maintain good nutrition, grooming, and personal/oral hygiene. The policy failed to include specifics related to the provision of these services. Review of an undated Shower List revealed each resident was scheduled to receive two showers per week. [...]
Inspectors wroteBased on observation, interview, record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure an accurate assessment for one (1 ) of 27 sampled residents, Resident (R) 74. The facility assessed R74, on a Quarterly Minimum Data Set (MDS), with an assessment reference date (ARD) of 07/17/2024, to have received 51% or more of proportion of total calories the resident received through parenteral or tube feeding. However, there was no evidence the facility completed a calorie count to determine the amount of nutrition the resident received from either tube feeding or intake by mouth.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all residents with gastrostomy tubes had their nutritional needs met and the administration of enteral nutrition was consistent with and followed the practitioner's orders for one (1) of 27 sampled residents, Resident (R) 74. Review of the facility's policy, Nutrition/Hydration Status Maintenance, dated 10/2020, revealed the facility would ensure, based on a resident's comprehensive assessment, a resident who demonstrated sufficient intake alone or with assistance was not fed by enteral methods unless the resident's clinical condition demonstrated enteral feeding was clinically indicated. [...]
Inspectors wroteBased on observation, interview, and review of the facility's policy, it was determined the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections. Review of the undated facility's policy, titled Hand Hygiene, revealed hand hygiene was described as cleaning your hands by using either handwashing, antiseptic hand wash, or antiseptic hand rub and was to be performed before and after glove use in the facility. Review of the facility's policy, titled Policies and Practices-Infection Control, revised October 2018, revealed the policy was intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage transmission of diseases and infections. [...]
5 fire safety citations on file: 1 on July 24, 2025, 2 on October 11, 2024, 2 on May 3, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.56 | 3.95 | 3.86 |
| Registered nurses | 0.25 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.23 | 3.49 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 0.96 | ||
| Nursing staff turnover (share who left in a year) | 51.6% | 46.4% | 45.8% |
| Registered nurse turnover | 63.6% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.70 on weekdays and 3.23 on weekends, 13% 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 3.52 in April to June 2025 to 3.56 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 | 3.56 | 0.25 | 3.70 | 3.23 | 0.0% | 5 of 90 | 86 |
| Oct to Dec 2025 | 3.56 | 0.34 | 3.74 | 3.12 | 0.0% | 0 of 92 | 87 |
| Jul to Sep 2025 | 3.60 | 0.36 | 3.78 | 3.15 | 0.0% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.52 | 0.32 | 3.68 | 3.11 | 0.0% | 0 of 91 | 87 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Kentucky, all employers | |||
| CNAs (nursing assistants) | $18.45 | $17.38 to $21.21 | 23,410 |
| LPNs and LVNs | $29.07 | $26.10 to $31.29 | 8,570 |
| Registered nurses | $38.96 | $36.38 to $46.73 | 50,300 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 12.5 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.3 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 35.1 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.9 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Madison Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.6% this home
No different from the national rate
US median of homes 51.5% · Kentucky: 38 better, 49 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 36 eligible stays.
10.7% this home
No different from the national rate
US median of homes 10.7% · Kentucky: 0 better, 12 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 43 eligible stays.
7.5% this home
No different from the national rate
US median of homes 7.1% · Kentucky: 0 better, 6 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky49.5% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 11 residents counted.
4.2% this home
Median of homes: Kentucky0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 24 residents counted.
3.0% this home
Median of homes: Kentucky2.6% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 24 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Kentucky98.1% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 4 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MADISON HEALTH CENTER LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Madison Health Center Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 05/31/2024 |
| Ggky Opco, LLC | Indirect ownership interest | Organization | 05/31/2024 | |
| Rubiweb Services Group USA, LLC | Indirect ownership interest | Organization | 05/31/2024 | |
| Samzil Holdings LLC | Indirect ownership interest | Organization | 05/31/2024 | |
| Spky Opco, LLC | Indirect ownership interest | Organization | 05/31/2024 | |
| Platschek, Goldie | Indirect ownership interest | Individual | 05/31/2024 | |
| Cibc Bank USA | 5% or greater security interest | Organization | 09/01/2018 | |
| Metropolitan Commercial Bank | 5% or greater security interest | Organization | 09/01/2018 | |
| Jarman, James | Operational/managerial control | Individual | 11/12/2024 | |
| Kelman, Moshe | Operational/managerial control | Individual | 09/01/2018 | |
| Raymer, Myra | Operational/managerial control | Individual | 03/14/2023 | |
| Rubiweb Services Group USA, LLC | Adp of the SNF | Organization | 05/31/2024 | |
| Samzil Holdings LLC | Adp of the SNF | Organization | 02/13/2026 | |
| Jarman, James | Adp of the SNF | Individual | 11/12/2024 | |
| Kelman, Moshe | Adp of the SNF | Individual | 09/01/2018 | |
| Platschek, Goldie | Adp of the SNF | Individual | 05/24/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.