Home / Kentucky / Madisonville
Madisonville Health and Rehabilitation, LLC
419 North Seminary Street, Madisonville, KY 42431 · Hopkins County · (270) 821-5564
94 certified beds, about 79 residents a day · For profit - Individual · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185015 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 22, 2026, inspectors cited 3 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 10 health citations since January 2020 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 3.09 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
48.7% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 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.
301/20
305/25
104/26
305/26
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 10 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
2E
2F
Potential for minimal harm
0A
0B
0C
May 22, 2026Standard inspection · 3 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, and review of facility policy, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This failure had the potential to affect all residents who consumed meals from the kitchen. Observation of the kitchen, on 05/20/2026, revealed multiple food items uncovered in the freezer and dry storage pantry; and a box of uncovered oatmeal cookie dough in the freezer stored underneath an ice-covered condenser. Additionally, there were several large bins which contained salt, sugar, and breadcrumbs, which were soiled on the outside. Further, observation on 05/21/2026, revealed the [NAME] was not wearing a beard net properly, in order to cover all facial hair. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and review of facility policy, 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. During observation of the laundry room on 05/22/2026, the two staff members present were asked to verbalize the process on handling soiled linen. They both stated they only wore gloves when handling soiled linen instead of the standard precaution of donning gloves and a gown. This failure had the potential to affect all residents in the facility. Additionally, the facility failed to ensure proper infection control procedures during wound care treatment for one of three sampled residents reviewed for wound care, Resident (R)67. [...]
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to provide food that accommodated resident preferences for 1 of 26 residents in the dining room during meal service on 05/20/2026, Resident (R) 69. Observation of lunch meal service on 05/20/2026, revealed R69 was given ice cream as a substitute item for dessert, without asking if he wanted the scheduled strawberry shortcake dessert.
April 23, 2026Complaint inspection · 1 citation
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and review of the facility's policy, the facility failed to ensure residents had a right to a safe, clean, sanitary, and comfortable environment. Observations in the facility's laundry room on 04/17/2026 revealed the floor around and behind the washing machines covered in dirt and the concrete floor in disrepair.
May 1, 2025Standard inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice regarding wound care for 1 of 2 residents sampled for skin assessments out of the total 18 sampled residents, (Resident (R)21).
- 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 establish and maintain an infection prevention and control program to ensure a sanitary, safe environment or 2 of 18 sampled residents, (Resident (R)62 and R21.
- D Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observation, interview, and review of facility policy, the facility failed to ensure the corridors were equipped with hand rails on each side as required.
January 16, 2020Standard inspection · 3 citations
- 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, interview, and review of the facility maintenance policy it was determined the facility failed to provide a safe, comfortable, and homelike environment for residents. Observation on 01/14/2020 revealed two (2) of four (4) facility hallways (Round Station and C Hall) had baseboard heaters with missing and/or bent cover panels. In addition, one (1) of eight (8) rooms in the Round Station hallway (room [ROOM NUMBER]) had a broken heating and air-conditioning electrical outlet cover.
- E 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, and review of the facility policy, it was determined the facility failed to ensure infection control practices were maintained in the kitchen. On 01/14/2020, at 12:03 PM, during service of the lunch meal, observation revealed a contract repairman working on the dishwasher was not wearing a hair net.
- 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 and interview, the facility failed to ensure controlled drugs were stored in a permanently affixed compartment as required in one (1) of two (2) refrigerators in the medication rooms. Observation of the B Hall medication room revealed the locked narcotic box in the refrigerator was not permanently affixed to the refrigerator.
Fire safety inspections
4 fire safety citations on file: 1 on May 22, 2026, 3 on May 1, 2025.
Every fire safety citation4 citations
- D Provide properly protected cooking facilities.
- F Have properly located and lighted "Exit" signs.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
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 | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.09 | 3.95 | 3.86 |
| Registered nurses | 0.50 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.78 | 3.49 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 48.7% | 46.4% | 45.8% |
| Registered nurse turnover | 50.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.87 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 3.22 on weekdays and 2.78 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 3.38 in April to June 2025 to 3.09 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 | 3.09 | 0.50 | 3.22 | 2.78 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.27 | 0.53 | 3.40 | 2.93 | 0.0% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.21 | 0.51 | 3.33 | 2.90 | 0.0% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.38 | 0.49 | 3.54 | 2.97 | 0.0% | 0 of 91 | 83 |
| 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 | 19.3 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.0 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.2 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.3 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: MADISONVILLE HEALTH AND REHABILITATION LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clearview Ky SNF Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/01/2021 |
| Galyen, Whitney | W-2 managing employee | Individual | 04/25/2024 | |
| Vujanovic, Mick | Corporate officer | Individual | 01/01/2020 | |
| Clearview Healthcare Management Ky LLC | Operational/managerial control | Organization | 01/01/2020 | |
| Vujanovic, Mick | Operational/managerial control | Individual | 01/01/2020 |
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 3 problems in this area, most recently on May 22, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 May 22, 2026: "Provide and implement an infection prevention and control program."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 2 problems in this area, most recently on April 23, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- 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 1, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.78 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Brighton Cornerstone Group, LLC Madisonville, 0.3 mi · 1 of 5 stars · 9 citations
- Park Grove Nursing and Rehabilitation Center Madisonville, 0.9 mi · 2 of 5 stars · 16 citations
- Ridgewood Terrace Health and Rehabilitation Center Madisonville, 1.6 mi · 4 of 5 stars · 4 citations
- Joseph Eddie Ballard Western Kentucky Veterans Cen Hanson, 5.9 mi · 5 of 5 stars · 2 citations
- Tradewater Pointe Dawson Springs, 15.6 mi · 3 of 5 stars · 6 citations
- Dawson Springs Health and Rehabilitation Center Dawson Springs, 15.8 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, 19.5 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 Madisonville Health and Rehabilitation, LLC's Medicare star rating?
- CMS rates Madisonville Health and Rehabilitation, LLC 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madisonville Health and Rehabilitation, LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on May 22, 2026. The Kentucky average is 2.9.
- Has Madisonville Health and Rehabilitation, LLC been fined?
- CMS lists no fines in the last three years.
- Does Madisonville Health and Rehabilitation, 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 Madisonville Health and Rehabilitation, LLC?
- CMS lists 5 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: MADISONVILLE HEALTH AND REHABILITATION 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.