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Madison Health and Rehabilitation Center

All states › Kentucky › Richmond › Madison Health and Rehabilitation Center

131 Meadowlark Drive Richmond, KY 40475 · Madison County

(859) 623-3564

All 3 nursing homes in Richmond, KY (2 take Medicaid)

Accepts Medicare Accepts Medicaid 92 certified beds For profit

CMS certification number 185262 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Madison Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Madison Health and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Kentucky average of 3.0. Inspectors issued 9 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 1 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.67 hours per resident per day at Madison Health and Rehabilitation Center, about the same as the Kentucky median of 3.75 (US median: 3.72). About 0.18 of those hours are from registered nurses. On weekends it falls to 3.37 hours, 8% below its all-week average. 48.4% of nursing staff left within a year (Kentucky median 44.3%).

Nursing care per resident per day 3.67 hours
Below the Kentucky median of 3.75 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.18 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.37 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 48.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 72.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds92
Residents per day 85 About 92% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceApril 1991
Legal business nameMADISON HEALTH CENTER LLC

Paying for care at Madison Health and Rehabilitation Center: Medicare and Medicaid

Madison Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Kentucky's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 24, 2025 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 9 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 9 citations at Madison Health and Rehabilitation Center across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on July 27, 2026. The most common areas cited were quality of life and care (4) and infection control (2). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level G, July 27, 2026).

July 27, 2026 · 1 citation · includes complaint inspection

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Aug 18, 2026)

April 8, 2026 · 1 citation · includes complaint inspection

DProvide routine and 24-hour emergency dental care for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0790 · Complaint inspection · Deficient, Provider has date of correction (Apr 28, 2026)

July 24, 2025 · 2 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 20, 2025)

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Aug 20, 2025)

October 11, 2024 · 5 citations

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Nov 4, 2024)

EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Deficient, Provider has date of correction (Nov 4, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Nov 4, 2024)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Nov 13, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 4, 2024)

Questions to ask on a tour of Madison Health and Rehabilitation Center

  1. Inspectors cited the home at the actual-harm level on July 27, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 1/5
August 2026 1/5 3/5 1/5 1/5
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Location

Hospitals near Madison Health and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.2 mi
    Baptist Health Richmond Richmond
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 36m for patients treated and sent home
  • 11.3 mi
    Saint Joseph Berea Berea
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 6m for patients treated and sent home
  • 18.4 mi
    Marcum and Wallace Memorial Hospital Irvine
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 8m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Kenwood Health and Rehabilitation Center Richmond · 0.0 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 93 beds · Medicaid
Telford Terrace Richmond · 1.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 26 beds
Berea Health and Rehabilitation Berea · 9.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 84 beds · Medicaid
The Terrace Nursing and Rehabilitation Center Berea · 10.2 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 102 beds · Medicaid
Landmark of Lancaster Rehabilitation and Nursing Center Lancaster · 17.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 96 beds · Medicaid

More nursing homes near Madison Health and Rehabilitation Center ›   All nursing homes in Richmond ›

Compare Madison Health and Rehabilitation Center with the 3 closest homes side by side ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/kentucky/richmond/madison-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.