Madison Health and Rehabilitation Center
131 Meadowlark Drive · Richmond, KY · 40475 · 8596233564
92 certified beds For profit - Corporation
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | 2 · $11,764 |
Inspection citations (12 in the current record)
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Potential for harm · D April 8, 2026 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · E July 24, 2025
Provide and implement an infection prevention and control program.
Corrected August 20, 2025 · Infection Control
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Potential for harm · E July 24, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 20, 2025 · Environmental
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Potential for harm · D October 11, 2024
Ensure each resident receives an accurate assessment.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 11, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 11, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Ensure 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.
Corrected November 13, 2024 · Quality of Life and Care
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Potential for harm · D October 11, 2024
Provide and implement an infection prevention and control program.
Corrected November 4, 2024 · Infection Control
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Actual harm · G July 1, 2023 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 29, 2023 · Resident Assessment and Care Planning
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Actual harm · G July 1, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 29, 2023 · Quality of Life and Care
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Potential for harm · F July 1, 2023 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected July 29, 2023 · Nutrition and Dietary
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Potential for harm · F July 1, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 29, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 1, 2023 | Fine | $5,882 |
| July 1, 2023 | Fine | $5,882 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185262 · certified since April 25, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.