Nursing homeActive
Madison Health and Rehabilitation Center
131 Meadowlark Drive, Richmond, KY 40475859623356492 certified beds · 86 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
8
● 0● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-08
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 3
Staffing 1
Quality 1
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kentucky Office of Inspector General · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-08 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-07-24 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-10-11 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-05-03 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kentucky Office of Inspector General publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F790Provide routine and 24-hour emergency dental care for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 185262-20260408-F790
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 185262-20250724-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-20Record 185262-20250724-F921
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 185262-20241011-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 185262-20241011-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 185262-20241011-F676
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-13Record 185262-20241011-F693
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-04Record 185262-20241011-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.25
Facility
Kentucky
National
Kentucky 0.79 · National 0.69
Total nurse hours per resident day3.56
Facility
Kentucky
National
Kentucky 3.95 · National 3.86
Weekend total nurse hours3.23
Facility
Kentucky
National
Kentucky 3.48 · National 3.42
Total nursing staff turnover52%
Facility
Kentucky
National
Kentucky 46% · National 46%
Registered nurse turnover64%
Facility
Kentucky
National
Kentucky 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kentucky | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.2% | 4.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.1% | 3.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.3% | 16.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 1.6% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 12.5% | 13.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.7% | 6.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 33.8% | 29.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Madison Health Center Holdco LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Jarman, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kelman, Moshe Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Raymer, Myra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cibc Bank USA Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Ggky Opco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Jarman, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kelman, Moshe Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Metropolitan Commercial Bank Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
| Platschek, Goldie Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Platschek, Goldie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rubiweb Services Group USA, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Rubiweb Services Group USA, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Samzil Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Samzil Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Spky Opco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kentucky.
No county cost figures on file for Madison.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Kenwood Health and Rehabilitation Center Richmond | 0.0 mi | 2025-07-10 | 010 |
| Telford Terrace Richmond | 1.8 mi | 2025-12-11 | 000 |
| Berea Health and Rehabilitation Berea | 9.9 mi | 2025-04-10 | 002 |
| The Terrace Nursing and Rehabilitation Center Berea | 10.2 mi | 2025-03-04 | 030 |
| Hartland Park Health & Rehabilitation Lexington | 18.1 mi | 2026-04-24 | 0202 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |