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Nursing HomeMedicaid

Brighton Cornerstone Group, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

55 East North Street, Madisonville, KY 4243140 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Brighton Cornerstone Group, LLC Nursing Home in Madisonville, KY — Street View
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What this means for your family

Brighton Cornerstone Group, LLC falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
4.62hrs
OK
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility34.1%
Worse than Avg
Here
34.1%
US
15.4%
KY
16.4%
Hopkins
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.8%
Better than Avg
Here
16.8%
US
19.5%
KY
29.6%
Hopkins
20.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
19.4%
KY
19.4%
Hopkins
18.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
15.3%
KY
15.5%
Hopkins
21.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.9%
Mixed vs Avgs
Here
6.9%
US
12.1%
KY
16.5%
Hopkins
2.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility13.3%
Better than Avg
Here
13.3%
US
14.4%
KY
14.7%
Hopkins
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.0%
Worse than Avg
Here
80.0%
US
81.8%
KY
83.9%
Hopkins
92.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
KY
1.7%
Hopkins
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Above state avg (3.4)
1 complaint-triggered
$3,387 in fines

This facility has recurring issues across multiple surveys, with one complaint resulting in a nursing staffing deficiency. The most persistent problems involve fire safety and building maintenance, emergency preparedness, and electrical systems safety. While all deficiencies show correction dates, the pattern of repeated violations in fire safety, corridor obstructions, and emergency equipment suggests ongoing operational challenges that families should consider when evaluating this facility.

Jan 8, 2026Routine
9
0036ModerateCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0232ModerateCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0552ModerateCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0582MinorCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 6, 2025Routine
15
0024ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291ModerateCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0761ModerateCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0921ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0232ModerateCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 6, 2025Complaint
1
0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Mar 4, 2020Routine
12
0032ModerateCorrected

Emergency Preparedness Deficiencies

Provide primary/alternate means for communication.

0232ModerateCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0006MinorCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0024MinorCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0929MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Federal Penalties

Fine

Jan 30, 2024

$3,387

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brighton Cornerstone Group, LLC

Organization Type

for profit

Ownership & Management

Key personnel

Frances, JayOfficer / DirectorSmith, KimberlyOfficer / DirectorLegacy Health Services INCManagerFrances, JayManagerSmith, KimberlyManager
Source: Medicare provider data

Contact

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References & Resources

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