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Nursing HomeMedicaid Investigative

Madison Health and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

131 Meadowlark Drive, Richmond, KY 4047592 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 37 Google reviews

5
4
3
2
1
Madison Health and Rehabilitation Center Nursing Home in Richmond, KY — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (60%)
  • High RN turnover (67%)

Bottom 25% in KY · Critically understaffed (RN) · Worst in BENJAMIN LANDA chain · $11,764 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

While some families report positive experiences with activities and specific staff, there are recurring, serious reports of neglect, dehydration, and failure to assist with basic needs. We strongly advise you to conduct unannounced visits during weekends or evenings and speak directly with current residents' families to verify the quality of care before making a decision.

Google Reviews

Google Reviews

37 reviews on Google
Madison Health and Rehabilitation Center receives highly polarized feedback, with some reviewers praising the staff and atmosphere while others report severe neglect. Critical concerns include chronic understaffing, failure to assist residents with basic needs like feeding and hygiene, and poor communication regarding medical care. Families should be aware of serious allegations regarding resident safety and dehydration that contrast sharply with the facility's positive internal reviews.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean5.0Activities9.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Warm, welcoming atmosphere
  • Engaging activity programs
  • Professional and friendly nursing staff (per positive reviews)

Concerns

  • Chronic understaffing leading to neglect (mentioned by 4 reviewers)
  • Failure to provide basic assistance with feeding and hydration (mentioned by 3 reviewers)
  • Poor hygiene management and delayed response to toileting needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.82019(21)5.02020(1)1.02023(1)1.02024(3)2.72025(7)5.02026(1)

Distribution · 34 analyzed

5
25
4
0
3
0
2
0
1
9
15 reviews posted between Sep 24, 2019Sep 27, 2019 · 15 were 5-star

How They Respond to Reviews

20%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has a very active calendar; could you walk me through a typical day for a resident and how staff ensure everyone is supported during these activities?
  • 2With the current staffing levels, what specific protocols are in place to ensure that residents receive timely assistance with daily needs like hydration, feeding, and toileting?
  • 3How does your nursing team manage medication administration and ensure accuracy, especially during shift changes?
  • 4I see that you engage with feedback online; how do you currently track and improve communication with families when concerns about care or hygiene arise?
  • 5Given the recent focus on health inspections, what specific steps is the leadership team taking to improve the facility's overall quality of care and staffing consistency?
  • 6In the event of a medical emergency, what is the exact process for notifying family members, and how quickly can we expect an update from the clinical team?

Personalized based on this facility's data


Key Review Excerpts

My sis law was admitted on Friday afternoon for therapy... By Monday afternoon she was admitted to the hospital for dehydration and high blood pressure. She laid in her own urine so long that she already has a rash.

Family member · 2025☆☆☆☆

When I asked a nurse how often do they fees him or give him something to drink they said they don't have time to feed him. My grandfather has been in and out of hospital a few time for dehydration and infection due to not having his catheter changed.

Grandchild of resident · 2025☆☆☆☆

The staff is amazing. Jim the administrator is always there to help if you need it. Carrie, Deb, Ashley, and the nursing staff is excellent.

Family member · 2025★★★★★
Source: 37 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
45%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
73%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

11

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.9%
Worse than Avg
Here
33.9%
US
19.5%
KY
29.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility18.5%
Worse than Avg
Here
18.5%
US
12.1%
KY
16.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
93.4%
KY
94.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.0%
Worse than Avg
Here
20.0%
US
15.4%
KY
16.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility8.4%
Worse than Avg
Here
8.4%
US
4.9%
KY
5.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
14.4%
KY
14.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility73.8%
Worse than Avg
Here
73.8%
US
79.7%
KY
83.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.7%
Worse than Avg
Here
78.7%
US
81.8%
KY
83.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
KY
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
2penalties
Near state avg (3.4)
4 complaint-triggered
$11,764 in fines

Families filed complaints in 2023 regarding care planning, safety supervision, and meal quality issues, all of which were reportedly corrected. The facility shows recurring problems with care planning, infection control, and fire safety systems across multiple surveys, though all deficiencies have correction dates. Electrical safety issues have persisted across recent inspections, indicating ongoing maintenance challenges that families should discuss during visits.

Jul 24, 2025Routine
3
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Oct 11, 2024Routine
7
0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0676Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

May 3, 2024Routine
2
0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Jul 1, 2023Complaint
4
0657Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Federal Penalties

Fine

Jul 1, 2023

$5,882

Fine

Jul 1, 2023

$5,882

Ownership & Operations

Who Operates This Facility

Owner / Operator

Madison Health and Rehabilitation Center

Organization Type

for profit

Ownership & Management

Owners

Madison Health Center Holdco LLC

Owner · Organization

100%

Ggky Opco, LLC

Owner (parent company) · Organization

Rubiweb Services Group USA, LLC

Owner (parent company) · Organization

Samzil Holdings LLC

Owner (parent company) · Organization

Spky Opco, LLC

Owner (parent company) · Organization

Platschek, Goldie

Owner (parent company)

Key personnel

Cibc Bank USA5% or Greater Security InterestMetropolitan Commercial Bank5% or Greater Security InterestJarman, JamesManagerKelman, MosheManagerRaymer, MyraManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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