Madison Health Care
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 34 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Bottom 25% in OH · Critically understaffed (RN) · Below chain average · $109,991 in fines
What this means for your family
While some reviewers praise the therapy team, the facility has a concerning pattern of reports regarding poor hygiene and neglect. We strongly advise families to conduct an unannounced visit to inspect cleanliness and observe staff-resident interactions before making a decision.
Google Reviews
Google Reviews
34 reviews on Google“Madison Health Care receives highly polarized feedback, with a significant number of recent reviews highlighting severe concerns regarding cleanliness, neglect, and unprofessional staff behavior. While some reviewers, particularly those identifying as employees or family members of deceased residents, praise the facility as a 'family-like' environment, others report critical failures in hygiene, medication management, and basic resident care.”
Quality Themes
Tap a score for detailsStrengths
- Proactive therapy team
- Supportive work environment for staff
- Compassionate end-of-life care reported by some families
Concerns
- Poor cleanliness and hygiene (bed sores, dirty facilities) (mentioned by 4 reviewers)
- Unprofessional or rude nursing staff (mentioned by 5 reviewers)
- Neglect and medication management errors (mentioned by 3 reviewers)
- Lack of communication with families regarding health status (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 38 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent feedback regarding facility hygiene, could you walk me through your daily cleaning protocols and how you ensure rooms remain sanitary?
- 2I noticed concerns regarding medication management; what specific systems or double-check procedures do you have in place to prevent errors?
- 3How does your nursing team handle communication with families when there is a change in a resident's health status or a medical concern?
- 4What steps are you taking to improve staff consistency and ensure that all interactions with residents are professional and compassionate?
- 5Since your therapy team is highly regarded, how do you integrate their work into the daily activities and physical well-being of residents who aren't in active rehab?
- 6What is your protocol for handling medical emergencies, and how quickly can a resident be transferred to a hospital if their condition requires a higher level of care?
Personalized based on this facility's data
Key Review Excerpts
“They'll leave people soiled with food and other bodily fluids. Unsupervised residents. Sad when they get sent to the hospital and the hospital has to call adult protective services on the nursing home.”
“The bathrooms are disgusting, garbage cans over flowing and toilets are never cleaned. It smells like a port a John. The housekeeping is almost no existent.”
“Therapy here is top notch! They are always proactive, concern and advocating for residents! They treat residents like family!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
6
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed complaints triggering 17 deficiencies at Madison Health Care, with serious concerns about resident protection from abuse and neglect appearing multiple times, including one high-severity violation. The facility shows recurring problems in resident safety, medication management, and building safety systems across nine surveys spanning 2021-2025. While all deficiencies report correction dates, the pattern of repeated violations in critical care areas suggests ongoing operational challenges that families should carefully consider.
Mar 13, 2025Routine12
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Construct fire resistant interior walls.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Mar 13, 2025Complaint3
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Dec 19, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 30, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 17, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 1, 2023Complaint3
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jun 17, 2024
$109,991
Ownership & Operations
Who Operates This Facility
Madison Health Care
for profit
Chain Affiliation
Embassy Healthcare
35 facilities nationwide
Chain avg rating: 2.5/5 · Rank 28 of 37
Ownership & Management
Owners
2020 Gsr Dynasty LLC
Owner (parent company) · Organization
Aaron Handler Family Dynasty Trust
Owner (parent company) · Organization
Ah Dynasty LLC
Owner (parent company) · Organization
George S. Repchick 2020 Family Dynasty Trust
Owner (parent company) · Organization
Handler, Aaron
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
34 reviews from families & visitors
Official Website
Visit embassyhealthcare.net
Medicare data downloads
Original nursing home datasets
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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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Cardinal Woods Skilled Nursing & Rehab Ctr
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Geneva Center for Rehabilitation and Nursing
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Pine Grove Healthcare Center
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