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D
Poor

MADISON HEALTH AND REHABILITATION CENTER

131 MEADOWLARK DRIVE · RICHMOND, KY 40475

8596233564 · For profit - Corporation

92 beds86.8 residents130 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MADISON HEALTH AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 3.6056 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3615 HPRD, below the recommended 0.75. It is 0.29 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.67% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.3615 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6056hrs/resident/day▼ 0.29
CMS benchmark: 3.48
RN HPRD
0.3615hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
16.67%
3.7838 weekday → 3.1531 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9299hrs/resident/day
Direct care aides
LPN HPRD
0.9123hrs/resident/day
Licensed practical nurses
Consistency
0.4068std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average-0.42 HPRD
4.02
03.61 HPRD
vs. Kentucky State Average-0.44 HPRD
4.05
03.61 HPRD
vs. National Average-0.29 HPRD
3.90
03.61 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MADISON HEALTH AND REHABILITATION CENTER ★
RICHMOND · This facility
—
D
3.60560.3615★☆☆☆☆
Kenwood Health and Rehabilitation Center
Richmond
0 mi
C
3.89720.437★★★★★
Telford Terrace
Richmond
1.8 mi
A+
5.00151.2515★★★☆☆
The Terrace Nursing and Rehabilitation Center
Berea
10.2 mi
D
3.94790.345★★★★☆
LANDMARK OF LANCASTER REHABILITATION AND NURSING C
LANCASTER
17.1 mi
D
3.25890.3488★★☆☆☆
Nicholasville Nursing and Rehabilitation
Nicholasville
17.2 mi
C
3.25430.5022★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
11
Total Deficiencies
$5,882
Fines Assessed
Jul 24, 2025Health
2 deficiencies cited
▼
Oct 11, 2024Health
5 deficiencies cited
▼
Jul 1, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 1, 2023Fine
$5,882
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.