64/100
Average
131 Meadowlark Drive, Richmond, KY 40475
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
2 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: July 24, 2025 (1 year ago).
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| GGKY OPCO, LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| RUBIWEB SERVICES GROUP USA, LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| SAMZIL HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| SPKY OPCO, LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| PLATSCHEK, GOLDIE | Individual | INDIRECT OWNERSHIP INTEREST | — |
| CIBC BANK USA | Organization | 5% OR GREATER SECURITY INTEREST | — |
| METROPOLITAN COMMERCIAL BANK | Organization | 5% OR GREATER SECURITY INTEREST | — |
| JARMAN, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| KELMAN, MOSHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RAYMER, MYRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RUBIWEB SERVICES GROUP USA, LLC | Organization | ADP OF THE SNF | — |
| SAMZIL HOLDINGS LLC | Organization | ADP OF THE SNF | — |
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Madison Health And Rehabilitation Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.56 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 2 of the 12 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Madison Health And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.