Here are 5 Nursing Homes in Madison County, KY

Nurse hours

4.71 /day

Staff turnover

89%

Serious cites

0

Telford Terrace runs a small 26-bed nonprofit home in Richmond, and the raw staffing number looks strong: 4.71 nurse hours per resident day, roughly 22% above the national average. The catch is who's providing that care. Annual turnover sits at 89.3%, nearly double the national figure, and weekends run about 18% thinner than weekdays, so the coverage families see on a Tuesday may not resemble a Sunday. Inspections are recent and the health rating is strong, but seven deficiencies are on record, one serious enough to reach harm or jeopardy level. Nothing here suggests danger, just a home where consistent hands are harder to keep than the numbers alone imply.

Nurse hours

3.92 /day

Staff turnover

41%

Serious cites

0

The Terrace sits at 102 certified beds in Berea, run by a for-profit LLC. Its most recent inspection was in March 2025, and the record shows five deficiencies, none at the harm level and none tied to abuse, that's a relatively clean inspection history, reflected in a five-star health inspection rating. The staffing picture is more uneven. Overall nurse hours run slightly above the national average, but weekends drop about 14% below weekdays, and the staffing star rating is just one out of five. Turnover at 41.2% is a bit below the national average, which helps. Quality measures land mid-range at three stars. The split is real: strong inspections, thin staffing depth.

Nurse hours

3.56 /day

Staff turnover

52%

Serious cites

0

Madison Health and Rehabilitation Center runs 92 certified beds in Richmond under corporate for-profit ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident per day, roughly 8% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover is 51.6% against a national 45.8%, so aides and nurses are cycling through steadily. The inspection record shows 12 deficiencies, two of them serious enough to cite harm or jeopardy, though none abuse-related. CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was July 2025, so the picture is current.

Nurse hours

3.65 /day

Staff turnover

41%

Serious cites

0

Kenwood Health and Rehabilitation Center in Richmond runs 93 certified beds under corporate for-profit ownership, and the staffing numbers are where the story starts. At 3.65 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 40.7% is actually better than the 45.8% national figure, which matters for consistency of care. The inspection record is genuinely strong: a 5-out-of-5 CMS health inspection rating, one deficiency on the current record, none at harm level, none abuse-related, and a survey as recent as July 2025. Quality measures and staffing both rate 2 out of 5, though, which is the tension here, clean inspections, lighter day-to-day coverage.

Nurse hours

3.91 /day

Staff turnover

55%

Serious cites

0

Berea Health and Rehabilitation runs 84 certified beds under for-profit partnership ownership, and its staffing picture is more fragile than the headline number suggests. Total nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 17% below the home's own weekday levels, and annual turnover hits 55.2% against a national 45.8%. Inspections look better: a 4/5 health inspection rating, most recently surveyed in April 2025, with seven deficiencies on record, two of them serious enough to reach harm or jeopardy level, and $16,801 in fines across two penalties. The gap between decent inspection results and thin, churning staffing is what stands out here.