Madison Health and Rehab

Name: Madison Health and Rehab
Address: 2036 SOUTH MAIN STREET, Madison, GA, 30650, US
Telephone: 7063423200

2036 South Main Street, Madison, GA 30650 · Morgan County · 67 certified beds · avg 68 residents/day · certified since Aug 1, 1989

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 21, 2025	F · Potential for harm, facility-wide	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 21, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 21, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 26, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 26, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Mar 26, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 26, 2023	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 26, 2023	D · Potential for harm, one-off	The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time.
Jun 10, 2021	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jun 10, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 10, 2021	F · Potential for harm, facility-wide	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed.
Jun 10, 2021	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2021	4	F
2023	5	F
2025	3	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Georgia avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.45	3.54	3.95	bottom 3% in Georgia; bottom 3% in the U.S.
Registered Nurse hours	0.33	0.50	0.69	bottom 29% in Georgia; bottom 13% in the U.S.
Weekend total nurse staffing	2.17	3.09	3.50	bottom 4% in Georgia; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.35	0.48	bottom 45% in Georgia; bottom 25% in the U.S.
Total nursing staff turnover (%)	34.5	46.0	45.8	top 21% in Georgia; top 23% in the U.S.
RN turnover (%)	28.6	44.5	42.9	top 24% in Georgia; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.06, RN 0.41, weekend 2.71. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Cook, Sheila	Individual	Direct Ownership Interest	NOT APPLICABLE	05/15/2013
Cook, Sheila	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/15/2013
Cook, Sheila	Individual	Corporate Director	NOT APPLICABLE	05/15/2013
Cook, Sheila	Individual	Corporate Officer	NOT APPLICABLE	05/15/2013
Cook, Sheila	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2013
Cook, Sheila	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2013
Cook, Terry	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/15/2013
Cook, Terry	Individual	Corporate Director	NOT APPLICABLE	05/15/2013
Cook, Terry	Individual	Corporate Officer	NOT APPLICABLE	05/15/2013
Cook, Terry	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2013
Cook, Terry	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2013
Pine Leaf Investment INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2016
Wrenn, Joanne	Individual	Operational/Managerial Control	NOT APPLICABLE	02/15/2008
Wrenn, Joanne	Individual	ADP of the SNF	NOT APPLICABLE	02/15/2008
Zant, Walter	Individual	Operational/Managerial Control	NOT APPLICABLE	07/15/2015
Zant, Walter	Individual	ADP of the SNF	NOT APPLICABLE	07/15/2015

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What are your current staff vaccination and illness policies for protecting residents?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Social Circle Nsg & Rehab Ctr	14.5 mi	Social Circle, GA	★★☆☆☆	3/5
High Shoals Health and Rehabilitation	17.5 mi	Bishop, GA	★★★★☆	4/5
Eatonton Health and Rehabilitation	19.4 mi	Eatonton, GA	★★★☆☆	3/5
Park Place Nursing Facility	19.9 mi	Monroe, GA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Madison →

Facility data as of CMS processing date 2026-08-01. CCN 115457.

The Care File

Visit checklist — Madison Health and Rehab

2036 South Main Street, Madison, GA 30650 · 7063423200

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What are your current staff vaccination and illness policies for protecting residents?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 115457 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)