Madison Health and Rehabilitation Center

Name: Madison Health and Rehabilitation Center
Address: 131 Meadowlark Drive, Richmond, KY, 40475, US
Telephone: 8596233564

131 Meadowlark Drive, Richmond, KY 40475 · Madison County · 92 certified beds · avg 86 residents/day · certified since Apr 25, 1991

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.29

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: 1/5

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 (8)

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
Apr 8, 2026	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents. · from a complaint
Jul 24, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 24, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 11, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 11, 2024	E · Potential for harm, repeated	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 11, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

Year	Citations	Worst severity that year
2024	5	E
2025	2	E
2026	1	D

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	Kentucky avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.29	3.71	3.95	bottom 45% in Kentucky; bottom 26% in the U.S.
Registered Nurse hours	0.23	0.74	0.69	bottom 1% in Kentucky; bottom 4% in the U.S.
Weekend total nurse staffing	2.98	3.27	3.50	bottom 48% in Kentucky; bottom 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.53	0.48	bottom 1% in Kentucky; bottom 3% in the U.S.
Total nursing staff turnover (%)	51.6	46.4	45.8	bottom 30% in Kentucky; bottom 33% in the U.S.
RN turnover (%)	63.6	41.8	42.9	bottom 14% in Kentucky; bottom 17% 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 3.56, RN 0.25, weekend 3.23. 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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ggky Opco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	05/31/2024
Madison Health Center Holdco LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/31/2024
Platschek, Goldie	Individual	Indirect Ownership Interest	NOT APPLICABLE	05/31/2024
Rubiweb Services Group USA, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	05/31/2024
Samzil Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	05/31/2024
Spky Opco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	05/31/2024
Cibc Bank USA	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/01/2018
Jarman, James	Individual	Operational/Managerial Control	NOT APPLICABLE	11/12/2024
Jarman, James	Individual	ADP of the SNF	NOT APPLICABLE	11/12/2024
Kelman, Moshe	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2018
Kelman, Moshe	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2018
Metropolitan Commercial Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	09/01/2018
Platschek, Goldie	Individual	ADP of the SNF	NOT APPLICABLE	05/24/2024
Raymer, Myra	Individual	Operational/Managerial Control	NOT APPLICABLE	03/14/2023
Rubiweb Services Group USA, LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/31/2024
Samzil Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/13/2026

Questions to ask on your visit

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

"How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"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
Kenwood Health and Rehabilitation Center	0.0 mi	Richmond, KY	★★★★★	5/5
Telford Terrace	1.8 mi	Richmond, KY	★★★★★	5/5
Berea Health and Rehabilitation	9.9 mi	Berea, KY	★★★☆☆	4/5
The Terrace Nursing and Rehabilitation Center	10.2 mi	Berea, KY	★★★★☆	5/5
Landmark of Lancaster Rehabilitation and Nursing C	17.1 mi	Lancaster, KY	★★☆☆☆	2/5
Nicholasville Nursing and Rehabilitation	17.2 mi	Nicholasville, KY	★☆☆☆☆	2/5
Hartland Park Health & Rehabilitation	18.1 mi	Lexington, KY	★☆☆☆☆	1/5
Irvine Nursing and Rehabilitation Center	18.8 mi	Irvine, KY	★★★★☆	4/5
Bluegrass Care & Rehabilitation Center	18.8 mi	Lexington, KY	★★★★☆	4/5
Sayre Christian Village Nursing Home	19.3 mi	Lexington, KY	★☆☆☆☆	2/5
Lexington Premier Nursing & Rehab	19.7 mi	Lexington, KY	★☆☆☆☆	1/5
Fountain Circle Care & Rehabilitation Center	19.8 mi	Winchester, KY	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Richmond →

Facility data as of CMS processing date 2026-08-01. CCN 185262.

The Care File

Visit checklist — Madison Health and Rehabilitation Center

131 Meadowlark Drive, Richmond, KY 40475 · 8596233564

Health inspection rating 3/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "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 185262 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)