Madison Health Care
7600 S Ridge Rd, Madison, OH 44057 · Lake County · 125 certified beds · avg 98 residents/day · certified since Jul 31, 1974 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: EMBASSY HEALTHCARE (33 facilities, chain avg rating 2.4★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$109,991
Fines, last 3 years
2.89
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 17, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 18, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (37)
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 |
|---|---|---|
| Jun 25, 2026 | 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. · from a complaint |
| Jun 25, 2026 | D · Potential for harm, one-off | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint |
| Jun 25, 2026 | C · Minimal risk, facility-wide | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · from a complaint |
| Mar 13, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 13, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Mar 13, 2025 | E · Potential for harm, repeated | The facility did not provide bedrooms with required basics: a window to the outside, a room at or above ground level, adequate bedding, furniture that fits the resident's needs, or enough closet space. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 13, 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 13, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment. · from a complaint |
| Dec 19, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 19, 2024 | 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. · from a complaint |
| Jul 30, 2024 | 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. · from a complaint |
| Jun 17, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 17, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 1, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Nov 1, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Nov 1, 2023 | 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. · from a complaint |
| Sep 28, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Sep 28, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Sep 28, 2023 | 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. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 28, 2023 | 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. |
| Aug 17, 2023 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Sep 2, 2021 | F · Potential for harm, facility-wide | 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. |
| Sep 2, 2021 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Sep 2, 2021 | E · Potential for harm, repeated | The facility did not have firmly secured handrails on both sides of its hallways. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not properly protect the personal money residents deposited with it for safekeeping. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 2, 2021 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 9 | 0 | F |
| 2023 | 10 | 0 | F |
| 2024 | 6 | 1 | J ▲ |
| 2025 | 9 | 0 | F |
| 2026 | 3 | 0 | 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)
1 fine totaling $109,991.
| Date | Type | Amount / length |
|---|---|---|
| Jun 17, 2024 | Fine | $109,991 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.89 | 3.45 | 3.95 | bottom 16% in Ohio; bottom 10% in the U.S. |
| Registered Nurse hours | 0.24 | 0.60 | 0.69 | bottom 1% in Ohio; bottom 5% in the U.S. |
| Weekend total nurse staffing | 2.76 | 3.07 | 3.50 | bottom 34% in Ohio; bottom 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.42 | 0.48 | bottom 17% in Ohio; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 48.7 | 45.8 | top 9% in Ohio; top 15% in the U.S. |
| RN turnover (%) | 28.6 | 43.9 | 42.9 | top 25% in Ohio; 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 2.94, RN 0.25, weekend 2.81. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 2020 GSR Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Aaron Handler Family Dynasty Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Ah Dynasty LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| George S. Repchick 2020 Family Dynasty Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2020 |
| Handler, Aaron | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2009 |
| Cerjan, Kayla | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Cerjan, Kayla | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Embassy Healthcare Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Embassy Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 05/22/2025 |
| Handler, Aaron | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2009 |
| Handler, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2009 |
| Heritage Employment Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Heritage Employment Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/22/2025 |
| Lele, Shreeniwas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Lele, Shreeniwas | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Repchick, George | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Repchick, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
- "Do you have a full-time social worker on staff, and how would they work with my family member?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can I see the actual room my family member would live in, not just a model room?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 | Flags |
|---|---|---|---|---|---|
| Rae Ann Geneva | 3.1 mi | Geneva, OH | ★☆☆☆☆ | 1/5 | |
| Cardinal Woods Skilled Nursing & Rehab Ctr | 3.3 mi | Madison, OH | ★☆☆☆☆ | 1/5 | abuse |
| Geneva Center for Rehabilitation and Nursing | 3.5 mi | Geneva, OH | ★★☆☆☆ | 3/5 | |
| Pine Grove Healthcare Center | 3.9 mi | Geneva, OH | ★★★★★ | 5/5 | |
| Austinburg Nsg and Rehab Ctr | 8.2 mi | Austinburg, OH | ★★★☆☆ | 3/5 | |
| Saybrook Landing | 10.7 mi | Ashtabula, OH | ★★★★★ | 4/5 | |
| Homestead II | 12.7 mi | Painesville, OH | ★★★★★ | 4/5 | |
| Carington Park | 13.1 mi | Ashtabula, OH | ★★★★★ | 5/5 | |
| Jefferson Healthcare Center | 13.4 mi | Jefferson, OH | ★★★★☆ | 5/5 | |
| Country Club Ret Center I I I | 13.6 mi | Ashtabula, OH | ★★★★☆ | 3/5 | |
| Heritage Healthcare of Painesville | 14.6 mi | Painesville, OH | ★★★☆☆ | 3/5 | |
| Concord Village Skilled Nursing & Rehabilitation | 14.7 mi | Concord, OH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365306.