Madison Health and Rehabilitation Center is located in Richmond, Kentucky, a city with a population of 55,803 people. We gave this facility a bottom of the barrel overall score based on the data we looked at. Richmond received a more impressive city grade of B+, so there are far better options in the city worth considering. We wouldn't blame you if you're ready to stop reading and find another facility. However, if you want to learn more about this nursing home's category grades, we will discuss long-term care in the next section.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 92 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Long-term Care Quality

B+
Oct 18: CNov 18: CDec 18: CJan 19: B-Feb 19: B-Mar 19: B-Apr 19: DMay 19: DJun 19: DJul 19: DAug 19: DSep 19: CJan 20: CMar 20: B-Apr 20: A-May 20: A-Jun 20: A-Jul 20: B+Aug 20: B+
Historical

Although we graded this facility incredibly poorly overall, it surprisingly received an impressive long-term care score this year. We awarded it a grade of B+ in this category. Nursing homes that do well in this category tend to be well-staffed and provide extensive hands on care to patients. After we finished assessing the amount of care provided by nurses, we then analyzed the nursing home's vaccination records. This facility vaccinated 96.27119 percent of its residents for pneumonia, which is very impressive. Pneumonia can be a life or death condition for nursing home residents so we strongly prefer when a nursing home doesn't leave this to chance. This place also keeps its patients out of the hospital. Indeed, it had only 1.34 hospitalizations per one thousand long-term resident days.

Short-term Care Quality

D
Oct 18: CNov 18: CDec 18: CJan 19: B+Feb 19: B+Mar 19: B+Apr 19: CMay 19: CJun 19: CJul 19: CAug 19: CSep 19: CJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

As it turns out, this nursing home only received a D for its short-term care score, which turns out to be one of its more favorable category scores. In the area of short-term care, we endeavor to evaluate indicators of a facility's rehabilitation services. We assess the nursing home's skilled nursing services, including the ones performed by registered nurses and physical therapists. Not surprisingly, we found that this nursing home offers far less registered nurse and physical therapist hours per resident than the average nursing home. The last item we assessed in this category is the number of patients that eventually returned home from the nursing home. This facility a bit in this metric as well, with just 48.4 percent of its patients returning home. This was below average.

Nurse Quality

D
Oct 18: DNov 18: DDec 18: DJan 19: B+Feb 19: B+Mar 19: B+Apr 19: FMay 19: FJun 19: FJul 19: DAug 19: DSep 19: DJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

Turning to the area of nursing care, this facility received a grade of just D in this category. The nursing score weighs many factors. The most important one is the quantity of hours nurses spend with residents. This nursing home provides 3.1 hours of nursing care per resident per day. This is a much lower figure than we are used to seeing. On top of receiving below average scores for nursing hours, this nursing home was a bit less impressive in some of the quality-based metrics we looked at in determining our nursing ratings. We looked at the percent of patients sustaining pressure ulcers and found that this nursing home was at approximately 150 percent of the national average in this metric. This is likely a bad sign when you consider that so many bed sores are believed to be preventable with better nursing care. Unfortunately, this statistic dragged down this facility's nursing score significantly.

Facility Inspections

F
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: A-May 19: A-Jun 19: AJul 19: A-Aug 19: A-Sep 19: FJan 20: FMar 20: FApr 20: DMay 20: FJun 20: FJul 20: FAug 20: F
Historical

Turning our last area of inspections, this nursing home received an F in this area. Since this information is collected by government inspectors, we heavily weight poor results in this category. When a place has this bad of an inspection rating, you should expect some severe deficiencies on its inspection report. Severe deficiencies indicate a risk to resident safety. This nursing home was assessed one category J or K deficiency, which rank among the worst deficiencies. Lastly, we also want to point out that this place received significant government fines of over $100,000. This typically signifies that a nursing home's bad track record spanned more than one year.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
F
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Madison Health and Rehabilitation Center Quality Metrics

Minimizes Pressure Ulcers

This figure tells you the percentage of long-term stay patients that suffered from pressure ulcers or bed sores. We use this statistic in calculating our nursing grades.

Provider
B-
8.42%
State
B-
8.54%
National
B
7.32%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This datapoint is a measure of the percentage of long-term stay patients that have sustained a fall which resulted in serious injury. We use this statistic in determining nursing ratings.

Provider
A
1.36%
State
B-
3.99%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This is the percentage of residents who have had a urinary tract infection. UTI's are considered by many in the nursing home industry to be a measure of nursing care . UTI's are often associated with lower quality nursing care. Nevertheless, this statistic can be skewed for certain nursing homes due to varying reporting standards for urinary tract infections.

Provider
B
2.11%
State
B
3.04%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This statistic measures the percent of long-term stay patients taking antipsychotic drugs. While antipsychotic medications serve an important medical purpose, it is important to confirm these medications are being used only where medically required. In limited situations, excessive reliance on these medications may suggest that a nursing home is using these medications to control patient behavior.

Provider
D
27.48%
State
B-
17.09%
National
B
14.18%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percent of patients given antianxiety drugs. These drugs are generally prescribed to residents experiencing depression and anxiety.

Provider
B-
23.83%
State
C
27.76%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of patients who are demonstrating depressive symptoms.

Provider
A-
0.36%
State
B+
2.75%
National
B+
5.08%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.

Provider
D
88.99%
State
B
90.84%
National
B
92.05%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This datapoint measures the percent of long-term patients that needed additional assistance with activities of daily living over time. ADL's include activities such as dressing and continence.

Provider
C
18.32%
State
B
16.12%
National
B
14.45%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

This tells you the percent of residents who remained mobile levels over time. Preserving mobility is often a great sign for residents' well-being.

Provider
A+
27.45%
State
B+
20.14%
National
B
17.08%

Percentage of Residents
Higher is Better

Hospitalizations

This is the number of hospitalizations per 1,000 days of patient care. There is a correlation between avoiding hospitalizations and the quality of long-term care.

Provider
B+
1.34
State
B-
1.9
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of rehospitalizations per thousand days of short-term patient care.

Provider
F
27.45
State
B-
20.14
National
B
17.08

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This indicates the number of times residents are sent to the emergency room per thousand days of short-term care. There is typically a correlation between staying out of the emergency room and the overall quality of care.

Provider
D
14.48
State
B-
12.41
National
B
10.25

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This is the percentage of short-term residents who saw functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of independence with ADL's often correlates with superior rehabilitation.

Provider
F
49.45%
State
B-
65.2%
National
B
68.02%

Percentage of Resident
Higher is Better

Nearby Hospitals

Baptist Health Richmond 1.07 mi
801 Eastern Bypass Richmond Kentucky 40475
(859) 623-3131
Acute Care Hospitals
Voluntary non-profit - Private
Saint Joseph Berea 11.46 mi
305 Estill Street Berea Kentucky 40403
(859) 986-6500
Critical Access Hospitals
Voluntary non-profit - Private
Marcum & Wallace Memorial Hospital 18.26 mi
60 Mercy Court Irvine Kentucky 40336
(606) 723-2115
Critical Access Hospitals
Voluntary non-profit - Private
Saint Joseph East 19.3 mi
150 North Eagle Creek Drive Lexington Kentucky 40509
(859) 967-5000
Acute Care Hospitals
Voluntary non-profit - Private
Clark Regional Medical Center 19.55 mi
175 Hospital Drive Winchester Kentucky 40391
(859) 737-8559
Acute Care Hospitals
Proprietary

Nearby Dialysis

Fmc - Central Richmond 2.13 mi
Dialysis Stations: 20
1036 Center Dr Ste C Richmond Kentucky 40475
(859) 623-6040
Dci - Richmond 2.92 mi
Dialysis Stations: 15
100 Keystone Drive Richmond Kentucky 40475
(859) 625-0939
Fmc - Nak Berea, LLC 10.22 mi
Dialysis Stations: 13
509 Richmond Road N Berea Kentucky 40403
(859) 985-8112
Fmc - Nicholasville Dialysis 17.22 mi
Dialysis Stations: 17
115 Orchard Place Dr. Nicholasville Kentucky 40356
(859) 881-0332
Fmc- Lexington Southwest 18.62 mi
Dialysis Stations: 17
978 Chas Drive Lexington Kentucky 40515
(859) 260-1706
Fmc - Winchester 19 mi
Dialysis Stations: 16
1145 W. Lexington Ave. Winchester Kentucky 40391
(859) 744-0750
Fmc- Lexington South Dialysis 19.23 mi
CMS Rating: 3 stars
Dialysis Stations: 16
171 N Eagle Creek Dr Ste 110 Lexington Kentucky 40509
(859) 264-7775
Fmc - Nalco Home Program 19.37 mi
Dialysis Stations: 3
3284 Eagle View Drive Suite 120 Lexington Kentucky 40509
(859) 299-3379