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Madison Health And Rehabilitation Center

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  2. Kentucky
  3. Richmond Skilled Nursing Home Facilities
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Overall Rating 5.0 / 5.0 ★★★★★

  • Vanessa Cushman
    ★★★★★ 8 months ago

  • dora Maria Mendez
    ★★★★★ 5 months ago

About Madison Health And Rehabilitation Center

General Information

Legal Business NameRichmond Health Facilities - Madison Lp
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareApril 25, 1991 (28 years)
Capacity92
Residents82
Percent Occupied89%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Madison Health And Rehabilitation Center

Madison Health And Rehabilitation Center was reviewed by Medicare to have a rating of 2 out of 5 stars.

About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 4, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

March 15, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

January 6, 2017 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

November 17, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionProvide care by qualified persons according to each resident's written plan of care.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
DFewPotential for HarmHealth InspectionProvide special eating equipment and utensils for each resident who needs them.

November 3, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmComplaintTry to resolve each resident's complaints quickly.
DFewPotential for HarmComplaintPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

August 11, 2016 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintStore, cook, and serve food in a safe and clean way.

May 5, 2016 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.
ESomePotential for HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

December 11, 2015 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep all essential equipment working safely.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Madison Health And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min
2hr 25min
ReportedExpected
CNA
50min
40min
ReportedExpected
LPN
55min
1hr 10min
ReportedExpected
RN
3hr 50min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 30min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

90.2%
89.0%
89.0%
89.0%
95.0%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
96.2%
97.3%
94.8%
95.1%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
46.4%
42.9%
46.2%
49.1%
Q4 2016Q1 2017Q2 2017Q3 2017KY
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
30.1%
26.7%
26.8%
22.4%
31.5%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who received an antianxiety or hypnotic medication
45.7%
30.2%
24.0%
35.4%
21.0%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents whose ability to move independently worsened
29.4%
25.7%
27.7%
27.1%
19.1%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who received an antipsychotic medication
24.2%
33.8%
18.3%
17.3%
16.7%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents whose need for help with daily activities has increased
0.0%
6.5%
12.2%
7.9%
8.0%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who lose too much weight
11.8%
15.5%
7.4%
3.4%
5.9%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of high risk long-stay residents with pressure ulcers
1.4%
2.3%
1.3%
1.1%
6.6%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who self-report moderate to severe pain
0.0%
0.0%
0.0%
0.0%
2.5%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who have depressive symptoms
5.6%
1.3%
0.0%
0.0%
4.5%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents with a urinary tract infection
5.4%
5.1%
6.8%
3.9%
3.8%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents experiencing one or more falls with major injury
0.0%
1.0%
4.0%
1.0%
2.0%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents with a catheter inserted and left in their bladder
1.4%
0.0%
1.4%
2.6%
0.9%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.8%
86.9%
81.7%
67.1%
85.3%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
90.2%
90.2%
90.2%
84.2%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
53.8%
61.0%
72.8%
66.2%
60.8%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents who made improvements in function
8.9%
6.1%
4.5%
2.2%
16.1%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
4.7%
11.8%
13.3%
2.8%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents who newly received an antipsychotic medication
0.0%
1.9%
1.1%
0.0%
1.0%
Q4 2016Q1 2017Q2 2017Q3 2017KY
Percentage of short-stay residents with pressure ulcers that are new or worsened



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