CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1852622026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Madison Health And Rehabilitation Center

131 Meadowlark Drive · Richmond, KY 40475 · Madison County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds92CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-07-2432025-07-241
Cycle 22024-10-1152024-10-112
Cycle 32024-05-0302024-05-032
02 / CITATION DETAIL

13 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-04-08 · HEALTHF0790Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

Correction field: Deficient, Provider has date of correction · 2026-04-28 · complaint
2025-07-24 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-08-20
2025-07-24 · HEALTHF0921Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Correction field: Deficient, Provider has date of correction · 2025-08-20
2025-07-24 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-08-18
2024-10-11 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-10-11 · HEALTHF0657Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-10-11 · HEALTHF0676Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-10-11 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Correction field: Deficient, Provider has date of correction · 2024-11-13
2024-10-11 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-10-11 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-10-11 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2024-11-04
2024-05-03 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-06-03
2024-05-03 · FIREK0351Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2024-06-03
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • MADISON HEALTH CENTER HOLDCO LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 05/31/2024
  • GGKY OPCO, LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 05/31/2024
  • RUBIWEB SERVICES GROUP USA, LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 05/31/2024
  • SAMZIL HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 05/31/2024
  • SPKY OPCO, LLCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 05/31/2024
  • PLATSCHEK, GOLDIEIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 05/31/2024
  • CIBC BANK USAOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 09/01/2018
  • METROPOLITAN COMMERCIAL BANKOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 09/01/2018
  • JARMAN, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/12/2024
  • KELMAN, MOSHEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2018
  • RAYMER, MYRAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/14/2023
  • RUBIWEB SERVICES GROUP USA, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/31/2024
  • SAMZIL HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 02/13/2026
  • JARMAN, JAMESIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/12/2024
  • KELMAN, MOSHEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/01/2018
  • PLATSCHEK, GOLDIEIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/24/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.56per resident day
RN hours0.25per resident day
Weekend nurse hours3.23per resident day
Staff turnover51.6%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.