Below average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Madisonville Health And Rehabilitation, Llc during CMS and state inspections, most recent first.
Improper Food Storage and Staff Hair Restraint: The kitchen had multiple uncovered and unsealed food items in the dry pantry and freezer, including pasta, frozen entrees, and a box of oatmeal cookie dough stored under an ice-covered condenser and later found again without being discarded. Several storage bins for salt, sugar, and breadcrumbs were soiled, and an employee was observed wearing a beard net incorrectly so facial hair was not fully covered. The Dietary Mgr stated food should be covered securely and facial hair should be properly restrained.
Infection control procedures were not followed during laundry handling and wound care. Two staff members handling soiled linen said they only wore gloves and did not use gowns or aprons, and no aprons or gowns were available in the laundry room. During wound care for a resident with severe cognitive impairment and multiple diagnoses, an LPN set up a sterile field, then failed to remove gloves, perform hand hygiene, and don new gloves before starting treatment of the resident's left buttocks wound.
Failure to Honor Resident Dessert Preference: A resident with a hx of stroke, HTN, and non-Alzheimer's dementia, with a BIMS score of 9/15, was served chocolate ice cream instead of the pureed strawberry shortcake listed on his meal card. Staff did not ask which dessert he wanted, and the resident stated he wanted the strawberry shortcake, not the ice cream. The Dietary Mgr and Admin stated residents should be asked what substitute dessert they prefer.
The facility failed to maintain a safe, clean, and sanitary laundry environment and to properly manage a resident’s clothing. A resident with COPD, heart failure, type 2 DM, and ESRD had most of their clothing lost during a short stay, and the family member who searched for the items described the laundry room as extremely hot, messy, dirty, with clothes everywhere and overflowing trash. Staff interviews confirmed the laundry room had long‑standing issues with excessive heat and clutter. Surveyor observations found floors between and behind washers covered with dirt, a dry flaky substance, loose concrete, and residue on piping and chemical tubing, alongside buckets of corrosive chemicals. Interviews with housekeeping, EVS, a chemical vendor, and maintenance showed that a chemical spill behind the washers had occurred over a year earlier and was never properly cleaned up, with conflicting accounts over whether maintenance or EVS was responsible and no effective system to ensure cleaning behind the machines.
Improper Food Storage and Staff Hair Restraint
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During observation of the kitchen on 05/20/2026, multiple food items were found uncovered in the freezer and dry storage pantry, including opened and unsealed bags of bow-tie pasta, spaghetti noodles, linguine noodles, and rigatoni noodles. A large box of personal-sized pizza packages had one package opened and uncovered, and boxes of sausage patties, Salisbury steak patties, pork patties, and beef steak fritters were left uncovered in their original containers with the contents exposed to air contaminants. The same observation also revealed a box of uncovered oatmeal cookie dough stored underneath an ice-covered condenser in the freezer, where there was an excessive amount of ice build-up. During the observation, the Dietary Manager moved the box to another shelf. On a later observation, the same box of oatmeal cookie dough was again found in the freezer and had not been discarded after being discovered uncovered and stored under the condenser. The Dietary Manager stated that food should be covered securely to prevent cross-contamination and later stated the uncovered oatmeal cookie dough should have been discarded when it was discovered. Additional observations showed several large bins containing salt, sugar, and breadcrumbs with soiled covers and fronts, marked by grime and dried liquid drops. On 05/21/2026, Cook1 was observed wearing a beard net positioned between his mouth and chin, leaving his moustache and beard hair uncovered. He stated he knew the beard net should cover all facial hair but did not realize it had slipped down, and acknowledged that improper use could allow hair to fall into resident food and contaminate it. The Dietary Manager and Administrator both stated that staff were expected to follow facility policy for proper food storage and to wear hair and beard nets correctly.
Infection Control Failures During Laundry Handling and Wound Care
Penalty
Summary
The facility failed to establish and maintain an infection prevention and control program during laundry handling and wound care. During observation of the laundry room, two staff members stated they only wore gloves when handling soiled linen and did not use gowns or aprons. One housekeeping floor technician said she knew she was supposed to wear an apron when handling dirty laundry but did not know where they were kept, and the laundry technician said she had been told only to wear gloves and had not been instructed to wear an apron or gown. No aprons or gowns were observed in the laundry room. The infection control nurse stated standard precautions should be followed and monitored, including the laundry process, and the administrator acknowledged laundry staff should be monitored for infection control even though they were contracted through an outside company. The facility also failed to follow proper infection control procedures during wound care for a resident with a face sheet showing diagnoses including atherosclerotic heart disease, hypertension, and non-Alzheimer's dementia, and an MDS BIMS score of 5 indicating severe cognitive impairment. During wound care observation, an LPN donned clean gloves, set up a sterile field, and placed a plastic bag on the floor for soiled materials. She then failed to remove her gloves, perform hand hygiene, and don new gloves before picking up wound cleanser to begin treatment of the resident's left buttocks wound. The LPN stated she should have changed her gloves and washed her hands after setting up the clean field and before attempting to clean the wound, and that she should have placed soiled gloves in a proper container instead of throwing them in a bag on the floor.
Failure to Honor Resident Dessert Preference
Penalty
Summary
The facility failed to provide food that accommodated resident preferences for 1 of 26 residents observed in the dining room during meal service. During lunch meal service, R69 was given chocolate ice cream as a substitute dessert instead of the pureed strawberry shortcake listed on his meal card, and staff did not ask him which dessert he wanted before providing the substitute. R69 stated he wanted the strawberry shortcake, not the ice cream, and he never received the strawberry shortcake serving. R69 was admitted with diagnoses including a history of stroke, hypertension, and non-Alzheimer's dementia. His quarterly MDS with an ARD of 05/04/2026 showed a BIMS score of 9 out of 15, indicating moderate cognitive impairment. The facility policy titled Resident Rights stated residents have the right to make choices about aspects of their life in the facility. The Dietary Manager stated staff should have pureed the strawberry shortcake if that was the dessert listed on the meal card and should not have selected an alternative dessert without asking the resident. The Administrator stated ice cream was an acceptable substitution for cake, but residents should be asked what substitute desserts they would prefer.
Failure to Maintain Clean, Safe Laundry Environment and Proper Handling of Resident Clothing
Penalty
Summary
The facility failed to ensure a safe, clean, sanitary, and comfortable environment in the laundry area as required by its Safe and Homelike Environment and Resident Rights policies. The policies stated that the physical layout should not pose a safety risk and that a sanitary environment must be maintained, including proper cleaning and storage of resident care equipment and items used for activities of daily living. Despite these policies, observations on 04/17/2026 showed the floor between and behind the washing machines covered and caked with dirt, a dry flaky substance, loose concrete, and residue on piping and chemical tubing, while multiple buckets of corrosive laundry chemicals and detergents were present in the same area. A resident’s family member reported that during the resident’s four‑day stay, most of the resident’s clothing was lost, and when she was allowed into the laundry room to search for the items, she found the room extremely hot, messy, with clothes everywhere, dirty conditions, and overflowing trash. The resident involved had significant medical diagnoses including COPD, acute on chronic systolic heart failure, type 2 diabetes mellitus, and end‑stage renal disease. A SRNA corroborated that the laundry room had always been hot, especially in summer, and that the room had long been somewhat messy with clothes, worsening over the past couple of years. Interviews with housekeeping, environmental services, the chemical supplier, and maintenance staff revealed that a chemical spill behind the washing machines had occurred well over a year earlier when ports at the back of the machines became clogged, causing chemicals to leak onto the floor. The chemical representative stated he cleaned the ports and moved tubing, and an EVS staff member told him maintenance would clean up the spill, but it was never done. Housekeeping reported that maintenance told them to clean up the spill themselves, while the Maintenance Director stated that EVS was responsible for cleaning the washing machines and that he had not observed leaks during his tenure. The dried, flaky substance and damaged concrete remained in place until it was later cleaned and repaired, and there was no documented system in place to ensure regular cleaning behind the washers, despite the presence of paper checklists for other tasks such as lint trap cleaning.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Madisonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brighton Cornerstone Group, Llc | 0.3 mi | ★★★★★ | 9 | 0 |
| Park Grove Nursing And Rehabilitation Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Ridgewood Terrace Health And Rehabilitation Center | 1.6 mi | ★★★★★ | 7 | 0 |
| Joseph Eddie Ballard Western Kentucky Veterans Cen | 5.9 mi | ★★★★★ | 4 | 0 |
| Tradewater Pointe | 15.6 mi | ★★★★★ | 8 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.