C

THE MADISON HEALTH AND REHAB

111 KELLY BLVD, MADISON, MS 39110
Score: 67 / 100

The Madison Health And Rehab is an average performer in CMS ratings, earning a C grade with a score of 67/100. Located in Madison, Mississippi, the facility meets baseline standards across most quality metrics.

The Madison Health And Rehab provides above-average staffing with 5.13 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 21 deficiencies at The Madison Health And Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.13 3.8 Above Average
Registered Nurses (RN) 0.71 0.7 Average
Licensed Practical Nurses (LPN) 1.39 0.7 Above Average
Certified Nursing Assistants (CNA) 3.02 2.4 Above Average
Weekend Total Nursing 3.84 3.8 Average
Weekend RN Hours 0.38 0.7 Below Average

🔍 Inspection & Deficiency History

21
Total Deficiencies
Jan 15, 2025
Most Recent Inspection
🟠 21 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Jan 15, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Jan 15, 2025 · Resident Rights Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Jan 15, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jan 15, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Jan 15, 2025 · Pharmacy Service Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.9% 4.5% Better
Falls with major injury 1.1% 3.0% Better
On antipsychotic medication 34.9% 14.5% Worse
Urinary tract infections 4.5% 2.5% Worse
ADL decline (daily activities) 8.3% 14.0% Better
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 30.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of C is based on a score of 67 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 15, 2025
Deficiencies (Cycle 1)
8