THE MADISON HEALTH AND REHAB
111 KELLY BLVD, MADISON, MS 39110 · CCN 255276
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 56.7
- Phone
- 6013550763
Inspection history vs Mississippi & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Mississippi avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-16 | 8 | 6.7 | 9.5 | +1.3 worse |
| 2 | 2023-09-21 | 1 | 6.0 | 9.8 | -5.0 better |
| 3 | 2022-04-07 | 12 | 4.7 | 9.3 | +7.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.13 | 56.3% |
| RN staffing (reported) | 0.71 | 58.3% |
| Total nurse staffing (adjusted) | 6.04 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- TREND CONSULTANTS
- Facilities in chain
- 16
- Chain avg overall
- 3.30 / 5
Inspection citations (21)
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-16 · Health · corrected 2025-02-14
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-21 · Health · corrected 2023-10-31
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0693Ensure 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.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- FF0888Ensure staff are vaccinated for COVID-192022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
- FF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-04-07 · Health · corrected 2022-05-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| KELLY, CHARLES | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 2007-08-01 |
| TREND CONSULTANTS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2007-08-01 |
| KELLY, CHARLES | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-12-01 |
| KELLY, RITA | Individual | CORPORATE DIRECTOR | — | 2007-08-01 |
| WARNOCK, LORI | Individual | CORPORATE DIRECTOR | — | 2024-01-27 |
Other facilities in MADISON
| Name | Overall | Beds |
|---|---|---|
| THE NICHOLS CENTER | ★★☆☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.