Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.25 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Madison Health and Rehabilitation Center has 92 certified beds in Richmond, Kentucky. The CMS overall rating is 1 of 5, compared with the Kentucky average of 3.0. The CMS health inspection rating is 3 of 5, compared with the Kentucky average of 3.0. The CMS staffing rating is 1 of 5. The latest standard health survey on Jul 24, 2025 lists 2 deficiencies, compared with the Kentucky average of 2.3. Total nurse staffing is 3.56 hours per resident day in 2026Q1, compared with the Kentucky average of 3.99.
CMS nursing home
Madison Health and Rehabilitation Center
Richmond, KY
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 185262.
At a glance
CMS research snapshot
CMS overall rating
1 of 5
CMS health inspection rating
2 of 5
CMS staffing rating
1 of 5
CMS quality-measure rating
1 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- GGKY OPCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST
- GGKY OPCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST41.3% ownership interest
- MADISON HEALTH CENTER HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- MADISON HEALTH CENTER HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- PLATSCHEK, GOLDIEIndividual ownerINDIRECT OWNERSHIP INTEREST41.3% ownership interest
- PLATSCHEK, GOLDIEIndividual ownerINDIRECT OWNERSHIP INTEREST
- RUBIWEB SERVICES GROUP USA, LLCOrganizationINDIRECT OWNERSHIP INTEREST
- RUBIWEB SERVICES GROUP USA, LLCOrganizationINDIRECT OWNERSHIP INTEREST11.2% ownership interest
- SAMZIL HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST3.2% ownership interest
- SAMZIL HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
- SPKY OPCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST24% ownership interest
- SPKY OPCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST
Operators
- JARMAN, JAMESIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- JARMAN, JAMESIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- KELMAN, MOSHEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- KELMAN, MOSHEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
- RAYMER, MYRAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- RAYMER, MYRAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
- JARMAN, JAMESIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- KELMAN, MOSHEIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
- RAYMER, MYRAIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
- JARMAN, JAMESIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- JARMAN, JAMESIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- KELMAN, MOSHEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- KELMAN, MOSHEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
- RAYMER, MYRAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- RAYMER, MYRAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL33% ownership interest
Enrollment organizations
- MADISON HEALTH CENTER LLCOrganization · CURRENTMedicare-enrolled legal organization
- MADISON HEALTH CENTER LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- MADISON HEALTH CENTER HOLDCO LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- GGKY OPCO, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST41.3% ownership interest
- GGKY OPCO, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- MADISON HEALTH CENTER HOLDCO LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- MADISON HEALTH CENTER HOLDCO LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- PLATSCHEK, GOLDIEIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST41.3% ownership interest
- PLATSCHEK, GOLDIEIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
- RUBIWEB SERVICES GROUP USA, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST11.2% ownership interest
- RUBIWEB SERVICES GROUP USA, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- SAMZIL HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST3.2% ownership interest
- SAMZIL HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- SPKY OPCO, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- SPKY OPCO, LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST24% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2018-09-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- MADISON HEALTH CENTER LLC
- Seller legal entity
- RICHMOND HEALTH FACILITIES - MADISON LP
- Effective date
- 2018-09-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 92
- Ownership descriptor
- For profit - Corporation
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 8596233564Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1184109480 · enrollment O20181020000205
- NPI 1184109480 · enrollment O20181020000205
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 99.390244
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 95.454545
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 2.134146 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 20.788530
- Percentage of long-stay residents who lose too much weight (Long Stay): 8.653846
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 33.750000
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 21.266968 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 15.509794 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 12.456747 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.583943 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 2.812500 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 12.698344
- Percentage of long-stay residents with pressure ulcers (Long Stay): 7.207833 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 80.099502
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.892857 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 73.809524
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-07-24 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
- 2024-10-11 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
- 2024-10-11 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
- 2024-05-03 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
- 2024-05-03 · tag 0351 · scope/severity E — Install an approved automatic sprinkler system.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Jul 24, 2025 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 33 ownership or control parties.
CMS records show an ownership change effective September 2018.
View ownership evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - CorporationCMS
- Related facilities
- 4Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 10 CMS-reported ownership organizations
- CMS reports 14 individual ownership interests
- recorded ownership-change events
Related facilities
4 currently connected nursing homes share this CMS organization identity with GGKY OPCO, LLC.
- Average CMS overall rating
- 3.3 stars across 4 reporting facilities
- Recent CMS complaint inspections
- 1 facilities had a CMS complaint inspection in the last 18 months.
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 33
- Organizations shown
- 19
- Individuals shown
- 14
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
MADISON HEALTH CENTER HOLDCO LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
CIBC BANK USA
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
METROPOLITAN COMMERCIAL BANK
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JARMAN, JAMES
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KELMAN, MOSHE
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PLATSCHEK, GOLDIE
Individual · ADP OF THE SNF
Association date reported to CMS: May 24, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RUBIWEB SERVICES GROUP USA, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMZIL HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 13, 2026
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GGKY OPCO, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PLATSCHEK, GOLDIE
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 31, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RUBIWEB SERVICES GROUP USA, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAMZIL HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SPKY OPCO, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JARMAN, JAMES
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KELMAN, MOSHE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
RAYMER, MYRA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 14, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MADISON HEALTH CENTER HOLDCO LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 31, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CIBC BANK USA
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 144 across CA, CO, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
METROPOLITAN COMMERCIAL BANK
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 22 across KY, NJ.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JARMAN, JAMES
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KELMAN, MOSHE
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PLATSCHEK, GOLDIE
Individual · ADP OF THE SNF
Association date reported to CMS: May 24, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RUBIWEB SERVICES GROUP USA, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 3 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMZIL HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 13, 2026
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across AR, KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GGKY OPCO, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 41.3%
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 3 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PLATSCHEK, GOLDIE
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 41.3%
Association date reported to CMS: May 31, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RUBIWEB SERVICES GROUP USA, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 11.2%
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 3 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SAMZIL HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3.2%
Association date reported to CMS: May 31, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 5 across AR, KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SPKY OPCO, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: May 31, 2024
Other facilities connected through this exact CMS organization identity: 3 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JARMAN, JAMES
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KELMAN, MOSHE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33%
Association date reported to CMS: Sep 1, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RAYMER, MYRA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33%
Association date reported to CMS: Mar 14, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MADISON HEALTH CENTER LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across KY.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPRICHMOND HEALTH FACILITIES - MADISON LP to MADISON HEALTH CENTER LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Sep 1, 2018. What operational or leadership changes followed that event?
- CMS records connect CIBC BANK USA to 145 facilities. Which policies and staffing decisions are managed centrally versus locally?
Inspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Apr 8, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:51481:ccn:185262
Apr 8, 2026 — Health Complaint — 1 linked finding
F0790 — Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 28, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137522:ccn:185262
Jul 24, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 24, 2025 — Health Standard — 2 linked findings
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 20, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137523:ccn:185262
F0921 — Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 20, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137524:ccn:185262
Oct 11, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Oct 11, 2024 — Health Standard — 5 linked findings
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137527:ccn:185262
F0657 — 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137525:ccn:185262
F0676 — 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137526:ccn:185262
F0693 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137528:ccn:185262
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 4, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 185262
- Source record locator
- csv-row:137529:ccn:185262
May 3, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 3, 2024 — Health Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Tags appearing across inspections
- F0880 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
6 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded1 deficiency was recorded.
2026
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2025
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2023
- Complaint inspection recorded
4 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
2018
- Ownership change recorded
An ownership change was recorded. New organization: MADISON HEALTH CENTER LLC.
RICHMOND HEALTH FACILITIES - MADISON LP → MADISON HEALTH CENTER LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.563 reported hours per resident day
- RN categories
- 0.253 reported hours per resident day
- LPN/LVN categories
- 0.962 reported hours per resident day
- CNA
- 1.915 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.701 | 3.225 |
| RN categories | 0.303 | 0.13 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 5 days with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.084 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.517 | 0.318 | 0.901 | 1.964 | 0% | 91 |
| 2025Q3 | 3.603 | 0.361 | 0.912 | 1.929 | 0% | 92 |
| 2025Q4 | 3.564 | 0.336 | 0.924 | 1.894 | 0% | 92 |
| 2026Q1 | 3.563 | 0.253 | 0.962 | 1.915 | 0% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 1-star overall rating.
- CMS reports a 3-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 1-star quality-measure rating.
Trust participation
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How corrections workSource register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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