Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Madisonville, KY
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 23, 2025 cited 1 deficiencies.
View inspection evidenceCMS-published records list 67 ownership or control parties.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with BRENDA LOWRY IRRV TR FBO JAMES LOWRY.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
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.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 26%
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 7, 2010
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Dec 31, 2025
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Dec 31, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 30, 2007
Other facilities connected through this exact CMS organization identity: 0 across KY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 13, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Mar 17, 2026
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 31, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15.5%
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25.5%
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 7, 2010
Other facilities connected through this exact CMS organization identity: 2 across KY.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Dec 31, 2025
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 24%
Association date reported to CMS: Dec 31, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 1 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 10 across IL, KY, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Other facilities connected through this exact CMS organization identity: 2 across KY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 31, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 13, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 30, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 30, 2007
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 1 across KY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 13, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Mar 17, 2026
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 31, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across KY.
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.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
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 (Jun 11, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 (Mar 15, 2020)
Provide safe and appropriate respiratory care for a resident when needed.
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 (Mar 15, 2020)
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 (Mar 15, 2020)
No health-deficiency rows were deterministically linked to this inspection.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 (Dec 31, 2018)
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 (Dec 31, 2018)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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 (Dec 31, 2018)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Provide or obtain dental services 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 (Dec 31, 2018)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 31, 2018)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 4.59 to 4.36 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.59 → 4.36
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 4.23 to 4.59 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
4.23 → 4.59
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 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).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.603 | 3.761 |
| RN categories | 0.621 | 0.309 |
Contract staff accounted for 9.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.029 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.295 | 0.461 | 0.567 | 2.91 | 4.6% | 91 |
| 2025Q3 | 4.225 | 0.476 | 0.546 | 2.887 | 6.4% | 92 |
| 2025Q4 | 4.593 | 0.503 | 0.496 | 3.261 | 11.2% | 92 |
| 2026Q1 | 4.36 | 0.531 | 0.476 | 3.032 | 9.2% | 90 |
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
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.