Overall sentiment for Madisonville Health and Rehabilitation is highly mixed, with a clear split between many detailed, strongly positive experiences and a sizeable number of serious, specific negative complaints. Positive reviewers consistently highlight the interpersonal side of care: staff described as caring, compassionate, and family-like; nurses and techs who provide attentive 24/7 care; and rehabilitation staff who produce good outcomes. Several reviewers explicitly praised the physical therapy department (including availability seven days a week), reporting successful recoveries and a willingness to return or recommend the facility. Many accounts emphasize engaging activities (bingo, crafts, active activities department), meaningful family communication, and instances of high-quality, comfort-focused end-of-life care. For some families, the facility felt clean, homey, and well organized, and a number of reviewers singled out specific staff members (RNs, LPNs, administrators, financial staff) for excellent support.
On the negative side, there are numerous and alarming reports about cleanliness and safety that recur across multiple reviews. Several reviewers describe persistent urine and fecal odors on entry and in hallways, visible feces on floors and curtains, bugs, and general facility grime. Others contrast those reports by saying the facility was clean and odor-free, indicating substantial variability — but the frequency of serious cleanliness complaints (including bedpans not cleaned, soiled linens, and alleged stolen wipes) is a notable pattern. Safety and care consistency are also frequent concerns: ignored call lights, missed baths, inconsistent medication administration, delirium and UTIs, inadequate supervision resulting in falls and one reported head injury, and allegations that staff are overwhelmed or distracted. These issues point to shifts or staff groups where standards are not being met and to inconsistency in monitoring and response.
Management, communication, and admissions processes are another mixed area with strong positive and strong negative notes. Multiple reviewers reported unresponsive administration, slow or no callbacks from admissions or social workers, rude or dismissive behavior from certain managers, and family requests not being acted upon. Conversely, other reviewers praised the administrative and financial staff and a new administrator, describing the team as welcoming and resident-focused. This split suggests that experiences vary by staff member and possibly by time period or unit. Organizational problems such as CNA turnover, staff being overwhelmed, long hold times on the phone, and complaints ignored by management were specifically raised and may contribute to the uneven care experiences.
Facility and environment concerns include an older building that needs updates, reports of poor remodeling and hallway clutter, tiny rooms with small closets, and a muddy or difficult-to-access exterior/entrance that creates a poor first impression. These physical limitations are corroborated by PRAISE for the 'homey' interior reported by other reviewers, again underscoring inconsistency. Dining also produced mixed feedback: some reviewers called meals good and appreciated food, while others described meals as disgusting and causing weight loss. This divergence may reflect variability across dining staff, menu choices, or resident dietary management.
Patterns and recommendations: The most consistent positive themes are compassionate bedside staff, strong rehabilitation services, and active programming that makes the facility feel family-like for many residents. The most consistent negative themes are cleanliness and odor problems, inconsistent care (including missed medication and missed personal care), safety lapses (falls, inadequate monitoring), and spotty management responsiveness. Prospective residents and families should weigh the strong rehabilitation and interpersonal care reports against the documented cleanliness and safety concerns. When evaluating the facility in person, pay particular attention to: odors and visible cleanliness throughout the building (rooms, bathrooms, hallways), staffing levels and responsiveness on different shifts (including call light response), medication management procedures, fall prevention and supervision protocols, and how administration responds to complaints and requests. If choosing this facility, insist on documented staffing commitments, clear lines of communication with management, and frequent inspections or check-ins during the initial admission period to verify care, cleanliness, and medication consistency. If already placed there and encountering problems, document incidents, escalate promptly to higher administration or the state survey agency, and involve family advocates to ensure issues are addressed.
