Skilled therapy team with individualized rehabilitation
Positive rehabilitation outcomes and timely discharge planning
Good food
Effective cleaning services
Cons
Inconsistent nursing coverage, especially overnight and on weekends
Medication-management and medication-review concerns
Delays in resident assistance and incontinence care
Inconsistent nighttime supervision and fall-prevention practices
Limited family communication and responsiveness
Meal-service coordination gaps around appointments and therapy
Limited weekend transportation availability
Summary of reviews
Feedback about care quality is mixed. Positive comments describe compassionate staff and a strong therapy program, including individualized treatment that helped one resident return home ahead of the expected schedule. Other accounts raise concerns about timely assistance, fall prevention, and incontinence care. Medication management is also a recurring concern in the critical feedback, including questions about how prescriptions are reviewed and communicated to families.
Staff experiences vary substantially. Some residents and families describe the team as friendly and caring, while critical accounts cite limited nursing coverage, particularly overnight and on weekends, as well as concerns about staff attentiveness and nighttime supervision. One family also described difficulty getting clear answers from facility leadership after raising care concerns. These contrasting accounts suggest that families may wish to ask about staffing levels, escalation procedures, medication reviews, and how concerns are communicated and resolved.
The facility itself is described as clean, attractive, and well decorated, and one reviewer specifically praised the cleaning team. Dining feedback includes a positive comment about the food, alongside a concern about coordinating meals when a resident has an appointment or scheduled therapy. Weekend transportation availability was identified as an area for improvement. Reviews provide little information about activities or social programming. Overall, the clearest positive themes are the facility environment and rehabilitation services; the most prominent concerns relate to consistency of staffing, resident oversight, communication, and day-to-day care coordination.
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Medicare Ratings
4·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
The Madison Health and Rehab is located at 111 Kelly Blvd, Madison, MS, 39110.
People often ask...
The Madison Health and Rehab offers skilled nursing.
The full address for this community is 111 Kelly Blvd, Madison, MS 39110.
No, The Madison Health and Rehab does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.
License number
nh-255276
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
60
Reports
1
Type A Citations
0
Type B Citations
23
Complaints
7
Years
01 Sept 2026Inspection
01 Sept 2026Inspection
Observed failures to maintain a safe, clean, comfortable, and homelike environment, including a broken wheelchair armrest and soiled bed linens.
42 CFR 483.10(i)Safe Environment
01 Sept 2026Inspection
01 Sept 2026Inspection
Found no deficiencies during a re-licensure survey.
01 Sept 2026Inspection
01 Sept 2026Inspection
Found no deficiencies identified during the survey.
01 Jul 2026Revisit
01 Jul 2026Revisit
Recommended the facility be placed back in compliance following a desk review of information related to a prior complaint survey. The agency noted compliance should be in effect on 2026-07-06.
01 Jul 2026Revisit
01 Jul 2026Revisit
Concluded that compliance was restored after a desk review of prior information.
01 May 2026Complaint
01 May 2026Complaint
Investigated deficiencies in wound care monitoring and infection prevention; NPWT was not functioning and enhanced barrier precautions were not consistently followed during care.
45.21.3Pressure sores
48.58.1Infection Control
01 May 2026Complaint
01 May 2026Complaint
Investigations found failures in infection prevention and control, adherence to Enhanced Barrier Precautions in care plans, and monitoring of a wound therapy device.
CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
CFR 483.25(b)(1)(ii)Treatment/Services to Prevent/Heal Pressure Ulcers
01 May 2026Revisit
01 May 2026Revisit
Verified compliance with the minimum standards and recommended the facility be placed back in compliance.
01 May 2026Revisit
01 May 2026Revisit
Concluded that corrective actions were implemented and compliance was restored after a desk review, effective 2026-05-04.
01 Apr 2026Complaint
01 Apr 2026Complaint
Investigated a complaint about medication misappropriation and found failures in safeguarding resident property and medication handling.
Mississippi Minimum Standards for Institutions for the Aged or InfirmResidents' Rights
01 Apr 2026Complaint
01 Apr 2026Complaint
Investigated allegations of misappropriation of a resident's medication and identified a deficiency for misappropriation of resident property.
42 CFR §483.12Free from Misappropriation/Exploitation
01 Aug 2025Complaint
01 Aug 2025Complaint
Found no deficiencies. The complaint investigation addressed staffing and resident rights concerns and determined compliance with applicable standards.
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated a complaint and found no deficiencies; the provider was in compliance with Medicare and Medicaid requirements.
01 Feb 2025Revisit
01 Feb 2025Revisit
Concluded that the facility was back in compliance with the minimum standards after a desk review.
01 Feb 2025Revisit
01 Feb 2025Revisit
Determined compliance with applicable standards following a desk review.
01 Feb 2025Revisit
01 Feb 2025Revisit
Determined that the facility was placed back in compliance after review.
01 Feb 2025Revisit
01 Feb 2025Revisit
Determined back in compliance after corrective actions were implemented.
01 Jan 2025Complaint
01 Jan 2025Complaint
Found deficiencies in activities of daily living care, including nail care, oral care, and facial hair removal for residents needing assistance.
45.21.2Activities of daily living
01 Jan 2025Complaint
01 Jan 2025Complaint
Found deficiencies in ADL care for residents requiring assistance, including nail care, oral hygiene, and facial hair removal.
42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
01 Jan 2025Inspection
01 Jan 2025Inspection
Identified multiple deficiencies affecting residents' rights, daily care, nutrition, medications, and infection control during a January 2025 survey.
§483.80(a)(1)-(2)(4)(e)(f); §483.80(e); §483.80(f)Infection Prevention & Control
01 Jan 2025Inspection
01 Jan 2025Inspection
Investigated deficiencies across residents' rights, activities of daily living, medication storage, food handling, and infection control, affecting several residents.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.24.2Policies and procedures
45.29.1Safe Food Handling Procedures
48.58.1Infection Control
01 Jan 2025Inspection
01 Jan 2025Inspection
Found no deficiencies related to emergency preparedness.
01 Jan 2025Inspection
01 Jan 2025Inspection
Found no deficiencies related to the Life Safety Code during the survey.
01 Aug 2024Complaint
01 Aug 2024Complaint
Found no deficiencies after reviewing a complaint alleging inadequate incontinent care.
01 Aug 2024Complaint
01 Aug 2024Complaint
Found no deficiencies. The investigation reviewed quality of care related to incontinent care and concluded compliance.
01 Nov 2023Revisit
01 Nov 2023Revisit
Determined that compliance with minimum standards was achieved and recommended restoring compliance.
01 Nov 2023Revisit
01 Nov 2023Revisit
Concluded that compliance with participation requirements was restored. The agency recommended placing the entity back in compliance after review.
01 Sept 2023Inspection
01 Sept 2023Inspection
Identified improper storage of hazardous cleaning chemicals; chemicals were left unlocked and unattended on housekeeping carts, posing potential risk to residents.
45.24.6 Poisonous SubstancesPoisonous Substances
01 Sept 2023Infection Control
01 Sept 2023Infection Control
Found failure to report complete COVID-19 information to NHSN in the required format and frequency. This could impact resident safety.
42 CFR 483.80(g)Reporting - National Healthcare Safety Network
01 Sept 2023Inspection
01 Sept 2023Inspection
Found deficiencies in the safe storage of hazardous cleaning chemicals, with multiple carts left unlocked and unattended, risking resident exposure.
§483.25(d)Free of Accident Hazards/Supervision/Devices
01 Sept 2023Inspection
01 Sept 2023Inspection
Found no deficiencies regarding emergency preparedness.
01 Sept 2023Inspection
01 Sept 2023Inspection
Verified compliance with emergency preparedness requirements; no deficiencies cited.
01 Sept 2023Inspection
01 Sept 2023Inspection
Found no deficiencies cited; compliance with the Life Safety Code was confirmed.
01 Sept 2023Inspection
01 Sept 2023Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 May 2023Infection Control
01 May 2023Infection Control
Verified compliance with infection control requirements after a focused COVID-19 survey. No deficiencies were cited.
01 Jun 2022Revisit
01 Jun 2022Revisit
Verified that corrective actions were implemented and compliance with Medicare/Medicaid participation requirements was restored; the agency recommended placement back into compliance effective 2022-05-31.
01 Jun 2022Revisit
01 Jun 2022Revisit
Confirmed compliance with standards after review; no deficiencies were cited.
01 Jun 2022Revisit
01 Jun 2022Revisit
Determined compliance with the minimum standards after a desk review and recommended placing back in compliance.
01 Jun 2022Revisit
01 Jun 2022Revisit
Concluded that corrective actions were in place and compliance was restored.
01 Apr 2022Complaint
01 Apr 2022Complaint
Investigated found failures in residents' rights and daily living needs, including lack of dignity and privacy during care and inadequate personal hygiene for some residents.
45.17.2Residents' Rights
45.21.2Activities of daily living
01 Apr 2022Inspection
01 Apr 2022Inspection
Investigated deficiencies found in resident dignity and rights, daily living assistance, wandering risk, special needs care, food handling, and call systems. Identified multiple lapses in communication, privacy, supervision, labeling, and equipment alarms that affected resident safety and well-being.
45.17.2Residents' Rights
45.21.2Activities of daily living
45.21.8Accidents
45.21.11Special needs
45.29.1Safe Food Handling Procedures
45.40.11Food Storage
45.32.4Call System
01 Apr 2022Complaint
01 Apr 2022Complaint
Identified deficiencies in resident dignity and rights, comprehensive care planning, and personal hygiene, including lack of communication and privacy during care, incomplete care plans for several residents, and poor nail/hair care for some residents.
42 CFR 483.10(a)(1)-(2); 483.10(b)(1)-(2)Resident Rights
42 CFR 483.21(b)Care Plans
42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
01 Apr 2022Inspection
01 Apr 2022Inspection
Found that the generator failed to transfer power within 10 seconds during testing, potentially affecting all residents.
42 CFR 483.70(a)Electrical Systems - Essential Electric System Maintenance and Testing
01 Apr 2022Inspection
01 Apr 2022Inspection
Investigated a complaint and annual recertification found multiple deficiencies related to resident rights, care planning, safety, infection control, nutrition, and vaccination policies, with several residents affected by improper care and systemic practice failures.
CFR 483.80(i)COVID-19 Vaccination of Facility Staff
CFR 483.90(g)Resident Call System
01 Apr 2022Inspection
01 Apr 2022Inspection
Identified a deficiency in generator transfer timing not meeting NFPA 110 requirements; initial testing showed transfer delay beyond 10 seconds, later corrected to 8 seconds.
NFPA 110, Section 4.1Generator transfer time within 10 seconds
01 Apr 2022Inspection
01 Apr 2022Inspection
Found no deficiencies. Emergency preparedness requirements were met.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Determined compliance with emergency preparedness requirements during a COVID-19 focused survey.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Concluded infection control practices met COVID-19-related requirements. No deficiencies were found.
01 Sept 2020Infection Control
01 Sept 2020Infection Control
Found incomplete COVID-19 reporting to NHSN for a seven-day period, not in the required format or weekly frequency.
§483.80(g)COVID-19 reporting
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Found no deficiencies. The COVID-19 focused emergency preparedness review found compliance with applicable requirements.
01 Jul 2020Infection Control
01 Jul 2020Infection Control
Confirmed compliance with COVID-19 infection control requirements; no deficiencies were cited.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Concluded no deficiencies were found during a focused COVID-19 emergency preparedness review.
01 Jun 2020Infection Control
01 Jun 2020Infection Control
Found no deficiencies. The review determined compliance with infection control requirements.
01 May 2020Complaint
01 May 2020Complaint
Investigated a complaint about a CNA not using a mechanical lift or two-person assistance during a transfer, resulting in a resident fall and fracture.
Type A45.21.8Accidents
01 May 2020Complaint
01 May 2020Complaint
Investigated a complaint alleging a CNA transferred a resident without using a lift or adequate staff, resulting in a fall and a right tibia fracture; deficiencies found in care planning and accident prevention.
§483.21(b)(1)Develop/Implement Comprehensive Care Plan
§483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
01 May 2020Infection Control
01 May 2020Infection Control
Found no deficiencies cited in infection control during a Covid-19 focused review.
01 May 2020Infection Control
01 May 2020Infection Control
Found no infection control deficiencies identified during the COVID-19 focused review.
01 Dec 2019Complaint
01 Dec 2019Complaint
Investigated complaints about care quality and abuse; found no deficiencies and concluded substantial compliance.
01 Sept 2019Inspection
01 Sept 2019Inspection
Found deficiencies across care planning, resident safety, catheter and wound care, medication management, infection control, and food service safety.
CFR 483.21(b)(1); 3483.21(b)Comprehensive Care Plans
CFR 483.25(d)(1)-(2); 3483.25(d)Free of Accident Hazards/Supervision/Devices
CFR 483.25(e); 3483.25(e)Incontinence and Catheter Care
CFR 483.80(a)-(f); 9483.80(a)-(f)Infection Prevention & Control
01 Sept 2019Inspection
01 Sept 2019Inspection
Investigated multiple deficiencies across training competency, catheter care, wheelchair transport safety, medication labeling, and food handling.
45.18.3Training Records
45.21.4Urinary incontinence
45.21.8Accidents
45.24.4Labeling of drugs
45.29.1Safe Food Handling Procedures
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