The Madison Health and Rehab

    111 Kelly Blvd, Madison, MS 39110
    • Skilled Nursing

    Spotless facility and compassionate staff

    I stayed here recently and was impressed - the facility is spotless and beautifully decorated. The staff are consistently friendly and compassionate; the nursing and rehab teams are top-notch and the therapy program got me back home quickly. Transportation (the weekend bus driver) was excellent. Overall I'm very pleased and would recommend this as a great option in Madison.

    Current/former resident
    Jul 2026

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    Reviews

    4.00·(17)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.7
    • Meals

      4.0
    • Amenities

      4.3
    • Value

      4.0

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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

    Map showing location of The Madison Health and Rehab

    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 numbernh-255276
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    55

    Reports

    1

    Type A Citations

    0

    Type B Citations

    21

    Complaints

    7

    Years

    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 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 2026Revisit
    Verified compliance with the minimum standards and recommended the facility be placed back in compliance.
    01 May 2026Revisit
    Concluded that corrective actions were implemented and compliance was restored after a desk review, effective 2026-05-04.
    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
    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
    Investigated a complaint and found no deficiencies; the provider was in compliance with Medicare and Medicaid requirements.
    01 Aug 2025Complaint
    Found no deficiencies. The complaint investigation addressed staffing and resident rights concerns and determined compliance with applicable standards.
    01 Feb 2025Revisit
    Concluded that the facility was back in compliance with the minimum standards after a desk review.
    01 Feb 2025Revisit
    Determined that the facility was placed back in compliance after review.
    01 Feb 2025Revisit
    Determined back in compliance after corrective actions were implemented.
    01 Feb 2025Revisit
    Determined compliance with applicable standards following a desk review.
    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
    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
    Identified multiple deficiencies affecting residents' rights, daily care, nutrition, medications, and infection control during a January 2025 survey.
    • §483.10(c)(6); §483.10(c)(8); §483.10(g)(12)Advance Directives
    • §483.20(g)Accuracy of Assessments
    • §483.21(b)Develop/Implement Comprehensive Care Plan
    • §483.24(a)(2)ADL Care Provided for Dependent Residents
    • §483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • §483.60(g)Assistive Devices - Eating Equipment/Utensils
    • §483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    • §483.80(a)(1)-(2)(4)(e)(f); §483.80(e); §483.80(f)Infection Prevention & Control
    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 2025Inspection
    Found no deficiencies related to emergency preparedness.
    01 Jan 2025Inspection
    Found no deficiencies related to the Life Safety Code during the survey.
    01 Aug 2024Complaint
    Found no deficiencies after reviewing a complaint alleging inadequate incontinent care.
    01 Aug 2024Complaint
    Found no deficiencies. The investigation reviewed quality of care related to incontinent care and concluded compliance.
    01 Nov 2023Revisit
    Concluded that compliance with participation requirements was restored. The agency recommended placing the entity back in compliance after review.
    01 Nov 2023Revisit
    Determined that compliance with minimum standards was achieved and recommended restoring compliance.
    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 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 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
    Found no deficiencies cited; compliance with the Life Safety Code was confirmed.
    01 Sept 2023Inspection
    Verified compliance with emergency preparedness requirements; no deficiencies cited.
    01 Sept 2023Inspection
    Found no deficiencies regarding emergency preparedness.
    01 Sept 2023Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 May 2023Infection Control
    Verified compliance with infection control requirements after a focused COVID-19 survey. No deficiencies were cited.
    01 Jun 2022Revisit
    Confirmed compliance with standards after review; no deficiencies were cited.
    01 Jun 2022Revisit
    Concluded that corrective actions were in place and compliance was restored.
    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
    Determined compliance with the minimum standards after a desk review and recommended placing back in compliance.
    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
    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 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 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 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
    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 483.10Resident Rights/Exercise of Rights
    • CFR 483.20(k)(1)-(3)PASARR Screening for MD & ID
    • CFR 483.20(k)(4)MD/ID Significant Change Notification
    • CFR 483.21(b)Develop/Implement Comprehensive Care Plan
    • CFR 483.24(a)(1)-(5)ADL Care/Maintain Abilities
    • CFR 483.25(d)Accidents/Supervision/Devices
    • CFR 483.25(g)Tube Feeding Mgmt/Restore Eating Skills
    • CFR 483.60(i)Food Procurement/Storage/Preparation/Sanitary
    • CFR 483.80(a)-(f)Infection Prevention & Control
    • CFR 483.80(i)COVID-19 Vaccination of Facility Staff
    • CFR 483.90(g)Resident Call System
    01 Apr 2022Inspection
    Found no deficiencies. Emergency preparedness requirements were met.
    01 Jan 2021Infection Control
    Concluded infection control practices met COVID-19-related requirements. No deficiencies were found.
    01 Jan 2021Infection Control
    Determined compliance with emergency preparedness requirements during a COVID-19 focused survey.
    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
    Confirmed compliance with COVID-19 infection control requirements; no deficiencies were cited.
    01 Jul 2020Infection Control
    Found no deficiencies. The COVID-19 focused emergency preparedness review found compliance with applicable requirements.
    01 Jun 2020Infection Control
    Found no deficiencies. The review determined compliance with infection control requirements.
    01 Jun 2020Infection Control
    Concluded no deficiencies were found during a focused COVID-19 emergency preparedness review.
    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
    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
    Found no deficiencies cited in infection control during a Covid-19 focused review.
    01 May 2020Infection Control
    Found no infection control deficiencies identified during the COVID-19 focused review.
    01 Dec 2019Complaint
    Investigated complaints about care quality and abuse; found no deficiencies and concluded substantial compliance.
    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
    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 483.35(a)(3)-(4); 9483.35(a)(3)-(4)Competent Nursing Staff
    • CFR 483.45(e); 9483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • CFR 483.45(g)-(h); 3483.45(g)-(h)Label/Store Drugs and Biologicals
    • CFR 483.60(i); 3483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    • CFR 483.80(a)-(f); 9483.80(a)-(f)Infection Prevention & Control

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    Mirador Living is not affiliated with the owner or operator(s) of The Madison Health and Rehab. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Madison Health and Rehab directly. There is no cost for this service. We are compensated by the community you select.

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