CONTACT INFORMATION REVIEWS & MORE DATA

Madison Health and Rehabilitation Center

  • Date Updated:  November 01, 2024
  • CMS Overall 5-Star Rating:   NA
  • Address:  110 BELMONT RD
    MADISON WI 53714 Map
  • Phone:  608-249-7391
  • Website:   Click Here
  • Medicare Provider Number:  525074
  • Participating in Medicare Since:  November 01, 1974
  • No. of Certified Beds:  83
  • No. of Residents:   N/A
  • Occupancy:   N/A
  • Amount Fined:  $353,810.63
  • Complaints Filed:   113
  • Accepts:  Medicare and Medicaid

  About Madison Health and Rehabilitation Center

Madison Health And Rehabilitation Center, located in MADISON, WI, is a for-profit organization that accepts Medicare and Medicaid. It is not part of a continuing care retirement community. It is not located in a hospital. Madison Health And Rehabilitation Center offers a range of services including skilled nursing, long-term care, short-term rehabilitation, and specialized memory care. The center is equipped with modern amenities and a supportive environment designed to enhance the quality of life for its residents. With a focus on personalized care plans and community engagement.

  • Madison Health and Rehabilitation Center is ranked #11 out of 11 facilities within a 10 mile radius and #29 out of 29 facilities within a 25 mile radius. See Ranking Report
  • Review Specific City Measures
  • This facility has not been rated by CMS
  • Current Trend:   Improving
  • Total Nursing Hours Spent Per Resident Per Day: 3.44
    (The national average is 3.84 )
  • The percentage of short-stay residents who were re-hospitalized after a nursing home admission is 26.87% .
  •    CMS has identified this facility as either having actual cases of abuse or has decided that abuse is possible.
  • >

  Madison Health and Rehabilitation Center Owner & Operator Information

Business Entity Name:

BAY AT BELMONT HEALTH AND REHABILITATION CENTER LLC

Owners:

Managers and Directors:

  Madison Health and Rehabilitation Center Ratings and Inspection Scores

Centers for Medicare and Medicaid (CMS) regularly inspects every skilled nursing facility. The results of the multi-day inspection is a series of star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another.

Ratings

Overall Rating NA
Health Inspection Rating NA
Quality Rating NA
Staffing Rating NA

Inspection Scores

Cycle 1 Score (as of October 17, 2023) 326
Cycle 2 Score (as of July 27, 2022) 474
Cycle 3 Score (as of April 28, 2021) 1458
Weighted All Cycles Score 564

  Complaints by Residents

This table shows complaints filed by residents in Madison Health and Rehabilitation Center:

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 09/18/2024
Provide safe, appropriate pain management for a resident who requires such services. 08/01/2024
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. 07/16/2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. 07/15/2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 07/15/2024
Keep residents' personal and medical records private and confidential. 07/15/2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 07/15/2024
Provide care and assistance to perform activities of daily living for any resident who is unable. 07/15/2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 07/15/2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 07/15/2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 04/01/2024
Protect each resident from the wrongful use of the resident's belongings or money. 04/01/2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 01/19/2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 01/19/2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 01/19/2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 01/19/2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 01/19/2024
Keep residents' personal and medical records private and confidential. 09/12/2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 09/12/2023
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. 07/03/2023
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 07/03/2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 07/03/2023
Ensure medication error rates are not 5 percent or greater. 07/03/2023
Ensure that residents are free from significant medication errors. 07/03/2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. 07/03/2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 05/31/2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 05/31/2023
Respond appropriately to all alleged violations. 05/31/2023
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 05/31/2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 05/31/2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 05/31/2023
Provide enough food/fluids to maintain a resident's health. 05/31/2023
Provide safe, appropriate pain management for a resident who requires such services. 05/31/2023
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. 05/31/2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 05/31/2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 05/31/2023
Provide and implement an infection prevention and control program. 05/31/2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care. 04/17/2023
Provide care and assistance to perform activities of daily living for any resident who is unable. 04/17/2023
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 04/17/2023
Post nurse staffing information every day. 04/17/2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 04/17/2023
Ensure medication error rates are not 5 percent or greater. 04/17/2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 04/17/2023
Provide and implement an infection prevention and control program. 04/17/2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 04/17/2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 11/01/2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 11/01/2022
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. 11/01/2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 11/01/2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 11/01/2022
Provide care and assistance to perform activities of daily living for any resident who is unable. 11/01/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 11/01/2022
Provide enough food/fluids to maintain a resident's health. 11/01/2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 11/01/2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 11/01/2022
Ensure that residents are free from significant medication errors. 11/01/2022
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 11/01/2022
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. 11/01/2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 11/01/2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 11/01/2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. 11/01/2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 11/01/2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. 11/01/2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 11/01/2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 11/01/2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. 11/01/2022
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 11/01/2022
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. 11/01/2022
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. 11/01/2022
Provide care and assistance to perform activities of daily living for any resident who is unable. 11/01/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 11/01/2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 11/01/2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 11/01/2022
Provide enough food/fluids to maintain a resident's health. 11/01/2022
Provide safe, appropriate pain management for a resident who requires such services. 11/01/2022
Provide safe, appropriate dialysis care/services for a resident who requires such services. 11/01/2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 11/01/2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. 11/01/2022
Provide medically-related social services to help each resident achieve the highest possible quality of life. 11/01/2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 11/01/2022
Ensure that residents are free from significant medication errors. 11/01/2022
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. 11/01/2022
Help the resident with transportation to and from laboratory services outside of the facility. 11/01/2022
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 11/01/2022
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. 11/01/2022
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. 11/01/2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 11/01/2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 11/01/2022
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. 11/01/2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. 11/01/2022
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. 11/01/2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft. 08/24/2022
Respond appropriately to all alleged violations. 08/24/2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted 08/24/2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 08/24/2022
Ensure the activities program is directed by a qualified professional. 08/24/2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. 08/24/2022
Administer the facility in a manner that enables it to use its resources effectively and efficiently. 08/24/2022
Provide and implement an infection prevention and control program. 08/24/2022
Implement a program that monitors antibiotic use. 08/24/2022
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. 08/24/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 06/30/2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing. 06/30/2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 05/25/2022
Provide care and assistance to perform activities of daily living for any resident who is unable. 05/25/2022
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. 04/30/2022
Provide enough food/fluids to maintain a resident's health. 03/22/2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 02/18/2022
Provide and implement an infection prevention and control program. 02/18/2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 01/31/2022
Ensure that residents are free from significant medication errors. 01/31/2022
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 12/17/2021

  Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Madison Health and Rehabilitation Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing hours spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.65 0.94 / 0.67
Case Mix 0.64 0.67 / 0.66
Adjusted 0.68 NA / NA
Licensed Practical Nurse (LPN)
Hours 0.92 0.62 / 0.88
Case Mix 0.84 NA / NA
Adjusted 0.96 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.88 2.46 / 2.29
Case Mix 2.18 NA / NA
Adjusted 1.96 NA / NA
Total Licensed Staff
Hours 1.56 1.56 / 1.54
Physical Therapist (PT)
Hours 0.04 0.06 / 0.07
Total Nursing Hours Spent per Resident on Average
Hours 3.44 4.02 / 3.84
Case Mix 3.66 3.85 / 3.82
Adjusted 3.59 NA / NA

  Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
26.9% / 21.6%
Worse
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
24.3% / 15.0%
Worse
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
3.1% / 1.3%
Worse
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
2.1% / 2.0%
Worse
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 5.1% / 13.6%
Better
Percentage of long-stay residents who lose too much weight (qm404) 6.5% / 5.3%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 41.8% / 50.7%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 2.7% / 2.6%
Worse
Percentage of long-stay residents with a urinary tract infection (qm407) 1.5% / 3.2%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 33.7% / 5.2%
Worse
Percentage of long-stay residents who were physically restrained (qm409) 0.0% / 0.1%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 5.0% / 3.5%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 77.9% / 95.4%
Worse
Percentage of long-stay residents who received an antipsychotic medication (qm419) 21.9% / 15.2%
Worse
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 34.5% / 87.7%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 2.9% / 1.1%
Worse
Percentage of long-stay residents whose ability to move independently worsened (qm451) 7.1% / 17.5%
Better
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 14.3% / 15.9%
Better
Percentage of high risk long-stay residents with pressure ulcers (qm453) 8.3% / 7.9%
Worse
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 82.5% / 93.6%
Worse
Percentage of short-stay residents who made improvements in function (qm471) 80.4% / 77.8%
Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 76.3% / 79.9%
Worse

  Hospitals Near Madison Health and Rehabilitation Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Madison Health and Rehabilitation Center.

Madison Health and Rehabilitation Center is near several hospitals, each with its own rating based on overall performance:

Hospital 5-Star Overall Rating
MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD)
707 S UNIVERSITY AVE
BEAVER DAM, WI 53916
2
MADISON VA MEDICAL CENTER
2500 OVERLOOK TERRACE
MADISON, WI 53705
4
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
600 HIGHLAND AVENUE
MADISON, WI 53792
4
SSM HEALTH ST MARY'S HOSPITAL - MADISON
700 SOUTH PARK ST
MADISON, WI 53715
5
UNITYPOINT HEALTH - MERITER
202 S PARK ST
MADISON, WI 53715
5
SAUK PRAIRIE HOSPITAL
260 26TH STREET
PRAIRIE DU SAC, WI 53578
5
FORT MEMORIAL HOSPITAL
611 SHERMAN AVE E
FORT ATKINSON, WI 53538
Not Available
EDGERTON HOSPITAL AND HEALTH SERVICES
11101 N SHERMAN ROAD
EDGERTON, WI 53534
Not Available
COLUMBUS COMMUNITY HOSPITAL
1515 PARK AVE
COLUMBUS, WI 53925
Not Available
STOUGHTON HOSPITAL
900 RIDGE ST
STOUGHTON, WI 53589
Not Available
MENDOTA MENTAL HEALTH INSTITUTE
301 TROY DR
MADISON, WI 53704
Not Available
MIRAMONT BEHAVIORAL HEALTH
3169 DEMING WAY
MIDDLETON, WI 53562
Not Available

Ratings History for Madison Health and Rehabilitation Center

  Medical Professionals Associated with Madison Health and Rehabilitation Center

These are the doctors who are affiliated with Madison Health and Rehabilitation Center. The data is from the most recent period. Historical data is not available.

We did not find any medical professionals associated with Madison Health and Rehabilitation Center.

  Local Nursing Homes

When evaluating nursing homes, it's important to consider other nearby facilities to understand the available options and make comparisons. Below is a list of nursing homes near Brookline Healthcare and Rehabilitation, including Brookline itself. This list is ranked based on each home's health inspection scores, also known as the "weighted all cycles score." Additionally, we provide the facility's 5-star overall rating for a more complete view of its performance. If a nursing home has been flagged by CMS for abuse, you'll see a special icon () next to its name.

The data is based on the dataset as of November 01, 2024.

Name Health Inspection Score / Overall Rating
Hebron Oaks
(MADISON, WI)
16 / 3:
Hillside Manor
(BEAVER DAM, WI)
16 / 3:
Badger Prairie Hcc
(VERONA, WI)
28.667 / 4:
Columbus Health and Rehab
(COLUMBUS, WI)
28.667 / 3:
Maplewood of Sauk Prairie
(SAUK CITY, WI)
30.667 / 5:
Oak Park Place of Nakoma
(MADISON, WI)
36 / 3:
Skaalen Nursing and Rehabilitation Center
(STOUGHTON, WI)
36.667 / 3:
Capitol Lakes Health Center
(MADISON, WI)
38 / 5:
Crossroads Care Center of Sun Prairie
(SUN PRAIRIE, WI)
40 / 3:
Sun Prairie Senior Living
(SUN PRAIRIE, WI)
42 / 4:
Oakwood Village East Health and Rehab Center
(MADISON, WI)
43.333 / 3:
Lake Mills Health Services
(LAKE MILLS, WI)
50.167 / 2:
Oak Park Nursing and Rehab Ctr
(MADISON, WI)
58 / 3:
Four Winds Manor
(VERONA, WI)
67.333 / 2:
Nazareth Health and Rehab Center
(STOUGHTON, WI)
73.333 / 2:
New Glarus Home
(NEW GLARUS, WI)
97.667 / 2:
Ingleside Manor
(MOUNT HOREB, WI)
106 / 2:
Evansville Manor Nursing and Rehab, LLC
(EVANSVILLE, WI)
109.5 / 2:
Alden Estates of Countryside, Inc
(JEFFERSON, WI)
178 / 2:
Heartland Country Village
(BLACK EARTH, WI)
182.667 / 1:
Edgerton Care Center, Inc
(EDGERTON, WI)
194.333 / 1:
Ssm Health St Mary's Care Center
(MADISON, WI)
202.333 / 1:
Dove Healthcare - Lodi
(LODI, WI)
230.167 / 1:
Grace Healthcare of Oregon
(OREGON, WI)
251.5 / 1:
Middleton Village Nursing and Rehab
(MIDDLETON, WI)
255 / 1:
Waunakee Valley Senior Living
(WAUNAKEE, WI)
285.833 / 2:
Fort Atkinson Care Center
(FORT ATKINSON, WI)
359.333 / 1:
Beaver Dam Health Care Center
(BEAVER DAM, WI)
388.333 / 1:
Madison Health and Rehabilitation Center
(MADISON, WI)
564 / :

  Our Analysis

Best and Worst Nursing Homes in MADISON, WI

Here is our analysis of the Best Nursing Homes in MADISON and Worst Nursing Homes in MADISON so that you can make better decisions when choosing a nursing home. You should also use these lists after choosing a home to stay abreast of changes.

Ownership Details for Madison Health and Rehabilitation Center

A list of all of the registered owners for Madison Health and Rehabilitation Center. This includes direct and indirect owners and managers.

Noted Deficiencies for Madison Health and Rehabilitation Center

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Nursing Hours Analysis for Madison Health and Rehabilitation Center

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

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