Madison Health Care
Madison, Lake County, Ohio · CCN 365306 · For-profit (Corporation) · part of Embassy Healthcare (33 facilities, chain average 2.4 stars)
CMS rates Madison Health Care 3 of 5 overall as of August 2026. 125 certified beds, 98 residents a day on average. 37 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $109,991.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 2.94216 hours per resident per day |
|---|---|
| Registered nurses | 0.24914 hours per resident per day |
| Weekend total | 2.80779 hours per resident per day |
| Nursing staff turnover | 30.6% (registered nurses 28.6%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-25 complaint survey |
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. Nutrition and Dietary Deficiencies · tag F0801 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has plan of correction 2026-07-31 |
| 2026-06-25 complaint survey |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Resident Rights Deficiencies · tag F0573 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-31 |
| 2026-06-25 complaint survey |
Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · tag F0850 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2026-07-31 |
| 2025-03-13 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies · tag F0917 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 | 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2025-03-13 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-30 |
| 2024-12-19 complaint survey |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0603 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-07 |
| 2024-12-19 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-07 |
| 2024-12-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-07 |
| 2024-07-30 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-01-25 |
| 2024-06-17 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-06-18 |
| 2024-06-17 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-18 |
| 2023-11-01 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-16 |
| 2023-11-01 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-11-01 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-09-28 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Past Non-Compliance 2023-08-24 |
| 2023-09-28 complaint survey |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-11-16 |
| 2023-09-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-09-28 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · tag F0567 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-09-28 | 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-09-28 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-16 |
| 2023-08-17 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-24 |
| 2021-09-02 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · tag F0924 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · tag F0570 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
| 2021-09-02 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-08 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-17 | Fine | $109,991 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Embassy Healthcare Management Inc. Organization | adp of the snf | — | 2025-05-22 |
| Heritage Employment Services, LLC Organization | adp of the snf | — | 2025-05-22 |
| 2020 Gsr Dynasty LLC Organization | indirect ownership interest | — | 2020-01-01 |
| Aaron Handler Family Dynasty Trust Organization | indirect ownership interest | — | 2020-01-01 |
| Ah Dynasty LLC Organization | indirect ownership interest | — | 2020-01-01 |
| George S. Repchick 2020 Family Dynasty Trust Organization | indirect ownership interest | — | 2020-01-01 |
| Embassy Healthcare Management Inc. Organization | operational/managerial control | — | 2020-01-01 |
| Heritage Employment Services, LLC Organization | operational/managerial control | — | 2020-01-01 |
| Cerjan, Kayla Individual | adp of the snf | — | 2025-01-01 |
| Lele, Shreeniwas Individual | adp of the snf | — | 2025-01-01 |
| Handler, Aaron Individual | corporate officer | — | 2009-11-01 |
| Repchick, George Individual | corporate officer | — | 2020-01-01 |
| Handler, Aaron Individual | indirect ownership interest | — | 2009-11-01 |
| Cerjan, Kayla Individual | operational/managerial control | — | 2025-01-01 |
| Handler, Aaron Individual | operational/managerial control | — | 2009-11-01 |
| Lele, Shreeniwas Individual | operational/managerial control | — | 2025-01-01 |
| Repchick, George Individual | operational/managerial control | — | 2020-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Madison Health Care.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lake County.