Richmond · 40475
Madison Health and Rehabilitation Center
131 Meadowlark Drive
Richmond, KY 40475
Telford Terrace
⌖ Richmond, KY · Madison County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds26
Medicare / MedicaidMedicare only
OwnershipNon-profit (corporation)
About Telford Terrace
Telford Terrace is a 26-bed nonprofit nursing home in Richmond, KY. Medicare rates it 5 out of 5 stars overall (much above average); the average in Kentucky is 3.0. At its last full inspection (Dec 2025), inspectors found 0 problems, fewer than the Kentucky average of 2.9. Nurses and aides spend about 4 hr 43 min a day with each resident, more than the Kentucky average of 3 hr 57 min. About 89% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (4 of 5) and long-term care (4 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameTelford Terrace
LocationMadison County, Kentucky
Phone(859) 626-5200
Address1025 Robert L Telford Drive, Richmond, KY 40475 · Madison County
CMS provider number185451
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 24, 2003 (22 years)
✓ Medicare✗ Medicaid
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection0 (Dec 2025)Kentucky average: 2.9. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 43 min a dayKentucky average: 3 hr 57 minStrength
- Registered nurse time per resident1 hr 06 min a dayKentucky average: 47 minStrength
Things to ask about
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- Nursing staff turnover89% a yearKentucky average: 46%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Kentucky average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital20.0%State average: 24.2%About average
- Needed an emergency room visit14.2%State average: 13.7%About average
- Newly given antipsychotic drugs5.4%State average: 1.7%Worse than average
Physical therapist time: about 1 minute per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.6%State average: 3.9%Better than average
- Pressure sores (bedsores)2.8%State average: 4.8%Better than average
- Given antipsychotic drugs25.0%State average: 16.1%Worse than average
Source: Medicare (CMS) quality measures, compared with the Kentucky average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Kentucky, Medicaid pays for 74% of resident days at a typical home.
- 12% Medicaid
- 12% Medicare
- 76% Private pay, insurance and other
Beds in use, on average84%Kentucky typical: 87%
Cost of care per resident day$496Kentucky typical: $330
Shares of resident days, from the home’s Medicare cost report for the year ending June 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 5 stars now, the same as 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.
Overall rating5★
Health inspections5★
Staffing4★
Quality of care4★
Nurse hours per resident per day4.7
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 3 | 5 | 5 | 8.3 |
| Jan 2020 | 5 | 5 | 5 | 4 | 8.4 |
| Jan 2021 | 5 | 5 | 5 | 5 | 7.4 |
| Jan 2022 | 5 | 5 | 5 | 2 | 5.9 |
| Jan 2023 | 1 | 2 | 1 | 1 | 6.7 |
| Jan 2024 | 2 | 2 | 3 | 4 | 3.8 |
| Feb 2025 | 2 | 2 | 3 | 4 | 4.0 |
| Feb 2026 | 3 | 3 | 4 | 4 | 5.0 |
| Sep 2026 | 5 | 5 | 4 | 4 | 4.7 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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