Madisonville Care Center
Nursing Home · 411 E Collard, Madisonville, TX 77864 · 9363482735
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 2.7 / 5 | high |
| Clinical outcomes | 2.3 / 5 | high |
| Enforcement | 3.6 / 5 | high |
| Financial stability | 3.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 106 |
| Ownership | For Profit - Corporation |
| Operator | Madisonville Ii Enterprises, Llc |
| Chain size | 149 facilities |
| Certified since | 2000-02-29 |
| CMS overall star | 2 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 2 immediate jeopardy · 1 actual harm · 16 potential for harm · 0 minor
- Federal fines: $24,346 · payment denials: 0 · penalty actions: 2
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | H · actual harm | corrected 2026-03-04 |
| 2026-03-03 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Resident Rights Deficiencies, tag 0561) | D | corrected 2026-03-04 |
| 2025-11-07 | 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 0689) | J · immediate jeopardy | open |
| 2025-02-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Resident Assessment and Care Planning Deficiencies, tag 0842) | E | corrected 2025-02-18 |
| 2024-12-19 | Keep residents' personal and medical records private and confidential. (Resident Rights Deficiencies, tag 0583) | D | corrected 2024-12-20 |
| 2024-12-19 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2024-12-20 |
| 2021-10-08 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Quality of Life and Care Deficiencies, tag 0686) | J · immediate jeopardy | corrected 2021-10-25 |
| 2021-10-08 | 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 0727) | F | corrected 2021-10-25 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.13 hrs/resident/day (expected 3.36 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.55 hrs/resident/day (expected 0.59 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.97 · LPN 0.61 hrs/resident/day
- Weekend total staffing: 2.61 hrs/resident/day (expected 2.98 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.21 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 3.9% | · → 4.3 → 3.4 → 2.8 | worse than 91% of US homes · TX median 0.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 25.5% | · → 24 → 15.6 → 42.9 | worse than 89% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.6% | · → 2 → 2.3 → 1.4 | worse than 82% of US homes · TX median 0% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4% | 8.7 → 5.3 → 2.4 → 2.1 | worse than 68% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 1.4% | 5 → 2.7 → 0 → 0 | worse than 60% of US homes · TX median 0.3% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 15.4% | not reported | worse than 57% of US homes · TX median 13% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 4.5% | 9.8 → 4.2 → 2.3 → 4.4 | worse than 52% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 7.5% | · → · → 8.3 → 11.5 | better than 77% of US homes · TX median 8.1% |
What this costs
- This facility's reported avg daily charge: not computable from its filing — reported figures fail plausibility checks
- Payer mix (resident days): 71% Medicaid · 4% Medicare · 25% other/private · 31% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Madison County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Madison St Joseph Health Center | Madisonville | Yes | — | Critical access |
Compare nearby
- C+ Avir At Madisonville · Madisonville
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Madison County nursing homes coverage. Spot an error? Tell us.