Madison Healthcare Services
900 Second Avenue, Madison, MN 56256 · Lac Qui Parle County · (320) 598-7536
51 certified beds, about 46 residents a day · Non profit - Church related · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245382 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 27, 2026, inspectors cited 3 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
Of 16 health citations since November 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $10,036 in the last three years; the largest was $10,036, and the latest is dated February 28, 2024.
Nurses and nurse aides worked 4.22 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
100.0% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
January 27, 2026Standard inspection · 3 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure residents were assessed for the ability to self-administer medications (SAM) for 1 of 1 resident (R41) reviewed for medication administration.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the call light was accessible for 1 of 1 residents (R30) who was reviewed for call light placement.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on observation, interview and document review the facility failed to ensure resident status was accurately reflected in the Minimum Data Set (MDS) for 1 of 1 residents (R6) reviewed for pressure ulcers. Findings Include:The Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual for Version 1.18.11 dated 10/23, was published by the Centers for Medicare & Medicaid Services (CMS). Section M of the RAI identified intent was to document the risk, presence, appearance, and change of pressure ulcers/injuries. The RAI identified if the resident had any pressure ulcer/injury (Stage 1, 2, 3, 4, or unstageable) in the 7-day look-back period, to proceed to M0300, Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage. [...]
January 16, 2026Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview and document review, the facility failed to notify the physician timely when enteral nutrition (tube feedings) was not administered as ordered for 1 of 3 residents (R1) reviewed for nutrition after staff identified the equipment used to deliver nutrition had missing parts.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview and document review, the facility failed to recognize, evaluate and address the nutrition and hydration intake for 1 of 3 residents (R1) reviewed for nutrition. In addition, R1 was not administered physician ordered enteral feedings and water flushes due to missing equipment. This failure resulted in significant weight loss, malnutrition, and weakness.
June 4, 2025Complaint inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and document review, the facility failed to ensure the call light was accessible for 1 of 1 residents (R1) who was reviewed for call light placement. R1's admission Minimum Data Set (MDS) dated [DATE], indicated R1 was cognitively intact and had diagnoses that included heart failure and a hip fracture. Identified R1 required maximum assistance with bed mobility, transfers and toileting. R1's care plan dated, 3/26/25, directed staff to make sure R1's call light was within reach and to encourage R1 to use the call light. During an continuous observation on 6/4/25 at 7:10 a.m. to 8:21 a.m., R1 was sitting in her wheelchair eating breakfast. R1 received her breakfast tray at 7:20 a.m., nursing assistant (NA)-A cut up R1's french toast and applied syrup. NA-A provided R1 half of a banana on her tray also. R1 began to eat her meal. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and document review, the facility failed to have a process in place to ensure resident provider recommendations were followed up on in a timely manner for 1 of 1 residents (R1).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and document review, the facility failed to perform ongoing monitoring and wound care for 1 of 1 residents (R1) reviewed for wound care.
November 6, 2024Standard inspection · 3 citations
- E Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on interview and document review the facility failed to ensure 5 of 8 staff (administrator, director of nursing (DON), registered nurse (RN)-A, RN-C, and trained medication aide (TMA)-A ) received annual training and 1 of 1 newly hired staff nursing assistant (NA-B) received initial training on Alzheimer's disease or related disorders, assistance with activities of daily living (ADL), problem solving with challenging behaviors, and communication skills. This had the potential to affect all the residents in the facility.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, interview, and document review, the facility failed to follow their policy and complete an Abnormal Involuntary Movement (AIMS) assessment for 1 of 5 residents (R31) who had been administered an antipsychotic.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a portable oxygen (O2) tank (E-cylinder) was safely secured for 1 of 4 residents (R21).
February 28, 2024Standard inspection · 4 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and document review, the facility failed to ensure the resident safety from accident and hazards for 1 of 1 resident (R149) who smoked unsupervised while using oxygen via nasal cannula that was connected to a compressed oxygen (O2) canister. This resulted in an immediate risk of serious harm, injury, or death, from thermal burns to R149. In addition, the facility failed to follow facility policy and secure smoking materials (cigarettes and lighter) away from R149. The IJ began on 2/19/24 when R149 was admitted to the facility (a non-smoking facility) and with facility knowledge, smoked unsupervised while wearing oxygen upon her admission. On 2/26/24 at 3:32 p.m., R149 was observed to be smoking a cigarette unsupervised, while receiving oxygen from a portable oxygen tank. [...]
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and document review, the facility failed to offer and/or administer the most recent Centers for Disease Control (CDC) pneumococcal vaccine for 4 of 5 residents (R21, R28, R29, R40) reviewed for immunizations. Furthermore, the facility failed to have a method or system to ensure the facility offer or provided any initial or updated vaccine to residents per Centers for Disease Control (CDC) vaccination recommendations.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and document review, the facility failed to provide the required Skilled Nursing Facility Advanced Beneficiary Notice (SNFABN) CMS-10055 for 2 of 3 residents (R11 and R30).
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review and interview, the facility failed to complete a comprehensive assessment related to post traumatic stress disorder (PTSD) for 1 of 1 (R6) resident.
November 17, 2023Complaint inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, and document review interview the facility failed to follow the care plan for a fall intervention to mitigate the risk for falls or falls with serious injury for 1 of 6 residents (R1) who had history of falls with injury.
Fire safety inspections
9 fire safety citations on file: 5 on January 27, 2026, 2 on November 6, 2024, 2 on February 28, 2024.
Every fire safety citation9 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
- D Have proper medical gas storage and administration areas.
- E Provide properly protected cooking facilities.
- D Ensure proper usage of power strips and extension cords.
- D Install corridor and hallway doors that block smoke.
- C Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 28, 2024 | Fine | $10,036 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.22 | 4.19 | 3.86 |
| Registered nurses | 0.69 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.69 | 3.71 | 3.42 |
| Nurse aides | 2.78 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 100.0% | 42.2% | 45.8% |
| Registered nurse turnover | 100.0% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.84 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.43 on weekdays and 3.69 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.28 in April to June 2025 to 4.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.22 | 0.69 | 4.43 | 3.69 | 11.0% | 0 of 90 | 46 |
| Oct to Dec 2025 | 4.01 | 0.66 | 4.17 | 3.62 | 12.0% | 0 of 92 | 46 |
| Jul to Sep 2025 | 0.32 | 0.12 | 0.29 | 0.38 | 99.9% | 50 of 92 | 44 |
| Apr to Jun 2025 | 4.28 | 0.64 | 4.49 | 3.78 | 17.4% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.4 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.3 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.9 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.1 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.2 | 17.1 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Madison Healthcare Services's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: MADISON HEALTHCARE SERVICES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bjerke, Erik | W-2 managing employee | Individual | 09/25/2015 | |
| Engebretson, Ramona | W-2 managing employee | Individual | 12/14/2018 | |
| Hacker, Brant | W-2 managing employee | Individual | 09/19/2005 | |
| Hastad, Trudy | Corporate director | Individual | 01/01/2024 | |
| Hill, Bart | Corporate director | Individual | 01/01/2024 | |
| Moen, Karin | Corporate director | Individual | 01/01/2019 | |
| Munsterman, Jeanene | Corporate director | Individual | 01/01/2024 | |
| Omland, Scott | Corporate director | Individual | 01/01/2023 | |
| Volk, Tim | Corporate director | Individual | 01/01/2024 | |
| Borgerson, Carol | Corporate officer | Individual | 11/04/2014 | |
| Bjerke, Erik | Adp of the SNF | Individual | 01/16/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 27, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on January 27, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 16, 2026: "Provide enough food/fluids to maintain a resident's health."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on November 6, 2024: "Provide behavior health training consistent with the requirements and as determined by a facility assessment."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.69 hours per resident per day, below the Minnesota average of 3.71.
Other nursing homes nearby
- Johnson Memorial Hospital & Home Dawson, 8.4 mi · 3 of 5 stars · 11 citations
- Appleton Area Health Appleton, 15.3 mi · 3 of 5 stars · 13 citations
- Sanford Health Sylvan Court Canby, 21.9 mi · 5 of 5 stars · 6 citations
- Luther Haven Montevideo, 23.7 mi · 1 of 5 stars · 29 citations
- Fairway View Neighborhoods Ortonville, 24 mi · 2 of 5 stars · 8 citations
- Clarkfield Care Center Clarkfield, 24.1 mi · 4 of 5 stars · 9 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Madison Healthcare Services's Medicare star rating?
- CMS rates Madison Healthcare Services 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madison Healthcare Services get at its last inspection?
- 3 health deficiencies at the standard inspection on January 27, 2026. The Minnesota average is 7.1.
- Has Madison Healthcare Services been fined?
- Yes. CMS lists 1 fine totaling $10,036 in the last three years.
- Does Madison Healthcare Services accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Madison Healthcare Services?
- CMS lists 11 owners and managers. Legal business name: MADISON HEALTHCARE SERVICES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.