Home / Missouri / Fredericktown
Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · Madison County · (573) 783-3341
99 certified beds, about 60 residents a day · Government - City/county · Medicaid since 2024
CMS Care Compare ratings, data as of September 1, 2026 · CCN 26E421 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 17, 2025, inspectors cited 4 health deficiencies (the Missouri average is 11.4, the national average 9.2).
None of its 5 health citations since September 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.10 hours per resident per day, against 3.43 across Missouri and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.
38.3% of nursing staff left within the year CMS measured (Missouri average 56.0%).
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 5 health citations on file.
November 17, 2025Standard inspection · 4 citations
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on interview and record review, the facility failed to maintain quarterly Quality Assurance & Performance Improvement (QAPI) meetings with the required members. The facility's census was 61. Review of the facility's policy, QAPI Program, dated July 2020, showed:- The QAPI team will meet on a monthly basis to discuss indicators and their performance, as well as other pertinent issues revolving around the operations of the facility. Representatives from the QAPI Team will also meet on a quarterly basis with physicians, nurse practitioners and other departments to report the tracking results of their indicators;- The policy did not address the required QAPI members. Review of the facility's 2024-2025 QAPI Plan showed: [...]
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or the resident's representative in writing of a transfer or discharge to a hospital, including the statement of appeal rights or the name, address, or telephone number of the Office of the State Long Term Care Ombudsman (advocates for the residents in nursing facilities) within the transfer and discharge notices for seven residents (Resident #5, #7, #8, #21, #24, #37, and #43 ) out of 15 sampled residents. The facility's census was 61. Review of the facility's policy, Patient Transfer Form, revised July 2024, showed: - The purpose is to provide pertinent information to the facility to which the resident is being transferred and to assure continuity of care; [...]
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an error rate of five percent or less when medications were administered and staff failed to prime insulin pens before the administration of insulin. There were 25 opportunities with three errors made, for an error rate of 12%. This affected three residents (Resident #31, #42, and #50) outside of the 15 sampled residents, with the potential to affect all residents. The facility's census was 61. Review of the facility's policy, Insulin Administration, revised 01/24, did not address the use of insulin pens. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain proper infection control practices during wound care for two residents (Residents #10 and #56) out of two residents sampled for wound care. The facility's census was 61. Review of the facility's policy, Dressing Change, revised March 2023, showed: - This is a clean procedure, not sterile; - Check order for dressing change in the electronic treatment administration record (ETAR); - Gather supplies, including a clean towel, paper towels or paper plate as a field for the dressing change and supplies; - Wash hands at least 15 seconds and use friction, dry hands; - Apply non-sterile gloves; - Remove old dressing and throw in trash bag; - Observe wound for redness, bleeding, and any kind of drainage, dried blood or odor; - Remove gloves and put in trash; - Wash hands at least 20 seconds, use friction and dry. [...]
September 13, 2024Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain infection control practices to prevent the development and transmission of infection during incontinent care for one resident (Resident #3) out of 15 sampled residents and one resident (Resident #16) outside the sample. The facility's census was 59. Review of the facility's Handwashing policy, revised June 2024, showed: - The purpose is to ensure that hand washing is conducted appropriately; - Personnel should always decontaminate their hands before having direct contact with patients; after a situation during which unanticipated microbial contamination of hands might have occurred, especially those involving contact with mucous membranes, blood or other body fluids, secretions, or excretions; if moving from a contaminated body site to a clean body site during patient care; [...]
Fire safety inspections
2 fire safety citations on file: 1 on November 17, 2025, 1 on September 13, 2024.
Every fire safety citation2 citations
- F Ensure proper usage of power strips and extension cords.
- F Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Missouri | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.10 | 3.43 | 3.86 |
| Registered nurses | 0.65 | 0.46 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.01 | 3.42 |
| Nurse aides | 2.97 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 38.3% | 56.0% | 45.8% |
| Registered nurse turnover | 28.6% | 47.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.95 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 4.41 on weekdays and 3.31 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.88 in April to June 2025 to 4.10 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 | 4.10 | 0.65 | 4.41 | 3.31 | 1.6% | 0 of 90 | 60 |
| Oct to Dec 2025 | 4.40 | 0.58 | 4.75 | 3.52 | 0.2% | 0 of 92 | 55 |
| Jul to Sep 2025 | 3.98 | 0.52 | 4.23 | 3.35 | 0.0% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.88 | 0.51 | 4.17 | 3.14 | 0.0% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Missouri, Jan to Mar 2026 | 3.34 | 0.40 | 3.50 | 2.93 | 3.9% | 1.1% 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 Missouri
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Missouri, all employers | |||
| CNAs (nursing assistants) | $18.11 | $17.02 to $20.00 | 34,050 |
| LPNs and LVNs | $29.58 | $27.06 to $33.77 | 14,700 |
| Registered nurses | $39.32 | $36.56 to $47.39 | 76,310 |
| 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 | Missouri | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.0 | 18.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.8 | 4.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.5 | 17.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 23.5 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.1 | 2.3 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Madison Medical Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
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: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 17, 2025: "Provide and implement an infection prevention and control program."
- 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 17, 2025: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on November 17, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 17, 2025: "Ensure medication error rates are not 5 percent or greater."
Other nursing homes nearby
- Claru Deville Nursing Center Fredericktown, 1 mi · 3 of 5 stars · 33 citations
- St. Francois Manor Farmington, 15.5 mi · 4 of 5 stars · 21 citations
- Baptist Homes of Arcadia Valley Ironton, 16.6 mi · 3 of 5 stars · 21 citations
- Farmington Presbyterian Manor Farmington, 16.7 mi · 5 of 5 stars · 9 citations
- Southbrook Nursing Center Farmington, 17.2 mi · 5 of 5 stars · 17 citations
- Camelot Nursing and Rehabilitation Center Farmington, 17.6 mi · 5 of 5 stars · 12 citations
- Community Manor Farmington, 17.8 mi · 3 of 5 stars · 30 citations
- Country Meadows Park Hills, 23.6 mi · 5 of 5 stars · 9 citations
Missouri contacts for a concern about a nursing home
These are the official offices in Missouri. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Missouri Long-Term Care Ombudsman Program, 800-309-3282. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Show Me Long Term Care in Missouri, where Missouri publishes its own records on licensed homes.
Common questions
- What is Madison Medical Center's Medicare star rating?
- CMS rates Madison Medical Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Madison Medical Center get at its last inspection?
- 4 health deficiencies at the standard inspection on November 17, 2025. The Missouri average is 11.4.
- Has Madison Medical Center been fined?
- CMS lists no fines in the last three years.
- Does Madison Medical Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Madison Medical Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.