Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · Madison County · 99 certified beds · avg 60 residents/day · certified since Oct 1, 2024
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 17, 2025 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Nov 17, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 13, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.33 | 3.66 | 3.95 | top 6% in Missouri; top 9% in the U.S. |
| Registered Nurse hours | 0.84 | 0.49 | 0.69 | top 7% in Missouri; top 24% in the U.S. |
| Weekend total nurse staffing | 4.31 | 3.22 | 3.50 | top 11% in Missouri; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.33 | 0.48 | top 32% in Missouri; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 38.3 | 56.0 | 45.8 | top 10% in Missouri; top 32% in the U.S. |
| RN turnover (%) | 28.6 | 47.8 | 42.9 | top 22% in Missouri; top 26% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.10, RN 0.65, weekend 3.31. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - City/county
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Claru Deville Nursing Center | 1.0 mi | Fredericktown, MO | ★★★☆☆ | 2/5 | |
| St Francois Manor | 15.5 mi | Farmington, MO | ★★★★☆ | 4/5 | |
| Baptist Homes of Arcadia Valley | 16.6 mi | Ironton, MO | —/5 | ||
| Farmington Presbyterian Manor | 16.7 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Southbrook Nursing Center | 17.2 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Camelot Nursing and Rehabilitation Center | 17.6 mi | Farmington, MO | ★★★★★ | 5/5 | |
| Community Manor | 17.8 mi | Farmington, MO | ★★★☆☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 26E421.