nursing home in Houlton, ME
Madigan Estates
93 Military Street, Houlton, ME 04730 · (207) 532-6593
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Madigan Estates at a glance
Madigan Estates is a 99-bed for-profit nursing home in Houlton, Maine (Aroostook County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Maine average of 3.1.
Residents receive about 4 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 4.3 hours.
Its most recent standard health inspection (May 22, 2025) found 13 health citations. The Maine average is 10.8.
Federal regulators fined it 1 time in the past three years, totaling $11,450.
Nursing staff turnover is 42.6% per year (state average 46.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 99
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1993
- Resident/family council
- Resident
- County
- Aroostook County
- CMS Certification Number
- 205083
Ratings
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.5 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.95 hrs | 4.34 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.85 hrs | 1.05 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.60 hrs | 2.83 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.64 hrs | 3.92 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 42.6% | 46.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 23.8% | 40.2% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 58 | 81.3 | 80.6 | Better |
Penalties
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $11,450 | $7,386 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 99 | 75 | 107 | |
| Average residents per day | 97 | 65 | 86 | |
| Occupancy | 97.6% | 88.5% | 80.9% |
Long-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.1% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.4% | 4.3% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 23.9% | 20.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.8% | 2.2% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.3% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 30% | 24.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 26.5% | 25.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7% | 5.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 17.7% | 11.6% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.7% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 35.9% | 29.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 78.5% | 95.5% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91.5% | 92.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Maine avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 77.3% | 74.5% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 71.8% | 72.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 20, 2026 |
| May 22, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected June 30, 2025 |
| May 22, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected July 6, 2025 |
| May 22, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected June 17, 2025 |
| May 22, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 14, 2025 |
| May 22, 2025 Standard | 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 F0842 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 6, 2025 |
| May 22, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 6, 2025 |
| May 22, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 27, 2025 |
| May 22, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 6, 2025 |
| January 22, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 8, 2025 |
| March 21, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected April 11, 2024 |
| March 21, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 11, 2024 |
| March 21, 2024 Standard | 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 F0842 | E Potential harm, pattern | Corrected March 29, 2024 |
| March 21, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected April 11, 2024 |
| March 21, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected April 9, 2024 |
| March 21, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected April 5, 2024 |
| November 14, 2023 Complaint | 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 F0689 | G Actual harm, isolated | Corrected November 3, 2023 |
| November 14, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | B No harm, pattern | Deficient, Provider has no plan of correction |
| May 24, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 5, 2023 |
| May 24, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected June 5, 2023 |
| May 24, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 5, 2023 |
| May 24, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected June 5, 2023 |
| May 24, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected July 24, 2023 |
| May 24, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 12, 2023 |
| May 24, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 12, 2023 |
| May 24, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | C No harm, widespread | Corrected June 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $11,450 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 14, 2023 | Fine | $11,450 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BROWN, JAMES Individual | 5% or greater direct ownership interest | 100% | 12/31/2021 |
| ABOULEISH, HASSAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2015 |
| BROWN, DANA Individual | adp of the snf | NOT APPLICABLE | 12/01/2024 |
| BROWN, JAMES Individual | adp of the snf | NOT APPLICABLE | 12/31/2021 |
| RUSSELL, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| BROWN, JAMES Individual | corporate director | NOT APPLICABLE | 07/01/1996 |
| BROWN, JAMES Individual | indirect ownership interest | NOT APPLICABLE | 12/31/2021 |
| ABOULEISH, HASSAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| BROWN, DANA Individual | operational/managerial control | NOT APPLICABLE | 12/01/2024 |
| BROWN, JAMES Individual | operational/managerial control | NOT APPLICABLE | 07/01/1996 |
| RUSSELL, ASHLEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| BROWN, JAMES Individual | trustee of the snf | NOT APPLICABLE | 12/31/2021 |
Other nursing homes near Madigan Estates
- ★★★★★1Much below average
Frequently asked questions
What is Madigan Estates's rating?
Madigan Estates has 3 out of 5 stars on the CMS overall star rating. The average for Maine nursing homes is 3.1 stars.
How many inspection citations did Madigan Estates receive?
Its most recent standard health inspection found 13 citations, compared with a Maine average of 10.8. Every citation is listed on this page with its severity.
Does Madigan Estates accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Madigan Estates?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Madigan Estates and how do I contact it?
Madigan Estates is at 93 Military Street, Houlton, ME 04730. Phone: (207) 532-6593.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.