nursing home in Fredericktown, MO
Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · (573) 783-3341
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Madison Medical Center at a glance
Madison Medical Center is a 99-bed government nursing home in Fredericktown, Missouri (Madison County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 4.1 hours of nursing care per day (0.6 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (November 17, 2025) found 4 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.3% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- Government - City/County
- Beds
- 99
- Certified for
- Medicaid
- Medicare-certified since
- October 1, 2024
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 26E421
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 2.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.10 hrs | 3.43 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.97 hrs | 2.29 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.31 hrs | 3.01 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 38.3% | 56% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 99 | 103 | 107 | |
| Average residents per day | 60 | 73 | 86 | |
| Occupancy | 60.7% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.8% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.5% | 23.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.8% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 9% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.4% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 18.5% | 12.8% | Better |
| 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) | 29.3% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 17.4% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.6% | 63.5% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.4% | 65.7% | 82% | Average |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 3, 2025 |
| November 17, 2025 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected December 3, 2025 |
| November 17, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | E Potential harm, pattern | Corrected December 3, 2025 |
| November 17, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 3, 2025 |
| November 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 3, 2025 |
| September 13, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected October 25, 2024 |
| September 13, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 25, 2024 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Madison Medical Center
Claru Deville Nursing Center
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★★★★★3AverageSt Francois Manor
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★★★★★4Above averageBaptist Homes of Arcadia Valley
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Non-profit · 36 beds
★★★★★3AverageFarmington Presbyterian Manor
500 Cayce Street, Farmington, MO 63640 · 16.7 mi
Non-profit · 90 beds · Part of Presbyterian Manors of Mid-America
- CMS high performer
★★★★★5Much above averageSouthbrook Nursing Center
1101 Hazel Lane, Farmington, MO 63640 · 17.2 mi
For-profit · 104 beds · Part of Americare Senior Living
★★★★★5Much above averageCamelot Nursing and Rehabilitation Center
705 Grand Canyon Drive, Farmington, MO 63640 · 17.6 mi
For-profit · 97 beds · Part of Mgm Healthcare
★★★★★5Much above average
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Frequently asked questions
What is Madison Medical Center's rating?
Madison Medical Center has 5 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Madison Medical Center receive?
Its most recent standard health inspection found 4 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Madison Medical Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Madison Medical Center?
It is government - city/county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Madison Medical Center and how do I contact it?
Madison Medical Center is at 611 West Main Street, Fredericktown, MO 63645. Phone: (573) 783-3341.
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.