facebook tracking Madison Medical Center, Fredericktown MO: CMS Ratings
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Madison Medical Center

All states › Missouri › Fredericktown › Madison Medical Center

611 West Main Street Fredericktown, MO 63645 · Madison County

(573) 783-3341

All 2 nursing homes in Fredericktown, MO (2 take Medicaid)

Accepts Medicaid 99 certified beds Government

CMS certification number 26E421 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Madison Medical Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Madison Medical Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Missouri average of 2.6. Inspectors issued 5 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.02 hours per resident per day at Madison Medical Center, above the Missouri median of 3.37 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 3.45 hours, 14% below its all-week average. 33.9% of nursing staff left within a year (Missouri median 56.8%). That is lower than most homes in Missouri, a sign of a steadier team.

Nursing care per resident per day 4.02 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.56 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.45 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 33.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 25% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds99
Residents per day 64 About 65% of beds filled, on average
OwnershipGovernment - City/county
Payment acceptedMedicaid
Certified sinceOctober 2024
Legal business nameLegal Business Name Not Available
Located in a hospitalYes

Paying for care at Madison Medical Center: Medicare and Medicaid

Madison Medical Center is certified for Medicaid but not Medicare, so Medicare won't pay for a rehab stay here after a hospital discharge. It can serve long-term residents covered by Missouri Medicaid.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on November 17, 2025 and found 4 deficiencies. In total, inspectors issued 5 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 5 citations at Madison Medical Center across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 5 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were infection control (2) and administration (1). The most serious was cited under the CMS rule to "have the Quality Assessment and Assurance group have the required members and meet at least quarterly" (tag F0868, level F, November 17, 2025).

November 17, 2025 · 4 citations

FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Dec 3, 2025)

EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Dec 3, 2025)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Dec 3, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 3, 2025)

September 13, 2024 · 1 citation

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 25, 2024)

Questions to ask on a tour of Madison Medical Center

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 3/5
August 2026 5/5 4/5 5/5 4/5
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Location

Hospitals near Madison Medical Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Claru Deville Nursing Center Fredericktown · 1.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid
St Francois Manor Farmington · 15.5 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 118 beds · Medicaid
Baptist Homes of Arcadia Valley Ironton · 16.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 36 beds · Medicaid
Farmington Presbyterian Manor Farmington · 16.7 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 90 beds · Medicaid
Southbrook Nursing Center Farmington · 17.2 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 104 beds · Medicaid

More nursing homes near Madison Medical Center ›   All nursing homes in Fredericktown ›

Compare Madison Medical Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/missouri/fredericktown/madison-medical-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.