The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Madigan Health Care
Registered name: MADIGAN ESTATES
HOULTON, ME · Medicare-certified · 99 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
Madigan Health Care in Houlton, ME has an overall rating of 4 out of 5 stars. Its health inspection and staffing ratings are both 4 stars, quality measures are lower at 2 stars, reported nurse staffing is 3.95 hours per resident day versus the 4.1-hour federal benchmark, and it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.9525 hrs/resident/day
Quality measures
Last inspection: May 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9525.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.60
- Weekend nursing
- 3.64
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 24%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
23%25.7%Worsening
Residents with a fall causing major injury
5.7%7.6%Worsening
Residents with pressure ulcers (bedsores)
3.5%3.9%No change
Residents with a urinary tract infection
1.2%7%Worsening
Residents who lost too much weight
5.5%11.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.8%27.9%Improving
Residents whose ability to walk got worse
32.9%10.5%Improving
Long-stay residents on antianxiety or sleep medication
24.4%20.3%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
4.8%2.5%Improving
Residents with new or worsening incontinence
44%29.8%Improving
Residents with depressive symptoms
21.2%21.1%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—78.5%—
Long-stay residents given the pneumonia vaccine
87.5%97.8%Improving
Short-stay residents given the seasonal flu vaccine
—77.3%—
Short-stay residents given the pneumonia vaccine
73.9%75%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,450 in total fines.
- $11,450
Federal fine
Nov 14, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 96.6 residents on an average day (98% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.