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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MADIGAN ESTATES
HOULTON, ME · Medicare-certified · 99 beds
In good standing
For-profit
5 of 5 overall
Madigan Estates in Houlton, ME has an overall rating of 5 out of 5 stars, with strong staffing and solid health inspection results but lower quality measures. It reported 4.06 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0582 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 4.0582.
Staffing detail
- Registered nurses
- 0.86
- Licensed practical nurses
- 0.51
- Nurse aides
- 2.69
- Weekend nursing
- 3.57
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 18%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.9%Improving
Residents with a fall causing major injury
6.6%Worsening
Residents with pressure ulcers (bedsores)
3.5%Worsening
Residents with a urinary tract infection
3.6%Improving
Residents who lost too much weight
7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
35.1%Improving
Residents whose ability to walk got worse
30.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
23.7%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
2.3%Improving
Residents with new or worsening incontinence
36.9%Worsening
Residents with depressive symptoms
16.5%Improving
Long-stay residents given the seasonal flu vaccine
78.5%Steady
Long-stay residents given the pneumonia vaccine
88.5%Improving
Short-stay residents given the seasonal flu vaccine
77.3%Steady
Short-stay residents given the pneumonia vaccine
70.6%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.
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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.
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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.
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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
- 95.3 residents on an average day (96% 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.