Nursing home report
FREDERICKTOWN, MO · Medicare-certified · 99 beds
MADISON MEDICAL CENTER (FREDERICKTOWN, MO) has a 5-star overall rating, with 4 stars for health inspections and quality measures and 5 stars for staffing. Reported nurse staffing is 4.10 hours per resident per day, matching the federal benchmark, and there were no fines in the last 24 months; recent inspection issues included quality assurance, required resident documentation, and medication error rates.
Health inspections
Staffing
4.0959 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0959.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited November 2025 — widespread issue, potential for harm.
F-Tag 868 — 42 CFR §483.75 — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited November 2025 — limited pattern, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited November 2025 — isolated incident, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2025 — isolated incident, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
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.
