Nursing home report
FREDERICKTOWN, MO · Medicare-certified · 99 beds
Madison Medical Center in Fredericktown, MO has a 5-star overall rating, with 4 stars for health inspections and quality measures and 5 stars for staffing. It reports 4.40 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $0 in fines in the last 24 months, and recent inspection citations related to quality assurance membership/meetings, required resident documentation/notifications, and medication error rates.
Health inspections
Staffing
4.3999 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3999.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 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.
