Nursing home report
Madisonville, TX · Medicare-certified · 106 beds
Madisonville Care Center has an overall rating of 2 out of 5 stars, with weak staffing at 1 out of 5 and reported nurse staffing below the federal benchmark (3.13 vs. 4.1 hours per resident per day). It also has $24,346 in fines in the last 24 months and a recent federal penalty, while health inspections are 3 stars and quality measures are 4 stars.
Health inspections
Staffing
3.1262 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1262.
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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited October 2021 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited March 2026 — limited pattern, actual harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: H
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2021 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited August 2019 — widespread issue, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $16,065 was recorded.
Health inspection found 2 health deficiencies.
A federal fine of $8,281 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
On record with Medicare: 2 fines · $24,346 in total fines.
Federal fine
Mar 3, 2026
Federal fine
Nov 7, 2025
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.
