Nursing home report
Madisonville, TX · Medicare-certified · 106 beds
Madisonville Care Center in Madisonville, TX has a 2 out of 5 star overall rating. Its staffing rating is 1 out of 5 stars, with reported nurse staffing at 3.19 hours per resident per day below the 4.1 federal benchmark, and it has had $18,852 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.1938 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1938.
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 safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — limited pattern, potential for harm.
F-Tag 842 — 42 CFR §483.70 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
A federal fine of $10,442 was recorded.
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 $8,410 was recorded.
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 · $18,852 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.
