Nursing home report
Carrollton, TX · Medicare-certified · 125 beds
The Madison on Marsh has a 4-star overall rating, with strong quality measures (5 stars) but weaker staffing (2 stars) and a nurse staffing level below the federal benchmark (3.37 vs. 4.1 hours per resident per day). It also has a recent federal penalty, $8,473 in fines over the last 24 months, and health inspection findings that cited accident hazards/supervision, care planning, and social worker staffing.
Health inspections
Staffing
3.3665 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3665.
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 April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to let the resident help develop and carry out their own care plan. Cited February 2026 — limited pattern, potential for harm.
F-Tag 553 — 42 CFR §483.10 — S/S: E
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited February 2026 — limited pattern, potential for harm.
F-Tag 850 — 42 CFR §483.70 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2025 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $8,473 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 1 fine · $8,473 in total fines.
Federal fine
Apr 17, 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.
