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Nursing home report

The Madison on Marsh

Carrollton, TX · Medicare-certified · 125 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
5 of 5 overall

The Madison on Marsh in Carrollton, TX has an overall 5-star rating, with strong health inspection (4 stars) and quality measures (5 stars) but low staffing (2 stars); reported nurse staffing is 3.37 hours per resident day versus the 4.1 federal benchmark, and it had $8,473 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.3665 hrs/resident/day

Quality measures

Last inspection: December 3, 2025Penalties, last 24 months: $8,473recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3665.

Staffing detail

Registered nurses
0.45
Licensed practical nurses
1.00
Nurse aides
1.92
Weekend nursing
2.92

Hours per resident per day.

Total staff turnover: 47%
Registered nurse turnover: 50%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.1%2.8%Improving

Residents with a fall causing major injury

0%4.9%Worsening

Residents with pressure ulcers (bedsores)

6.9%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.3%7.1%Worsening

Residents whose ability to walk got worse

1.8%

Long-stay residents on antianxiety or sleep medication

14%8.3%Improving

Short-stay residents newly given an antipsychotic

0.8%0.8%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

0%10%Worsening

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

95.5%

Short-stay residents given the pneumonia vaccine

100%96.3%Worsening

What the inspectors found

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.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

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.

View the original federal record

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.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited December 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

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 August 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $8,473 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $8,473 in total fines.

  • Federal fine

    Apr 17, 2025

    $8,473

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of CANTEX CONTINUING CARE · 38 homes · 3 stars avg
Occupancy
82.6 residents on an average day (66% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 19 years

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.