Nursing HomeInspections

Madison Medical Center

Nursing home in Fredericktown, MO

Medicaid-certified5★ overall (CMS)

Call (573) 783-3341Send a messageMap ↗

Public-record details

Address
611 West Main Street, Fredericktown, MO 63645
Phone
(573) 783-3341
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
26E421
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
4 of 5
Certified beds
99
Average residents per day
60
Ownership
Government, city/county
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Oct 1, 2024
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 26E421. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 17, 2025. CMS lists 5 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 13, 2024 to Nov 17, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 17, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Nov 17, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Nov 17, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		E
Potential for more than minimal harm, pattern
Nov 17, 2025Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		F
Potential for more than minimal harm, widespread
Sep 13, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.10 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
2.97 hours
Total nurse staffing on weekends
3.31 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
29%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Fredericktown

Claru Deville Nursing Center105 Spruce Street · Fredericktown, MO 63645 · (573) 783-3993 · For-profit33 health citations in 3 inspection cycles · last standard inspection Apr 24, 2026 · $81,964 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

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