Nursing HomeInspections

Madisonville Care Center

Nursing home in Madisonville, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
411 East Collard Street, Madisonville, TX 77864
Phone
(936) 348-2735
Listed under
For-profit
Medicare CCN
675821
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
106
Average residents per day
58
Ownership
For-profit, limited Liability company
Legal business name
Madisonville II Enterprises, LLC
Chain
Creative Solutions in Healthcare (150 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 29, 2000
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675821. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 19, 2026. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 8, 2021 to Mar 19, 2026): 4 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Mar 19, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 19, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 19, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 3, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 3, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		H
Actual harm, pattern
Nov 7, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Feb 17, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 19, 2024Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 19, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Oct 8, 2021Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Oct 8, 2021Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Oct 8, 2021Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,041 in the last three years.

Mar 3, 2026Fine: $10,631
Nov 7, 2025Fine: $8,410

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

Staffing

Total nurse staffing per resident per day
3.29 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
2.16 hours
Total nurse staffing on weekends
2.78 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
83%
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 Madisonville

Avir at Madisonville600 Bacon Street · Madisonville, TX 77864 · (936) 348-9097 · For-profit42 health citations in 3 inspection cycles · last standard inspection Jun 4, 2026 · $8,827 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 2 in Madisonville →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error