Nursing home · Fredericktown, MO
Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · 99 certified beds · government ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 4 problems. The most common area was administration (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 4 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 4.10 hours per resident per day here, 20% more than the Missouri average (3.43) and 6% more than the U.S. average (3.86). Registered nurses account for 0.65 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 38% over the past year, 18 points lower than Missouri (56%) and 8 points lower than the U.S. (46%).
How Madison Medical Center compares
This home's latest CMS figures next to the averages for Farmington-area homes (15), Missouri (487) and the U.S. (14,680).
| This home | Farmington area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 4.10 | 3.23 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.65 | 0.44 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.31 | 2.79 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 38% | 59% | 56% | 46% |
| Registered nurse turnover (past year) | 29% | 47% | 48% | 43% |
| Citations at the most recent standard inspection | 4 | 7.6 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 5 of 5 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Nov 17, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration | F | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident rights | E | Deficient, Provider has date of correction |
| Nov 17, 2025 | Ensure medication error rates are not 5 percent or greater. Pharmacy service | D | Deficient, Provider has date of correction |
| Nov 17, 2025 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
| Sep 13, 2024 | Provide and implement an infection prevention and control program. Infection control | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
Map data © OpenStreetMap contributors.
We don't have licensed photos yet. See photos on Google Maps.
Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
Read Google reviews (opens Google Maps).
Questions about Madison Medical Center
Answers computed from CMS data for this facility.
What is Madison Medical Center's Medicare rating?
Medicare rates Madison Medical Center 5 out of 5 stars overall (much above average). The average for Farmington-area nursing homes is 3.5, for Missouri 2.51 and for the U.S. 2.99.
How did Madison Medical Center do on its last inspection?
Inspectors' most recent visit in the CMS data was on Nov 17, 2025, when they cited 4 problems. The most common area was administration (1 citation). None rose to the level of actual harm; the most serious was severity code F, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Nov 17, 2025) it had 4 citations, compared with an average of 7.6 for Farmington-area homes, 11.4 in Missouri and 9.2 nationally.
Has Madison Medical Center been fined?
CMS reports no federal fines for this facility in the past three years.
Does Madison Medical Center accept Medicaid?
Madison Medical Center is certified for Medicaid only. Call (573) 783-3341 to ask whether a Medicaid bed is open.
Other nursing homes near Fredericktown
- 3/5Claru Deville Nursing CenterFredericktown · 90 beds
- 5/5Camelot Nursing and Rehabilitation CenterFarmington · 97 beds
- 5/5Country MeadowsPark Hills · 72 beds
- 5/5Farmington Presbyterian ManorFarmington · 90 beds
- 5/5Southbrook Nursing CenterFarmington · 104 beds
- 4/5Nhc Healthcare, DeslogeDesloge · 120 beds
Compare all 15 Farmington-area nursing homes · · Farmington guide
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.