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HomeMissouriMadison Medical Center

Madison Medical Center

611 West Main Street, Fredericktown, MO 636455737833341WebsiteGoogle Maps
2.8on Google(51 reviews)
5/5Much Above Average
Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
5/5
Quality
4/5
Beds
99
certified

How Madison Medical Center Compares in Missouri

Facility results compared with averages for CMS-certified nursing homes in Missouri. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
5/5
MO average
2.5/5
Above state average
Health inspection rating
4/5
MO average
2.8/5
Above state average
Staffing rating
5/5
MO average
2.2/5
Above state average
Nursing hours per resident
4.10 hrs/day
MO average
3.43 hrs/day
Above state average
RN hours per resident
0.65 hrs/day
MO average
0.46 hrs/day
Above state average
Staff turnover
38.3%
MO average
56.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Missouri average of 2.5/5.
Its 4/5 health inspection rating is above the Missouri average of 2.8/5.
Reported nursing time is 4.10 hours per resident per day, above the state average of 3.43.
Reported RN time is 0.65 hours per resident per day, above the state average of 0.46.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Sep 13, 2024
Most recent cycle
4
deficiency citations
Inspected Nov 17, 2025
The most recent cycle recorded 3 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,540/mo
Missouri median
Private Room
$6,236/mo
Missouri median
Madison County 65+
2,406
19.0% of county
County Population
12,649
Madison County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Madison Medical Center is a 5-star Medicaid certified nursing home in Fredericktown, Missouri with 99 certified beds. It has been operating since 2024. Its overall CMS rating is 5 out of 5.

Beds
99
Avg Residents/Day
60.1
Ownership
Government - City/county
Provider Type
Medicaid
In Hospital
Yes
First Approved
Oct 1, 2024
Sprinklers
Yes
Council
Resident
County
Madison
Last Inspection
Nov 17, 2025
Deficiencies (Cycle 1)
4
Weighted Score
25.0
Infection Citations
0

Deficiency Citations (5)

F0868Potential for Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 17, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 13, 2024Corrected: NoCycle: 2
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.97 hrs
National avg: 2.32 hrs
LPN0.48 hrs
National avg: 0.86 hrs
RN0.65 hrs
National avg: 0.69 hrs
Total Nursing4.10 hrs
National avg: 3.86 hrs
Weekend Total3.31 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
38.3%
RN Turnover
28.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - City/county
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Madison Medical Center and nearby alternatives.

All Missouri facilities
Madison Medical Center
Fredericktown, MOCurrent facility
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Claru Deville Nursing Center
Fredericktown, MO1.0 miAbuse flag
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $81,964
St Francois Manor
Farmington, MO15.5 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Baptist Homes of Arcadia Valley
Ironton, MO16.6 mi
CMS
N/A
Health
N/A
Staffing
N/A
Recorded fines: None
Farmington Presbyterian Manor
Farmington, MO16.7 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Southbrook Nursing Center
Farmington, MO17.2 mi
CMS
5/5
Health
5/5
Staffing
2/5
Recorded fines: None
Camelot Nursing and Rehabilitation Center
Farmington, MO17.6 mi
CMS
5/5
Health
5/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Madison Medical Center
Fredericktown, MO · Current facility
—5/54/55/5None recorded
Claru Deville Nursing Center
Fredericktown, MO
1.0 mi2/51/52/5$81,964
St Francois Manor
Farmington, MO
15.5 mi4/54/53/5None recorded
Baptist Homes of Arcadia Valley
Ironton, MO
16.6 miN/AN/AN/ANone recorded
Farmington Presbyterian Manor
Farmington, MO
16.7 mi5/55/53/5None recorded
Southbrook Nursing Center
Farmington, MO
17.2 mi5/55/52/5None recorded
Camelot Nursing and Rehabilitation Center
Farmington, MO
17.6 mi5/55/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Madison Medical Center?▾
Madison Medical Center has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 5/5, and quality measures rating of 4/5. This facility is rated above average.
How much does Madison Medical Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Missouri is $5,540/month for a semi-private room and $6,236/month for a private room (Genworth/CareScout 2024). Madison Medical Center participates in Medicaid, which may cover some or all costs depending on eligibility.
Has Madison Medical Center had any health inspection violations?▾
Madison Medical Center had 4 deficiency citations in its most recent health inspection (Nov 17, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Madison Medical Center?▾
Madison Medical Center provides 4.10 total nursing staff hours per resident per day, including 0.65 RN hours, 0.48 LPN hours, and 2.97 nurse aide hours. The total staff turnover rate is 38.3%.
How many beds does Madison Medical Center have?▾
Madison Medical Center has 99 certified beds with an average of 60.1 residents per day, resulting in approximately 61% occupancy. The facility is Government - City/county owned.
Are there other nursing homes near Madison Medical Center?▾
Yes. This page lists 6 nearby nursing homes in Missouri, including 1 in Fredericktown. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Madison Medical Center?▾
On Google Maps, Madison Medical Center has a rating of 2.8 out of 5 based on 51 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.