Madisonville Care Center
411 East Collard Street, Madisonville, TX 77864 · Madison County
For-profit · 106 certified beds · 53% occupancy · (936) 348-2735
Madisonville Care Center reviews: what the government record shows
The U.S. government (CMS) rates Madisonville Care Center 2 out of 5 stars overall, below average. Its nurse staffing is 2% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.19 hrs/resident/day (-2% vs TX median)
- Antipsychotic drug use
- 7.1% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $18,852
- Inspection findings
- 13 cited, 2 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 3.19 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Madisonville Care Center
Is Madisonville Care Center a good nursing home?
Madisonville Care Center in Madisonville, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Madisonville Care Center staffed?
Madisonville Care Center reports 3.19 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Madisonville Care Center been fined or flagged for abuse?
Madisonville Care Center has paid approximately $18,852 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.19 nurse hours per resident per day. 2% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Nov 7, 2025Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Actual harmTag F0550 · Mar 3, 2026ComplaintCorrected Mar 4, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0561 · Mar 19, 2026Corrected Mar 20, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
- Potential for harmTag F0684 · Mar 19, 2026Corrected Mar 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Mar 19, 2026Corrected Mar 20, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0561 · Mar 3, 2026ComplaintCorrected Mar 4, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
- Potential for harmTag F0842 · Feb 17, 2025ComplaintCorrected Feb 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0583 · Dec 19, 2024Corrected Dec 20, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0880 · Dec 19, 2024Corrected Dec 20, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0686 · Oct 8, 2021Corrected Oct 25, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.1 stars.