Madison Co Nh
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 5 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (7 vs median 6)
Below average in MS · Critically understaffed (RN) · Above recommended total nurse staffing · $8,278 in fines
What this means for your family
The facility is highly regarded for its compassionate and friendly staff across all departments. Because the review volume is low, we recommend scheduling an in-person tour to observe staff-resident interactions firsthand to ensure they align with your loved one's specific needs.
Google Reviews
Google Reviews
5 reviews analyzed“Madison County Nursing Home receives praise for its compassionate staff and positive atmosphere, with family members noting that employees across all departments are caring and attentive. While recent feedback is highly positive, the limited number of reviews and the presence of empty star ratings make it difficult to assess consistency over time.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Positive, welcoming atmosphere
- Helpful and friendly support staff
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent focus on maintaining a welcoming atmosphere, what specific daily activities or social programs are currently in place to keep residents engaged and connected?
- 2With a 2-star overall CMS rating, what specific quality improvement initiatives are you currently prioritizing to enhance the overall resident experience?
- 3I noticed there have been some recent state violations; could you walk me through how the leadership team identifies and corrects these issues to ensure resident safety?
- 4Since staffing is a noted strength here, how does your team ensure that this high level of dedicated care remains consistent across all shifts, including weekends and evenings?
- 5In the event of a medical emergency, what is the specific protocol for transitioning a resident to higher-level care, and how do you keep family members informed during that process?
- 6How do you balance the need for regulatory compliance with maintaining the compassionate, friendly environment that residents and their families seem to appreciate?
Personalized based on this facility's data
Key Review Excerpts
“Everyone from the CNAs, the nurses, the PTs, the activities staff, the cafeteria staff, and the office staff provide a positive atmosphere.”
“Staff is friendly and helpful. I felt that there was a guinuine concern for their clients.”
“They are wonderful with my mom....she loves it there and I'm glad she is happy..”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
6
measures
7
measures
2
measures
Residents with depression symptoms
Residents on antipsychotic medication
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has had ongoing quality concerns with families filing two complaints that led to citations for medication errors and misuse of residents' belongings. The most frequent issues involve care planning, daily living assistance, and resident rights violations appearing across multiple surveys from 2019 to 2024. While all deficiencies show correction dates, the recurring patterns in fundamental care areas suggest persistent operational challenges that families should carefully consider.
May 12, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Jul 10, 2024Routine5
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 26, 2023Routine5
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 25, 2019Routine7
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
May 12, 2025
$8,278
Ownership & Operations
Who Operates This Facility
Madison Co Nh
government
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
5 reviews from families & visitors
Official Website
Visit madisoncountynursinghome.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.