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Nursing HomeMedicaid Top Rated

Madison Medical Center

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

611 West Main Street, Fredericktown, MO 6364599 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Madison Medical Center Nursing Home in Fredericktown, MO — Street View
Street View

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What this means for your family

Choosing Madison Medical Center means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.58hrs
78%
Registered nurses for medical care
Total Nursing
4.40hrs
OK
All nurses + aides combined

RN 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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
MO
16.7%
Madison
19.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MO
84.4%
Madison
91.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
15.3%
MO
18.9%
Madison
14.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.1%
Better than Avg
Here
8.1%
US
14.4%
MO
19.1%
Madison
15.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
Madison
91.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.1%
Worse than Avg
Here
28.1%
US
19.5%
MO
25.4%
Madison
24.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility92.6%
Better than Avg
Here
92.6%
US
79.8%
MO
63.5%
Madison
70.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.1%
Better than Avg
Here
83.1%
US
81.8%
MO
65.9%
Madison
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
Madison
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (12.0)

Madison Medical Center has 7 deficiencies across 2 surveys with no complaint-driven issues. Key problem areas include infection control (cited twice across both surveys), electrical safety systems, and medication management with error rates above 5%. One infection control issue persisted from 2024 to 2025, suggesting ongoing challenges. All deficiencies have reported correction dates from the provider.

Nov 17, 2025Routine
5
0868Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 13, 2024Routine
2
0923Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Madison Medical Center

Organization Type

government

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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