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Nursing HomeMedicaid Investigative

Madisonville Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

411 East Collard Street, Madisonville, TX 77864106 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 36 Google reviews

5
4
3
2
1
Madisonville Care Center Nursing Home in Madisonville, TX — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)

Top 25% in Texas · Below recommended RN staffing · Chain outperformer · $12,740 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing high-quality physical therapy and a compassionate, communicative nursing staff. However, if dietary preferences are a priority, you should specifically ask about recent menu improvements, as food quality has been a recurring point of contention in the past.

Google Reviews

Google Reviews

36 reviews analyzed
Families can expect a highly compassionate and professional staff, with particular praise for the physical therapy team and the admissions process. While the facility is noted for its cleanliness and recent beautiful renovations, some past residents have expressed dissatisfaction with the food quality and menu variety.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean10.0Activities9.0MedsN/AMemory10.0Comms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing and therapy staff
  • Clean and well-maintained, renovated facility
  • Engaging activity programs and community outings
  • Professional and communicative administrative team

Concerns

  • Inconsistent food quality and menu variety (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(5)'22(1)'24(2)'26(5)

Distribution

5
27
4
4
3
1
2
0
1
2

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard great things about how clean and renovated the facility is; could you show us some of the recent updates to the resident rooms?
  • 2Since we've heard your therapy and nursing teams are very compassionate, how do you ensure that level of care stays consistent during shift changes?
  • 3What kind of variety can we expect in the daily meal menus, and how do you handle special dietary requests?
  • 4Could you tell us more about the community outings and activity programs available to keep residents engaged?
  • 5With the CMS staffing rating being a bit lower, what specific steps is the administration taking to ensure there are enough hands on deck for resident needs?
  • 6How does the nursing team communicate with families regarding medical updates or any sudden changes in a resident's health?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team is incredible and so encouraging to the residents. The nurses are attentive and the Aides have wonderful relationships with the residents.

Long-term visitor · 2026★★★★★

There could not be kinder, more dedicated and efficient staff than those at the Madisonville Care Center in Madisonville, TX. My son, Bobby has Dementia and I was fortunate to get him in there.

Memory care family member · 2021★★★★★

The rehab team at MCC is wonderful! They're very encouraging & persuasive/persistant when you want to quit. I love the hearty, healthy breakfast to start the day and scrumptuously appetising dessert to end the evening!

Rehab patient · 2018★★★★
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
74%
Registered nurses for medical care
Total Nursing
3.13hrs
76%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
19.5%
TX
18.4%
Madison
24.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.9%
Mixed vs Avgs
Here
5.9%
US
12.1%
TX
2.5%
Madison
19.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
14.4%
TX
16.1%
Madison
15.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.4%
TX
9.4%
Madison
17.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Madison
91.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Madison
91.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Madison
70.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Madison
78.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.9%
Worse than Avg
Here
3.9%
US
1.6%
TX
1.5%
Madison
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (9.1)
4 complaint-triggered
$12,740 in fines

Recent complaints from families triggered inspections revealing safety hazards and medical records issues. This facility shows recurring problems with medication management, building systems (heating/ventilation, electrical), and infection control across multiple surveys from 2019-2024. Most violations have been corrected, but heating and ventilation system deficiencies remain uncorrected as of December 2024, indicating ongoing maintenance challenges that could affect resident comfort and safety.

Mar 3, 2026Complaint
2
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Nov 7, 2025Complaint
1
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 17, 2025Complaint
1
0842ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 19, 2024Routine
4
0341ModerateCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Oct 8, 2021Routine
6
0686SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0727ModerateCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 28, 2019Routine
19
0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0020ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0036ModerateCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0911ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0758ModerateCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692MinorCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0710MinorCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

Mar 3, 2026

$16,065

Fine

Nov 7, 2025

$8,281

Ownership & Operations

Who Operates This Facility

Owner / Operator

Madisonville II Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

JARED ROMINE

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 29 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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.

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