Madisonville Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 36 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 staffing rating (2/5 stars)
Top 25% in Texas · Below recommended RN staffing · Chain outperformer · $12,740 in fines · Very few deficiencies
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“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.”
“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!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
5
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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, 2025Complaint1
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, 2025Complaint1
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, 2024Routine4
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 8, 2021Routine6
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Aug 28, 2019Routine19
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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 enough food/fluids to maintain a resident's health.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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
Madisonville II Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
JARED ROMINE
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 29 of 148
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
36 reviews from families & visitors
Official Website
Visit madisonvillecarecenter.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.