The Madison on Marsh
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 49 Google reviews

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What this means for your family
This facility is an excellent choice for families seeking high-quality memory care, particularly if you value a staff that treats residents with deep personal compassion. The use of technology for daily updates provides great peace of mind. However, if your loved one has specific dietary or physical activity requirements, you should verify their current nutritional and mobility protocols during your tour.
Google Reviews
Google Reviews
49 reviews on Google“Families considering this facility can expect a highly compassionate environment, with many reviewers praising the staff's ability to treat residents like family. While the community is widely celebrated for its excellent memory care and engaging activities, one reviewer raised serious concerns regarding resident nutrition and physical inactivity.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Engaging and diverse activities program
- Clean and well-maintained facility
- Strong, visible leadership and administration
- Smooth transitions into memory care
Concerns
- Concerns regarding resident diet and physical inactivity
Rating Trends
Tap a year to see what changed
Distribution · 52 analyzed
How They Respond to Reviews
The owner primarily uses personalized responses that address specific staff members and details mentioned in the reviews. While most responses are warm and empathetic, some shorter reviews receive more templated, brief acknowledgments.
Questions for Your Tour
- 1We've heard wonderful things about the leadership here; how does the administration stay involved with the day-to-day care of the residents?
- 2The activity program sounds very diverse; could you tell us more about how you keep residents physically active and engaged throughout the week?
- 3How does the kitchen team work to ensure that residents receive nutritious and varied meals that cater to different dietary needs?
- 4With the transition into memory care being a strength here, what specific steps do you take to make that move feel seamless for a new resident?
- 5In the event of a medical emergency during the night, what is the protocol for ensuring immediate care and notifying the family?
- 6What steps is the facility currently taking to increase the number of staff members available on each shift to support the nursing team?
Personalized based on this facility's data
Key Review Excerpts
“The care he gets now is so much better. We consider his caregivers (like Paris, Rosie and Robert) an extension of the family.”
“Anytime I have asked for help for her with very specific things, it has been addressed immediately with great communication. It was also VERY important to my family that my mom was able to transition into memory care with her pet.”
“The staff is very upbeat, always available and keeps us informed daily. They actually have an app where we get updates and pictures throughout the day.”
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
16
measures
1
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has generated 13 complaint-triggered deficiencies, indicating families have filed reports about care concerns. The most recurring issues involve medication management, care planning, and safety hazards. Problems span from 2022 to 2025, with recent complaints in 2025 about accident prevention, daily living assistance, and medication labeling, suggesting ongoing care quality challenges that families should investigate thoroughly during any visit.
Dec 3, 2025Complaint2
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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.
Apr 17, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 17, 2025Complaint4
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 4, 2024Routine9
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Dec 4, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 19, 2023Routine5
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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.
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.
Federal Penalties
Fine
Apr 17, 2025
$8,473
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
CARROLLTON HEALTH CARE CENTER LTD CO
RODERICK WALLACE
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 26 of 37
Ownership & Management
Owners
Dallas County Hospital District
Owner · Organization
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
49 reviews from families & visitors
Official Website
Visit oxfordseniorliving.com
Medicare data downloads
Original nursing home datasets
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