Madison Healthcare Services faces challenges in its CMS ratings, earning a D grade with a score of 48/100. The facility ranks in the 35th percentile among Minnesota nursing homes, suggesting significant room for improvement.
Staffing levels are a potential concern at Madison Healthcare Services, with 0.32 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 16 deficiencies at Madison Healthcare Services, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: allow residents to self-administer drugs if determined clinically appropriate..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 0.32 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.12 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.20 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 0.00 | 2.4 | Below Average |
| Weekend Total Nursing | 0.38 | 3.8 | Below Average |
| Weekend RN Hours | 0.26 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Jan 26, 2026 · Resident Rights Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Jan 26, 2026 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jan 26, 2026 · Resident Assessment and Care Planning Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jan 15, 2026 · Resident Rights Deficiencies
- Tag 0692 Severity DProvide enough food/fluids to maintain a resident's health.Jan 15, 2026 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.5% | 4.5% | Worse |
| Falls with major injury | 9.8% | 3.0% | Worse |
| On antipsychotic medication | 14.6% | 14.5% | Average |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 21.0% | 14.0% | Worse |
| Excessive weight loss | 6.7% | 7.5% | Better |
| New/worsened incontinence | 18.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $10,036
How This Grade Was Calculated
This facility's grade of D is based on a score of 48 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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