Madison Medical Center is one of the top-rated nursing facilities in Fredericktown, Missouri, earning an A grade based on CMS data. With a score of 91/100, it ranks in the top 3% of facilities statewide — a strong indicator of quality care.
Staffing at Madison Medical Center is near the national average, with 3.98 total nursing hours per resident per day (national average: 3.8 hours).
Madison Medical Center shows a strong inspection record, with just 5 deficiencies noted in recent CMS surveys, none of which were classified as serious.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.98 | 3.8 | Average |
| Registered Nurses (RN) | 0.52 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.61 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.84 | 2.4 | Above Average |
| Weekend Total Nursing | 3.35 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0868 Severity FHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyNov 16, 2025 · Administration Deficiencies
- Tag 0628 Severity EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Nov 16, 2025 · Resident Rights Deficiencies
- Tag 0759 Severity DEnsure medication error rates are not 5 percent or greater.Nov 16, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Nov 16, 2025 · Infection Control Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Sep 12, 2024 · Infection Control 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 | 4.4% | 4.5% | Average |
| Falls with major injury | 2.7% | 3.0% | Average |
| On antipsychotic medication | 15.7% | 14.5% | Average |
| Urinary tract infections | 2.3% | 2.5% | Average |
| ADL decline (daily activities) | 8.5% | 14.0% | Better |
| Excessive weight loss | 4.5% | 7.5% | Better |
| New/worsened incontinence | 19.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 91 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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