Madison Healthcare Services

900 Second Avenue · Madison, MN · 56256 · 3205987536

51 certified beds Non profit - Church related

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

100% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 67
Serious harm & abuse 20% 94
Staffing 20% 67
Federal penalties 15% 76
Trend 10% 42
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.013.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.62≈ weekday level
Nursing turnover / year100%median 45%
Fines (3-yr window)1 · $10,036

Inspection citations (16 in the current record)

  • Potential for harm · D January 27, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected February 9, 2026 · Resident Rights

  • Potential for harm · D January 16, 2026 · found via complaint

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

    Corrected February 9, 2026 · Quality of Life and Care

  • Potential for harm · D June 4, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 11, 2025 · Resident Rights

  • Potential for harm · D June 4, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 4, 2025 · found via complaint

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

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D November 6, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 31, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 6, 2024

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

    Corrected December 31, 2024 · Quality of Life and Care

  • Potential for harm · E November 6, 2024

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected December 31, 2024 · Administration

  • Immediate jeopardy · J February 28, 2024

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

    Corrected March 8, 2024 · Quality of Life and Care

  • Potential for harm · D February 28, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 19, 2024 · Resident Rights

  • Potential for harm · D February 28, 2024

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected March 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E February 28, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 29, 2024 · Infection Control

  • Potential for harm · D November 17, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 26, 2023 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
February 28, 2024Fine$10,036

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245382 · certified since December 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.