Madison Medical Center
611 West Main Street · Fredericktown, MO · 63645 · 5737833341
99 certified beds Government - City/county Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.52 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (5 in the current record)
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Potential for harm · E November 17, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 3, 2025 · Resident Rights
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Potential for harm · D November 17, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 3, 2025 · Pharmacy Service
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Potential for harm · F November 17, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected December 3, 2025 · Administration
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Potential for harm · D November 17, 2025
Provide and implement an infection prevention and control program.
Corrected December 3, 2025 · Infection Control
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Potential for harm · D September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 25, 2024 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 26E421 · certified since October 1, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.