Madisonville Care Center
411 E Collard · Madisonville, TX · 77864 · 9363482735
106 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
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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
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $24,475 |
Inspection citations (19 in the current record)
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Actual harm · H March 3, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · D March 3, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 4, 2026 · Resident Rights
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Immediate jeopardy · J November 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E February 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2024
Keep residents' personal and medical records private and confidential.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D December 19, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Immediate jeopardy · J October 8, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 25, 2021 · Quality of Life and Care
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Potential for harm · F October 8, 2021
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 25, 2021 · Nursing and Physician Services
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Potential for harm · E October 8, 2021
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.
Corrected October 25, 2021 · Pharmacy Service
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Potential for harm · E October 8, 2021
Provide and implement an infection prevention and control program.
Corrected October 25, 2021 · Infection Control
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Potential for harm · D August 28, 2019
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 19, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2019
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 19, 2019 · Quality of Life and Care
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Potential for harm · E August 28, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 19, 2019 · Quality of Life and Care
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Potential for harm · D August 28, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected October 19, 2019 · Quality of Life and Care
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Potential for harm · D August 28, 2019
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected October 19, 2019 · Nursing and Physician Services
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Potential for harm · E August 28, 2019
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 19, 2019 · Pharmacy Service
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Potential for harm · E August 28, 2019
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.
Corrected October 19, 2019 · Pharmacy Service
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Potential for harm · F August 28, 2019
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.
Corrected October 19, 2019 · Pharmacy Service
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Potential for harm · F August 28, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 19, 2019 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 3, 2026 | Fine | $16,065 |
| November 7, 2025 | Fine | $8,410 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675821 · certified since February 29, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.