The Madison on Marsh

2245 Marsh Ln · Carrollton, TX · 75006 · 9724161764

125 certified beds For profit - Corporation Chain: Cantex Continuing Care

  • Inspection results have improved across recent cycles.

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.

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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.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 94
Staffing 20% 60
Federal penalties 15% 77
Trend 10% 81
Context 5% 100

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: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.383.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.01≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $8,473

Inspection citations (21 in the current record)

  • Potential for harm · D December 3, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected December 4, 2025 · Resident Rights

  • Potential for harm · D December 3, 2025 · 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 4, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J April 17, 2025 · found via complaint

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

    Corrected March 1, 2025 · Quality of Life and Care

  • Potential for harm · D April 17, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 23, 2025 · Quality of Life and Care

  • Potential for harm · E April 17, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 23, 2025 · Nutrition and Dietary

  • Potential for harm · D January 17, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected January 18, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 17, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 18, 2025 · Pharmacy Service

  • Potential for harm · E January 17, 2025 · found via complaint

    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 January 18, 2025 · Pharmacy Service

  • Potential for harm · E December 4, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 4, 2024

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

    Corrected December 5, 2024 · Quality of Life and Care

  • Potential for harm · E December 4, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 5, 2024 · Nutrition and Dietary

  • Potential for harm · D October 19, 2023

    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 20, 2023 · Pharmacy Service

  • Potential for harm · D October 19, 2023

    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 20, 2023 · Pharmacy Service

  • Potential for harm · D October 19, 2023

    Provide and implement an infection prevention and control program.

    Corrected October 20, 2023 · Infection Control

  • Potential for harm · D October 19, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 19, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 20, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 16, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 20, 2023 · Quality of Life and Care

  • Potential for harm · D August 17, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 14, 2022 · Quality of Life and Care

  • Potential for harm · D August 17, 2022

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected September 14, 2022 · Nutrition and Dietary

  • Potential for harm · E August 17, 2022

    Provide and implement an infection prevention and control program.

    Corrected September 14, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
April 17, 2025Fine$8,473

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676128 · certified since January 5, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.