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Madison Medical Center

Nursing Home Facility

611 West Main Street, Po Box 431, Fredericktown, MO 63645

Nursing Home Care Senior Living
Madison Medical Center
On our watch list. This nursing home has been flagged for serious inspection violations. Please review its state inspection record carefully before deciding. About our watch list.

Madison Medical Center is a senior care community located in Fredericktown, MO. It provides nursing home care and senior living for older adults in the Fredericktown area. To learn more or schedule a tour, call (573) 783-3341.

Madison Medical Center is licensed for 99 beds.

Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in November 2025 and recorded 4 deficiencies.

Residents receive about 4.1 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 38%.

The community is located in Madison County, MO.

Medicare five-star ratings

  • Overall ★★★★★ 5/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 5 problems at Madison Medical Center . None of them caused harm to a resident.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Administration

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Inspected November 2025. Corrected by December 3, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected November 2025. Corrected by December 3, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected November 2025. Corrected by December 3, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025. Corrected by December 3, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Madison Medical Center offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 99
  • Nursing hours per resident/day 4.1
  • Annual staff turnover 38%
  • Last health inspection November 2025

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