Madison Medical Center
Nursing home in Fredericktown, Missouri, CMS certification number 26E421
611 West Main Street, Fredericktown, MO 63645 · Madison County
- CMS overall rating
- 5 of 5 stars
- Certified beds
- 99
- Certified for
- Medicaid
- Last standard inspection
- November 17, 2025
- Deficiencies at that inspection
- 4
- Fines in 3 years
- No fines
Does Madison Medical Center take Medicare and Medicaid?
Madison Medical Center is certified for Medicaid only, so Medicare won't pay for a stay here.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 5 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Madison Medical Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 4.02
- Registered nurse hours
- 0.56
- Licensed practical nurse hours
- 0.42
- Nurse aide hours
- 3.03
- Weekend total hours
- 3.45
- Nursing staff turnover
- 33.9%
- Registered nurse turnover
- 25%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on November 17, 2025 and cited 4 deficiencies, plus 0 from complaint visits.
The visit before, on September 13, 2024, found 1.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Madison Medical Center in the past 3 years.
Beds and residents
On an average day 64.1 residents live here, about 65% of its 99 certified beds.
- Certified beds
- 99
- Average residents per day
- 64.1
- Certified since
- October 1, 2024
- Inside a hospital
- Yes
- Resident or family council
- Resident
Who owns Madison Medical Center
- Legal business name
- Legal Business Name Not Available
- Ownership type
- Government - City/county
Other nursing homes near Madison Medical Center
- Claru Deville Nursing Center105 Spruce Street, Fredericktown 63645
- St Francois Manor1180 Old Jackson Road, Farmington 63640
- Baptist Homes of Arcadia Valley101 Riggs-Scott Lane, Ironton 63650
- Farmington Presbyterian Manor500 Cayce Street, Farmington 63640
- Southbrook Nursing Center1101 Hazel Lane, Farmington 63640
Who inspects nursing homes in Missouri
Missouri's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Missouri, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Madison Medical Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Madison Medical Center
What is the CMS star rating of Madison Medical Center?
5 out of 5 stars overall.
Does Madison Medical Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Madison Medical Center?
4 cited at the last standard visit.
Who owns Madison Medical Center?
Legal Business Name Not Available, government - city/county.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.