Madisonville Care Center
411 E Collard, Madisonville, TX 77864 · Madison County
For-profit · 106 certified beds · 53% occupancy · (936) 348-2735
The U.S. government (CMS) rates Madisonville Care Center 2 out of 5 stars overall, below average. Its nurse staffing is 2% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.19 nurse hours per resident per day. 2% below the Texas median of 3.27.
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Nov 7, 2025Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Actual harmTag F0550 · Mar 3, 2026ComplaintCorrected Mar 4, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0561 · Mar 19, 2026Corrected Mar 20, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
- Potential for harmTag F0684 · Mar 19, 2026Corrected Mar 20, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Mar 19, 2026Corrected Mar 20, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0561 · Mar 3, 2026ComplaintCorrected Mar 4, 2026
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
- Potential for harmTag F0842 · Feb 17, 2025ComplaintCorrected Feb 18, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0583 · Dec 19, 2024Corrected Dec 20, 2024
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0880 · Dec 19, 2024Corrected Dec 20, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0686 · Oct 8, 2021Corrected Oct 25, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 13 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.2 stars.