States › Missouri › Madison County
Nursing homes in Madison County, Missouri
There are 2 certified nursing homes in Madison County, Missouri, with 189 beds between them.
0% of them are rated 1 or 2 stars overall, a smaller share than the state (53%). Inspectors recorded 38 health deficiencies over three cycles, 20.1 per 100 beds against 35.0 statewide.
Fines in the period covered total $82K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Madison County | Missouri | US |
|---|---|---|---|
| Facilities | 2 | 487 | 14690 |
| Rated 1–2 stars overall | 0% | 53% | 41% |
| Median overall rating | 5 | 2 | 3 |
| Citations per 100 beds (3 cycles) | 20.1 | 35.0 | 26.8 |
| Median nurse hours per resident day | 4.1 | 3.4 | 3.7 |
| Fines listed | $82K | $18M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Madison Medical Center | Fredericktown | 99 | 5 | 4 | 5 | 5 | 5.1 | — | 17 Nov 2025 |
| Claru Deville Nursing Center | Fredericktown | 90 | 3 | 2 | 2 | 33 | 36.7 | $82K | 24 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 4 |
| F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | 3 |
| F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | 2 |
| F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | 2 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
| Government | 1 |
Questions and answers
How many nursing homes are in Madison County, Missouri?
2 Medicare-certified nursing homes with 189 certified beds.
Which nursing homes in Madison County have the highest CMS ratings?
Madison Medical Center (5 stars), Claru Deville Nursing Center (3 stars)
How do Madison County nursing homes compare with Missouri?
0% are rated 1–2 stars overall against 53% statewide; citations run at 20.1 per 100 beds against 35.0 statewide.