States › Texas › Madison County
Nursing homes in Madison County, Texas
There are 2 certified nursing homes in Madison County, Texas, with 196 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (48%). Inspectors recorded 62 health deficiencies over three cycles, 31.6 per 100 beds against 24.4 statewide.
Fines in the period covered total $28K across 3 fines.
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 | Texas | US |
|---|---|---|---|
| Facilities | 2 | 1177 | 14690 |
| Rated 1–2 stars overall | 100% | 48% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 31.6 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.2 | 3.3 | 3.7 |
| Fines listed | $28K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Madisonville | Madisonville | 90 | 2 | 2 | 1 | 49 | 54.4 | $9K | 15 Apr 2026 |
| Madisonville Care Center | Madisonville | 106 | 2 | 3 | 1 | 13 | 12.3 | $19K | 19 Mar 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. | 6 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 5 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 4 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 4 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 3 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
Chains present: Gulf Coast Ltc Partners (1), Creative Solutions In Healthcare (1).
Questions and answers
How many nursing homes are in Madison County, Texas?
2 Medicare-certified nursing homes with 196 certified beds.
Which nursing homes in Madison County have the highest CMS ratings?
Avir At Madisonville (2 stars), Madisonville Care Center (2 stars)
How do Madison County nursing homes compare with Texas?
100% are rated 1–2 stars overall against 48% statewide; citations run at 31.6 per 100 beds against 24.4 statewide.