Maine › Aroostook County › Houlton
Madigan Estates
93 Military Street, Houlton, ME 04730
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 99 beds, Madigan Estates serves Houlton in Aroostook County, Maine and has taken Medicare and Medicaid residents since 1993.
CMS gives it 4 of 5 stars overall, above the Maine median of 3; the health inspection rating is 4, staffing 4 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (12, 7, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.3 per 100 beds, fewer than the state median of 44.4.
CMS lists 1 penalty in the period covered: fines totalling $11K.
Reported nurse staffing is 4.0 hours per resident per day (0.9 RN), close to the Maine median of 4.2; nursing staff turnover is 42.6%.
Compared with county, state and nation
| Measure | This facility | Aroostook Co. median | Maine median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 29 | 28.7 |
| Citations per 100 beds | 25.3 | 35.0 | 44.4 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.7 | 4.2 | 3.9 |
| RN hours per resident day | 0.9 | 1.3 | 1.0 | 0.7 |
| Nursing staff turnover | 42.6% | 49.0% | 46.9% | 45.8% |
| Fines listed | $11,450 | $11,450 | $0 | — |
County and state figures are medians across facilities (7 in the county, 78 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Maine average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 May 2025, 21 Mar 2024.
Severity mix: G ×1 D ×16 E ×6 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 6 Jul 2025 |
| 22 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Jul 2025 |
| 22 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Jun 2025 |
| 22 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Jul 2025 |
| 22 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 6 Jul 2025 |
| 22 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Jul 2025 |
| 22 May 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 17 Jun 2025 |
| 22 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 Mar 2025 |
| 21 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 11 Apr 2024 |
| 21 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 11 Apr 2024 |
| 21 Mar 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 11 Apr 2024 |
| 21 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 29 Mar 2024 |
| 21 Mar 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 9 Apr 2024 |
| 21 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 Apr 2024 |
| 14 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 3 Nov 2023 |
| 14 Nov 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | B | Complaint investigation | Deficient, Provider has no plan of correction |
| 24 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 24 Jul 2023 |
| 24 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Jun 2023 |
| 24 May 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jun 2023 |
| 24 May 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | C | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Nov 2023 | Fine | $11,450 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Maine average. Turnover: nursing staff 42.6%, RNs 23.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Maine median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.0% | 24.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | 3.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.5% | 25.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 4.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.9% | 19.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Maple Grove Nursing Home, Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Aroostook County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Borderview Rehab & Living Ctr | Van Buren | 27 | 5 | 5 | 4 | 9 | 33.3 | — | 14 May 2025 |
| Forest Hill Manor | Fort Kent | 45 | 4 | 4 | 3 | 28 | 62.2 | $14K | 11 Mar 2026 |
| Maine Veterans Home - Caribou | Caribou | 40 | 4 | 4 | 5 | 14 | 35.0 | $42K | 5 Feb 2026 |
| Caribou Rehab and Nursing Center | Caribou | 72 | 3 | 3 | 3 | 23 | 31.9 | — | 5 Nov 2025 |
| Aroostook Health Center | Mars Hill | 66 | 1 | 1 | 4 | 31 | 47.0 | — | 17 Dec 2025 |
| High View Rehabilitation and Living CenterSFF Candidate | Madawaska | 51 | 1 | 1 | 4 | 32 | 62.7 | $18K | 9 Apr 2025 |
All 7 facilities in Aroostook County
Questions and answers
How many deficiencies has Madigan Estates been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Maine median is 29 per facility.
Has Madigan Estates been fined?
Yes. CMS lists fines totalling $11K in the period covered.
How does staffing at Madigan Estates compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Maine median of 4.2 and a national average of 3.9.
Who operates Madigan Estates?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Madigan Estates last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2025; the most recent standard health survey was 22 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.