Texas › Madison County › Madisonville
Madisonville Care Center
411 East Collard Street, Madisonville, TX 77864
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.
Madisonville Care Center is a For-profit, limited liability company nursing home in Madisonville, Texas, certified for 106 beds and caring for about 56 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (6, 3, 4 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 12.3 per 100 beds, fewer than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $19K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 13 | 49 | 25 | 28.7 |
| Citations per 100 beds | 12.3 | 54.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 56.1% | 52.1% | 45.8% |
| Fines listed | $18,852 | $18,852 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 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: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 19 Dec 2024.
Severity mix: J ×2 H ×1 D ×6 E ×3 F ×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 |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Mar 2026 |
| 19 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Mar 2026 |
| 19 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2026 |
| 3 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | H | Complaint investigation | 4 Mar 2026 |
| 3 Mar 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 4 Mar 2026 |
| 7 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 17 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 18 Feb 2025 |
| 19 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 20 Dec 2024 |
| 19 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2024 |
| 8 Oct 2021 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 25 Oct 2021 |
| 8 Oct 2021 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 25 Oct 2021 |
| 8 Oct 2021 | 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 | 25 Oct 2021 |
| 8 Oct 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Oct 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Mar 2026 | Fine | $10,442 | |
| 7 Nov 2025 | Fine | $8,410 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.1% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 8.3% | 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, limited liability company. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2008 |
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 Madison County
| 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 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Madisonville Care Center been cited for?
13 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Madisonville Care Center been fined?
Yes. CMS lists fines totalling $19K in the period covered.
How does staffing at Madisonville Care Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Madisonville Care Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Madisonville Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
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.