Madigan Estates
93 Military Street, Houlton, ME 04730 · (207) 532-6593
For profit - Corporation · 99 certified beds
Madigan Estates has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 12 citations (the Maine average is 10.8). It was fined 1 time in the last three years, $11,450 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 22, 2025 found 12 citations. What an inspection citation means
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 22, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 22, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 22, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.May 22, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMay 22, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 22, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 22, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 22, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 22, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 22, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 22, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.May 22, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 6 citations.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 30, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 22, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 22, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 22, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.November 14, 2023 · F0607 · Level of harm: Potential for minimal harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 14, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $11,450November 14, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Maine average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.95 | 4.34 | 3.86 |
| Registered nurses (RN) | 0.85 | 1.05 | 0.69 |
| Licensed practical nurses (LPN) | 0.50 | 0.45 | 0.86 |
| Nurse aides | 2.60 | 2.83 | 2.32 |
| Total nursing staff turnover | 42.6% | 46.7% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 99 |
| Average residents per day | 96.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Maine Veterans Home - Caribou Caribou · ★★★★★ 4 out of 5 stars
- Caribou Healthcare Center, LLC Caribou · ★★★★★ 3 out of 5 stars
- Forest Hill Manor Fort Kent · ★★★★★ 4 out of 5 stars
- High View Rehabilitation and Living Center Madawaska · ★★★★★ 1 out of 5 stars
- Aroostook Health Center Mars Hill · ★★★★★ 1 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Madigan Estates on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.