Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · (573) 783-3341
Government - City/county · 99 certified beds
Madison Medical Center has a 5-star overall rating from Medicare, out of 5. Its last standard inspection, in November 2025, found 4 citations (the Missouri average is 11.4). It hasn't been fined in the last three years.
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. | ★★★★★ 5 out of 5 stars · Much above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above 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. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 5 out of 5 stars · Much above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on November 17, 2025 found 4 citations. What an inspection citation means
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyNovember 17, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.November 17, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.November 17, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.November 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
No citations from complaint inspections in the last three years.
Fines and payment denials
No fines or payment denials in the last three years.
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 | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 4.10 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.65 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.48 | 0.68 | 0.86 |
| Nurse aides | 2.97 | 2.29 | 2.32 |
| Total nursing staff turnover | 38.3% | 56% | 45.8% |
About this home
| Ownership | Government - City/county |
| Certified beds | 99 |
| Average residents per day | 60.1 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Claru Deville Nursing Center Fredericktown · ★★★★★ 3 out of 5 stars
- Belleview Valley Nursing Home Belleview · ★★★★★ 1 out of 5 stars
- St Joe Manor Bonne Terre · ★★★★★ 1 out of 5 stars
- Brent B Tinnin Manor Ellington · ★★★★★ 1 out of 5 stars
- Camelot Nursing and Rehabilitation Center Farmington · ★★★★★ 5 out of 5 stars
Compare every nursing home in Fredericktown, MO · Nursing homes in Missouri
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Data from Medicare (CMS), updated October 2026, from Madison Medical Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.