Madison Medical Center
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Nursing Homes · Medicare certified
105 Spruce Street · Fredericktown, MO 63645 · 90 certified beds
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CMS Care Compare · Updated Jul 2026
Staffing rating
2.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
20
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
February 28, 2025 · J
Citation F0689Federal surveyors cited this nursing home on 2025-02-28 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-04-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · D
Citation F0695Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · F
Citation F0880Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · G
Citation F0550Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0550 (CMS scope/severity G: isolated, actual harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · F
Citation F0865Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · E
Citation F0741Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0741 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · G
Citation F0742Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0742 (CMS scope/severity G: isolated, actual harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · D
Citation F0759Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · F
Citation F0868Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · F
Citation F0867Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 17, 2025 · K
Citation F0600Federal surveyors cited this nursing home on 2025-01-17 under CMS tag F0600 (CMS scope/severity K: pattern, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-03-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · D
Citation F0600Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-10-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 1, 2024 · D
Citation F0727Federal surveyors cited this nursing home on 2024-05-01 under CMS tag F0727 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 1, 2024 · D
Citation F0625Federal surveyors cited this nursing home on 2024-05-01 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 1, 2024 · D
Citation F0623Federal surveyors cited this nursing home on 2024-05-01 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 5, 2023 · D
Citation F0625Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 5, 2023 · D
Citation F0921Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 5, 2023 · D
Citation F0623Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 5, 2023 · D
Citation F0656Federal surveyors cited this nursing home on 2023-10-05 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-12-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $81,964
Latest: 3.44 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
CMS Care Compare chain: James & Judy Lincoln
Chain ID 290 · 56 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: N & R Of Fredericktown, INC.
parent · PAC 3072786979
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical MO range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · MO$6,076/moNursing Homes
Median · MO$6,741/moOther licensed providers in Fredericktown, with their own public records.
Cost data not yet available
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