Madison Medical Center
Cost data not yet available
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Nursing Homes · Medicare certified
105 Spruce Street · Fredericktown, MO 63645 · 90 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
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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
June 11, 2021 · D
Citation F0625Federal surveyors cited this nursing home on 2021-06-11 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 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0624Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0624 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prepare residents for a safe transfer or discharge from the nursing home. The deficiency was recorded as corrected on 2021-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0689Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) 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 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0623Federal surveyors cited this nursing home on 2021-06-11 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 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0607Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2021-07-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
June 11, 2021 · D
Citation F0756Federal surveyors cited this nursing home on 2021-06-11 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2021-07-23. 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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