Nursing home · Top rated by CMS
Madison Medical Center
611 West Main Street, Fredericktown, MO 63645 · Map
Government - City/county · 99 certified beds
Madison Medical Center is a Medicare-certified nursing home in Fredericktown, Missouri. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.98 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Nov 17, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Madison Medical Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.98 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.52 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.84 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | —% | 57.0% | 46.4% | — |
| Deficiencies cited, last inspection | 4.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 17, 2025 inspection was corrected by December 3, 2025
What inspectors found at Madison Medical Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 13, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 611 West Main Street
Fredericktown, MO 63645 - CMS certification #
- 26E421
- Ownership
- Government - City/county
- Certified beds
- 99
- Avg residents/day
- 60.3
- Provider type
- Medicaid
- First certified
- 2024-10-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Madison Medical Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Madison Medical Center, Fredericktown. 0.0 miles away, straight line.
- Nearest Medicare nursing home
- Claru Deville Nursing Center, Fredericktown. 1.0 mile away, straight line.
- Nearest home health agency office
- Americare Home Health Solutions, Farmington. 16.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 24.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63645 as small town (small town core).
- Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 63645.
Legacy Hospice, office in Fredericktown, 0.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Preferred Hospice Of Missouri, office in Farmington, 16.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Heart & Soul Hospice, office in Farmington, 16.7 miles away, straight line - Nearest geriatric medicine practice
- Red Bud Illinois Hospital Company LLC, Red Bud. 47.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, wildfire very low, tornado relatively high, heat wave very high, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Madison Medical Center a good nursing home?
CMS gives Madison Medical Center an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Madison Medical Center staffed?
Madison Medical Center reports 3.98 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Madison Medical Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Madison Medical Center have?
Madison Medical Center is certified for 99 beds.