For profit - Limited Liability company · 106 certified beds · CMS number 675821
Madisonville Care Center, Madisonville, TX
CMS records 13 health deficiencies at Madisonville Care Center in Madisonville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 19, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $18,852 in the last three years.
- 13deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $18,852fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Madisonville Care Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Madisonville Care Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Mar 19, 2026. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Mar 19, 2026 · Standard inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
Mar 3, 2026 · Complaint inspection
2 deficiencies, highest H
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Mar 4, 2026
Nov 7, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Previous cycle: 3 deficiencies (standard inspection Dec 19, 2024)
Standard inspection Dec 19, 2024. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Feb 17, 2025 · Complaint inspection
1 deficiency, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 18, 2025
Dec 19, 2024 · Standard inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
Earlier cycle: 4 deficiencies (standard inspection Oct 8, 2021)
Standard inspection Oct 8, 2021. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Oct 8, 2021 · Standard inspection
4 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 25, 2021
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 25, 2021
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 25, 2021
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Oct 25, 2021
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Madisonville Care Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | Mar 19, 2026; Dec 19, 2024; Oct 8, 2021 |
| F561 Making everyday choices | 2 | Mar 19, 2026; Mar 3, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 3, 2026 | Fine | $10,442 |
| Nov 7, 2025 | Fine | $8,410 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.19 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.45 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.77 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Madisonville Care Center, copied as published; Texas medians are ours.
Facility details
- Address
- 411 East Collard Street, Madisonville, TX 77864
- Phone
- (936) 348-2735
- County
- Madison
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 106
- Average residents per day
- 56
- In Medicare/Medicaid since
- Feb 29, 2000
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 3 times)
- Can residents choose when they wake up, go to bed, and bathe? (F561, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in Madisonville and the same chain
- Avir at Madisonville
Madisonville · 46 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.