Madison Medical Center: Staffing, Turnover, and Inspection Record
Madison Medical Center is a 99-bed government-run nursing home in Fredericktown, Missouri. In the CMS August 2026 release it reported 2.97 nurse aide hours per resident per day, 30% above the Missouri average of 2.29, and 38.3% nursing staff turnover (Missouri average 56.0%).
Madison Medical Center
611 West Main StreetFredericktown, MO 63645
Madison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Madison Medical Center, nurse aides logged 2.97 hours per resident per day, 30% above the Missouri average. With about 60 residents a day, that works out to roughly 179 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 19% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.97 | 2.29 | 2.32 |
| Licensed practical nurses | 0.48 | 0.68 | 0.86 |
| Registered nurses | 0.65 | 0.46 | 0.69 |
| All nursing staff | 4.10 | 3.43 | 3.86 |
| All nursing staff, weekends | 3.31 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.3% of nursing staff at Madison Medical Center left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 28.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Missouri average 11.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madison Medical Center holds 5 of 5 overall; the Missouri average is 2.5.
About Madison Medical Center
- Ownership: Government - City/county
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Oct 1, 2024
- Located inside a hospital
- Councils: resident council
- Area: rural
Nursing homes near Madison Medical Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Claru Deville Nursing Center Fredericktown | 1.0 | 90 | 2.59 | 3.36 | 79.1% | 3 | $81,964 |
| St Francois Manor Farmington | 15.5 | 118 | 2.33 | 2.95 | 62.8% | 4 | None |
| Baptist Homes of Arcadia Valley Ironton | 16.6 | 36 | — | — | — | — | None |
| Farmington Presbyterian Manor Farmington | 16.7 | 90 | 2.46 | 4.04 | 64.4% | 5 | None |
| Southbrook Nursing Center Farmington | 17.2 | 104 | 2.40 | 3.66 | 45.4% | 5 | None |
| Camelot Nursing and Rehabilitation Center Farmington | 17.6 | 97 | 2.83 | 4.12 | 66.3% | 5 | None |
| Community Manor Farmington | 17.8 | 99 | 2.03 | 2.91 | 58.3% | 3 | None |
| Country Meadows Park Hills | 23.6 | 72 | 2.57 | 3.38 | 43.6% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.