Madisonville Care Center: Staffing, Turnover, and Inspection Record
Madisonville Care Center is a 106-bed for-profit nursing home in Madisonville, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 3% below the Texas average of 2.00.
Madisonville Care Center
411 East Collard StreetMadisonville, TX 77864
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 Madisonville Care Center, nurse aides logged 1.95 hours per resident per day, 3% below the Texas average. With about 56 residents a day, that works out to roughly 109 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.00 | 2.32 |
| Licensed practical nurses | 0.80 | 0.95 | 0.86 |
| Registered nurses | 0.45 | 0.43 | 0.69 |
| All nursing staff | 3.19 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.77 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Madisonville Care Center in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 19, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $18,852 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 3, 2026 | Fine | $10,442 |
| Nov 7, 2025 | Fine | $8,410 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madisonville Care Center holds 2 of 5 overall; the Texas average is 2.6.
About Madisonville Care Center
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Madisonville II Enterprises, LLC
- Medicare and Medicaid certified since: Feb 29, 2000
- Councils: resident council
- Area: rural
Nursing homes near Madisonville Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Madisonville Madisonville | 0.6 | 90 | 2.06 | 3.17 | 56.1% | 2 | $8,827 |
| Cass Valley Healthcare Center Centerville · abuse citation | 20.9 | 74 | 2.60 | 4.20 | 45.0% | 3 | $54,592 |
| MRC Creekside Huntsville | 26.4 | 66 | 3.42 | 5.53 | 46.8% | 5 | None |
| Focused Care at Huntsville Huntsville · abuse citation | 27.5 | 88 | 1.52 | 2.71 | 56.8% | 2 | None |
| Huntsville Health Care Center Huntsville | 28.1 | 92 | 2.13 | 3.50 | 63.8% | 4 | $14,069 |
| Crockett Health Care Associates, Inc. Crockett · many days without an RN | 28.3 | 90 | 0.90 | 1.98 | 26.1% | 4 | None |
| River Pointe of Trinity Healthcare and Rehabilitat Trinity | 31.9 | 104 | 2.14 | 3.21 | 48.3% | 4 | $20,026 |
| Trinity Rehabilitation & Healthcare Center Trinity · SFF candidate · abuse citation · no staffing data submitted | 32.4 | 76 | — | — | — | 1 | $275,584 |
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.
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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.