The Madison on Marsh: Staffing, Turnover, and Inspection Record
The Madison on Marsh is a 125-bed for-profit nursing home in Carrollton, Texas, part of Cantex Continuing Care. In the CMS August 2026 release it reported 1.92 nurse aide hours per resident per day, 4% below the Texas average of 2.00, and 46.8% nursing staff turnover (Texas average 55.3%).
The Madison on Marsh
2245 Marsh LnCarrollton, TX 75006
Dallas 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 The Madison on Marsh, nurse aides logged 1.92 hours per resident per day, 4% below the Texas average. With about 83 residents a day, that works out to roughly 158 aide hours a day, or about 20 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) | 1.92 | 2.00 | 2.32 |
| Licensed practical nurses | 1.00 | 0.95 | 0.86 |
| Registered nurses | 0.45 | 0.43 | 0.69 |
| All nursing staff | 3.37 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.92 | 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
46.8% of nursing staff at The Madison on Marsh left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,473 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 17, 2025 | Fine | $8,473 |
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. The Madison on Marsh holds 4 of 5 overall; the Texas average is 2.6.
About The Madison on Marsh
- Ownership: For profit - Corporation
- Chain: Cantex Continuing Care, 37 homes
- Legal name: Dallas County Hospital District
- Medicare and Medicaid certified since: Jan 5, 2007
- Councils: resident council
- Area: urban
Nursing homes near The Madison on Marsh
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Heritage Gardens Rehabilitation and Healthcare Carrollton · abuse citation | 3.0 | 150 | 1.81 | 3.15 | 59.7% | 1 | $38,840 |
| Carrollton Health and Rehabilitation Center Carrollton | 3.0 | 120 | 1.78 | 3.12 | — | 2 | $19,185 |
| Signature Pointe Dallas | 3.4 | 195 | 1.84 | 4.04 | 64.6% | 2 | $38,436 |
| Treemont Healthcare and Rehabilitation Center Dallas | 4.1 | 130 | 1.84 | 3.42 | 94.4% | 2 | $63,262 |
| Brentwood Place One Dallas | 4.2 | 120 | 1.49 | 2.31 | 73.3% | 5 | None |
| Brentwood Place Three Dallas | 4.2 | 120 | 1.64 | 2.58 | 39.4% | 1 | $8,281 |
| South Dallas Nursing & Rehabilitation Dallas · many days without an RN | 4.2 | 91 | 1.34 | 2.23 | 50.0% | 1 | $272,139 |
| Brentwood Place Two Dallas | 4.2 | 120 | 1.53 | 2.51 | 39.4% | 3 | $14,433 |
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.