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A
Very Good

MADIGAN ESTATES

93 MILITARY STREET · HOULTON, ME 04730

2075326593 · For profit - Corporation

99 beds93.6 residents167 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MADIGAN ESTATES receives an overall staffing grade of A (Very Good). With 4.4356 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.54 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.92% compared to weekdays. The facility has low agency staff usage (0.94% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.94%) — mostly permanent, familiar staff
Total Nurse HPRD
4.4356hrs/resident/day▲ 0.54
CMS benchmark: 3.48
RN HPRD
0.8848hrs/resident/day▲ 0.20
Recommended: 0.75
Weekend Drop-off
20.92%
4.7143 weekday → 3.7283 weekend
⚠ Significant weekend reduction
Agency Staff
0.94%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9197hrs/resident/day
Direct care aides
LPN HPRD
0.3744hrs/resident/day
Licensed practical nurses
Consistency
0.7389std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Aroostook County Average-0.37 HPRD
4.80
04.44 HPRD
vs. Maine State Average+0.09 HPRD
4.35
04.44 HPRD
vs. National Average+0.54 HPRD
3.90
04.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MADIGAN ESTATES ★
HOULTON · This facility
—
A
4.43560.8848★★★★★
AROOSTOOK HEALTH CENTER
MARS HILL
27.1 mi
A
4.2351.1577★★★★★
MAINE VETERANS HOME - CARIBOU
CARIBOU
50.6 mi
A+
5.08081.3961★★★★★
Caribou Rehab and Nursing Center
CARIBOU
52.2 mi
B
4.90770.6966★★☆☆☆
KATAHDIN HEALTH CARE LLC
MILLINOCKET
52.4 mi
B
3.94440.686★★★☆☆
BORDERVIEW REHAB & LIVING CTR
VAN BUREN
70.8 mi
A+
5.40191.2919★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$11,450
Fines Assessed
May 22, 2025Health
12 deficiencies cited
▼
Jan 22, 2025Health
1 deficiency cited
▼
Mar 21, 2024Health
6 deficiencies cited
▼
Nov 14, 2023Health
2 deficiencies cited· Includes actual harm
▼
May 24, 2023Health
4 deficiencies cited
▼

Penalty History

Nov 14, 2023Fine
$11,450
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.