Home›Minnesota›Lac Qui Parle County›Madison Healthcare Services
F
Critical

Madison Healthcare Services

900 SECOND AVENUE · MADISON, MN 56256

3205987536 · Non profit - Church related

51 beds44.4 residents14 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Madison Healthcare Services receives an overall staffing grade of F (Critical). With 0.3148 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1195 HPRD, below the recommended 0.75. It is 3.58 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping -32.58% compared to weekdays. The facility relies heavily on temporary agency staff (99.92% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

🚨Had 50 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 0.3148 HPRD — needs 3.17 more hours per resident per day.
⚠️RN staffing (0.1195 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️99.92% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Consistent weekend staffing — only -32.58% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
0.3148hrs/resident/day▼ 3.58
CMS benchmark: 3.48
RN HPRD
0.1195hrs/resident/day▼ 0.56
Recommended: 0.75
Weekend Drop-off
-32.58%
0.2883 weekday → 0.3822 weekend
Agency Staff
99.92%
99.8% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
50days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0hrs/resident/day
Direct care aides
LPN HPRD
0.1954hrs/resident/day
Licensed practical nurses
Consistency
0.2344std 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. Lac Qui Parle County Average-1.90 HPRD
2.22
00.31 HPRD
vs. Minnesota State Average-3.93 HPRD
4.24
00.31 HPRD
vs. National Average-3.58 HPRD
3.90
00.31 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
Madison Healthcare Services ★
MADISON · This facility
—
F
0.31480.1195★★★☆☆
Appleton Area Health
APPLETON
15.3 mi
B
4.83970.5515★★☆☆☆
Sylvan Court
CANBY
21.8 mi
B
4.1920.7347★★★★☆
Luther Haven
MONTEVIDEO
23.6 mi
A
4.24250.8356★★☆☆☆
AVERA GRANITE FALLS CARE CENTER
GRANITE FALLS
35.4 mi
B
3.91921.0235★★★★☆
West Wind Village
MORRIS
41.3 mi
B
3.89980.7286★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
14
Total Deficiencies
$19,786
Fines Assessed
Jan 27, 2026Health
3 deficiencies cited
▼
Jun 4, 2025Health
3 deficiencies cited
▼
Nov 6, 2024Health
3 deficiencies cited
▼
Feb 28, 2024Health
4 deficiencies cited· Includes actual harm
▼
Nov 17, 2023Health
1 deficiency cited
▼

Penalty History

Feb 28, 2024Fine
$10,036
Mar 1, 2023Fine
$9,750
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.