Home›Missouri›Madison County›MADISON MEDICAL CENTER
C
Below Standard

MADISON MEDICAL CENTER

611 WEST MAIN STREET · FREDERICKTOWN, MO 63645

5737833341 · Government - City/county

99 beds60.3 residents80 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MADISON MEDICAL CENTER receives an overall staffing grade of C (Below Standard). With 3.9872 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5229 HPRD, below the recommended 0.75. It is 0.09 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.88% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

⚠️RN staffing (0.5229 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9872hrs/resident/day▲ 0.09
CMS benchmark: 3.48
RN HPRD
0.5229hrs/resident/day▼ 0.16
Recommended: 0.75
Weekend Drop-off
20.88%
4.2372 weekday → 3.3525 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.5381hrs/resident/day
Direct care aides
LPN HPRD
0.6164hrs/resident/day
Licensed practical nurses
Consistency
0.5181std 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. Madison County Average+0.28 HPRD
3.71
03.99 HPRD
vs. Missouri State Average+0.51 HPRD
3.48
03.99 HPRD
vs. National Average+0.09 HPRD
3.90
03.99 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 MEDICAL CENTER ★
FREDERICKTOWN · This facility
—
C
3.98720.5229☆☆☆☆☆
SOUTHBROOK NURSING CENTER
FARMINGTON
17.2 mi
C
3.75350.4544★★★★☆
CAMELOT NURSING AND REHABILITATION CENTER
FARMINGTON
17.5 mi
B
3.54740.6843★★★★★
NHC HEALTHCARE, DESLOGE
DESLOGE
24.2 mi
C
3.02890.7567★★★★☆
BELLEVIEW VALLEY NURSING HOME
BELLEVIEW
27.4 mi
F
2.55280.2188☆☆☆☆☆
ST GENEVIEVE NURSING
SAINTE GENEVIEVE
32 mi
C
3.30750.4266★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
1
Total Deficiencies
$0
Fines Assessed
Sep 13, 2024Health
1 deficiency cited
▼
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.