Madison House
Assisted Living · Nebraska, NE

Overview of Madison House

Madison House is a 46-bed assisted living facility at 1120 North 1st Street, Norfolk, Madison County, Nebraska, administered by Candace Gibson and owned by Oxford Nebraska Capital LLC. The facility focuses on providing a supportive and nurturing environment fostering resident independence while ensuring necessary care. Operating hours are Monday through Friday, 9:00 a.m. to 5:00 p.m.

Madison House provides assisted living services designed to support resident independence with necessary care. The facility offers financing options and services.

Madison House’s inspection record demonstrates improvement over time. The Nebraska Department of Health and Human Services, Division of Public Health, conducted 12 total visits and inspections. The most recent inspection on April 25, 2022, was a renewal application confirming licensure with no deficiencies noted. Earlier inspections showed a mixed record with several substantiated complaints related primarily to safety issues, including failure to provide a safe environment to prevent elopement and injuries, as well as documentation and medication management concerns. Complaint investigations identified problems with incident investigation and reporting, infection control, food safety, and resident care, though some complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in available records. The facility’s record shows improvement over time with the most recent report confirming compliance following earlier citations.

Occupancy reaches 48 percent with 22 residents in 46 beds, substantially below the Nebraska state average of 70.3 percent, indicating significant available capacity. This low occupancy may reflect recent operational changes, staffing adjustments, or reduced local demand. No federal penalties have been imposed in the past three years according to CMS records.

Madison House presents mixed signals requiring careful evaluation. Prior substantiated safety deficiencies related to elopement prevention and medication management, and substantially low occupancy requires direct inquiry about current operational status and programming availability.

Families should ask about current safety protocols, staff training, incident reporting systems, and corrective measures implemented since 2022 before placement consideration.

(402) 644-4567
Bed community size
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 82 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
48%
Lower than the Nebraska average: 70.3%
Occupied beds
22 / 46
Average residents per home in Nebraska 54 per day

License Details

Facility TypeAssisted Living Facilities
StatusActive
CountyMadison
License NumberALF397

Ownership & Operating Entity

Madison House is administrated by Administrator Candace Gibson.

Owner NameOxford Nebraska Capital LLC

Contact Information

Fax(402) 644-8111

Amenities & Lifestyle

Specific ProgramsFinancing Options
Operating HoursMonday-Friday: 9:00 am – 5:00 pm

Contact Madison House

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

Since 2011 · 15 years of data 33 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2011 vs. Nebraska state average
Latest Inspection April 25, 2022 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

MetricThis FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3352 This facility has 37% fewer total deficiencies than a typical Nebraska assisted living residence (33 vs. NE avg 52). Click this badge to view the full Nebraska ranking.↓ 37% better
Deficiencies per year Info Average deficiencies per year since 2011. 2.23.5 This facility has 37% fewer deficiencies per year than a typical Nebraska assisted living residence (2.2 vs. NE avg 3.5). Click this badge to view the full Nebraska ranking.↓ 37% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on April 25, 2022, was a renewal application confirming the facility’s licensure with no deficiencies noted. Earlier inspections showed a mixed record with several substantiated complaints related primarily to safety issues, such as failure to provide a safe environment to prevent elopement and injuries, as well as documentation and medication management concerns. Complaint investigations also identified problems with investigation and reporting of incidents, infection control, food safety, and resident care, though some complaints were found unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history suggests improvement over time, with the most recent report showing compliance after earlier citations.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Financial Assistance for
Assisted Living in Nebraska

Madison House is located in NORFOLK, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled
General Nebraska resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $4,000 individual, higher than most states
NE

Higher asset limit; rural access focus.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+
General Nebraska resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NE

Lifespan respite focus; limited funding.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)
General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).
Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.
Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).
NE

Family can be paid caregivers; statewide via DHHS.

Benefits
Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+
General Nebraska resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $4,000 (individual), $6,000 (couple).
NE

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled
General Nebraska resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NE

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NE

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Places of interest near Madison House

Address 0.0 miles from city center Info Estimated distance in miles from Norfolk's city center to Madison House's address, calculated via Google Maps.

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Address

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The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

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Frequently Asked Questions about Madison House

Who is the owner of Madison House?

The legal owner and operator of Madison House is Oxford Nebraska Capital Llc.

Is Madison House in a walkable area?

Madison House has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Madison House?

According to NE state health department records, Madison House's license number is ALF397.

What is the occupancy rate at Madison House?

Madison House's occupancy is 48%.

Who is the administrator of Madison House?

Administrator Candace Gibson is the administrator of Madison House.

How many beds does Madison House have?

Madison House has 46 beds.

What is the address of Madison House?

Madison House is located at 1120 NORTH 1ST STREET.

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