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2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Madisonville Assisted Living is an assisted living community in Madisonville, Texas, offering assisted living and nursing services. Managed by Madisonville III Enterprises, LLC in Madison County, this licensed Type A community has a 106-bed capacity and also accepts Medicaid and Medicare.
The most recent evaluation of the community in November 2020 concluded with a single finding involving a Life Safety Code deficiency regarding the documentation of fire drills, which was resolved in roughly two weeks. No Health Code deficiencies were cited during that particular review period. While historical records indicate 36 total findings, which is much higher than the Texas state average of six, linked to a solitary past event rather than a current trend. No enforcement actions were recorded in relation to the 2020 check. However, families are encouraged to examine the complete history of inspections to better understand the community’s regulatory history.
This community accommodates both Medicaid and Medicare, which increases availability for those who depend on government funding, a notable characteristic among Texas assisted living locations. Chef-prepared meals are provided every day, along with transit assistance, cable or satellite television, hair and barber services, housekeeping, laundry, and waste collection. Medical services, security, and alert systems are provided on the premises, and the community performs regular sanitization in accordance with CDC guidelines.
Madisonville Assisted Living is an ideal match for older adults who need assisted living with nursing-level standards and require Medicare or Medicaid to help with expenses. Its domestic atmosphere and focus on daily schedules, including organized dining, social events, and helpful staff, also appeal to those who thrive in a steady and caring environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 76th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 33m per day | ▲ 30% State avg: 25m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 36% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 58m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 36m per day | ▼ 13% State avg: 3h 0m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▲ 22% State avg: 20m per day · National avg: 29m per day |
Madisonville Assisted Living is legally operated by Madisonville Iii Enterprises, Llc.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 6 | This facility has 500% more total citations than a typical Texas assisted living residence (36 vs. TX avg 6).↑ 500% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 36 | 2 | This facility has 1700% more health citations than a typical Texas assisted living residence (36 vs. TX avg 2).↑ 1700% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 36 | 6 | This facility has 500% more life safety citations than a typical Texas assisted living residence (36 vs. TX avg 6).↑ 500% worse |
|
Citations per year
Average citations per year since 2020.
| 6 | 1 | This facility has 500% more citations per year than a typical Texas assisted living residence (6 vs. TX avg 1).↑ 500% worse |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 1 | This facility has inspections with citations in line with the Texas average (1 vs. TX avg 1).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average 7.4
Last Health inspection on Nov 2025
State average 25.9
State average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 17 citations resulted from standard inspections; and 2 of 17 resulted from complaint investigations.
In line with State averageState average: 2
100% better than State averageState average: 0.4
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
106% more staff per resident than Texas average
9% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursAssists with medical care and medications.
All 11 LPN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
All 20 CNA Staff are full-time employees. No contractors work on this role.
20
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 20 | 0 | 20 | 7,072 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,588 | 92 | 100% | 9.1 |
| Registered Nurse | 6 | 0 | 6 | 1,964 | 86 | 93% | 8.9 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,840 | 92 | 100% | 11.5 |
| Nurse Aide in Training | 9 | 0 | 9 | 1,497 | 77 | 84% | 10.1 |
| Speech Language Pathologist | 2 | 0 | 2 | 766 | 68 | 74% | 7.7 |
| RN Director of Nursing | 2 | 0 | 2 | 613 | 67 | 73% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 519 | 56 | 61% | 9.3 |
| Dietitian | 1 | 0 | 1 | 477 | 60 | 65% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 444 | 57 | 62% | 7.8 |
| Administrator | 1 | 0 | 1 | 344 | 43 | 47% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 342 | 54 | 59% | 6.3 |
| Physical Therapy Assistant | 2 | 0 | 2 | 331 | 55 | 60% | 4.6 |
| Dental Services Staff | 1 | 0 | 1 | 307 | 51 | 55% | 6 |
| Physical Therapy Aide | 1 | 0 | 1 | 176 | 22 | 24% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 90 | 35 | 38% | 2.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 24 | 5 | 5% | 4.8 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
84% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 7, 2025 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
11% worse than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.2
5% better than Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
18.0%
11% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
15.0%
8% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.8%
18% better than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
103% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
6.2%
40% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
3.5%
338% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
2.3%
35% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
5.6%
94% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.6%
55% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
4.7%
221% worse than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
22% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
23Part of a Continuing Care Retirement Community offering multiple care levels
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Madisonville Assisted Living from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #297 / 297Payroll — State benchmarkedThis home is ranked 297th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Madisonville's city center to Madisonville Assisted Living's address, calculated via Google Maps.
Add your location
Madisonville Assisted Living is located in MADISONVILLE, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Madisonville Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Madisonville | - | 106
Facility
106
TX AVG
80
Rank
#334 / 988 | - |
54
Facility
54
TX AVG
41
Rank
#409 / 1391 | - |
| Parkwood Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Bedford | - | 84
Facility
84
TX AVG
80
Rank
#465 / 988 | - |
34
Facility
34
TX AVG
41
Rank
#865 / 1391 | Studio / Suite / 1 Bed |
The legal owner and operator of Madisonville Assisted Living is Madisonville Iii Enterprises, Llc.
Madisonville Assisted Living has a walk score of 54. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Madisonville Assisted Living's occupancy is 0.0%.
Madisonville Assisted Living has 106 beds.
Madisonville Assisted Living has had 36 recently reported deficiencies.
Yes — there are 11 photos of Madisonville Assisted Living in the photo gallery on this page.
Madisonville Assisted Living is located at 410 EAST COLLARD STREET.
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