Madisonville Care Center

411 E Collard, Madisonville, TX 77864 · CCN 675821 · 106 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2026-03-03 — ACTUAL HARM (tag F0550, severity H)

Resident Rights Deficiencies · correction not recorded in CMS data

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-11-07 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2021-10-08 — IMMEDIATE JEOPARDY (tag F0686, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

1.71

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.35

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $18,852 in fines.

Date	Type	Amount
2026-03-03	Fine	$10,442
2025-11-07	Fine	$8,410

Ownership

Ownership type: For profit - Limited Liability company. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) — CMS overall1 of 5
MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Mountain View Health & Rehabilitation (El Paso, TX) — CMS overall1 of 5
Vista Hills Health Care Center (El Paso, TX) — CMS overall1 of 5
Pleasant Springs Healthcare Center (Mount Pleasant, TX) — CMS overall1 of 5
AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) — CMS overall3 of 5
HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) — CMS overall2 of 5
MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) — CMS overall4 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 10 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2026-03-19	F0561	Resident Rights Deficiencies	D	not recorded
2026-03-19	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-03-19	F0880	Infection Control Deficiencies	D	not recorded
2026-03-03	F0550	Resident Rights Deficiencies	H	not recorded
2026-03-03	F0561	Resident Rights Deficiencies	D	not recorded
2025-11-07	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-02-17	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-12-19	F0583	Resident Rights Deficiencies	D	not recorded
2024-12-19	F0880	Infection Control Deficiencies	D	not recorded
2021-10-08	F0686	Quality of Life and Care Deficiencies	J	not recorded
2021-10-08	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2021-10-08	F0761	Pharmacy Service Deficiencies	E	not recorded
2021-10-08	F0880	Infection Control Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Madisonville Care Center, Madisonville” at medicare.gov/care-compare.