Nursing homeActive
Madisonville Care Center
411 East Collard Street, Madisonville, TX 778649363482735106 certified beds · 56 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2021
Deficiencies
13
● 0● 10● 3
Penalties · 3 yrs
$18,852
2 fines
Last survey
2026-03-19
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2026-03-03 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-11-07 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-02-17 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-12-19 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2021-10-08 | Standard | 031 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 675821-20260319-F561
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 675821-20260319-F684
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 675821-20260319-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity HHarm
Dignity & rights
Pattern; actual harm that is not immediate jeopardy.Corrected 2026-03-04Record 675821-20260303-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 675821-20260303-F561
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675821-20251107-F689
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-18Record 675821-20250217-F842
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 675821-20241219-F583
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 675821-20241219-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2021-10-25Record 675821-20211008-F686
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-10-25Record 675821-20211008-F727
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-25Record 675821-20211008-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-25Record 675821-20211008-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-03 | Civil money penalty | $10,442 | CMS · Penalties |
| 2025-11-07 | Civil money penalty | $8,410 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.45
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.19
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.77
Facility
Texas
National
Texas 2.98 · National 3.42
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.1% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.6% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 33.9% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 9.5% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Blake, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Creative Solutions In Healthcare Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Creative Solutions In Healthcare — 149 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Madison.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avir At Madisonville Madisonville | 0.6 mi | 2026-04-15 | 0351 |
| Cass Valley Healthcare Center Centerville | 20.9 mi | 2026-04-21 | 0175 |
| Mrc Creekside Huntsville | 26.4 mi | 2026-05-06 | 0140 |
| Focused Care At Huntsville Huntsville | 27.5 mi | 2025-11-19 | 0180 |
| Crockett Health Care Associates, Inc. Crockett | 28.3 mi | 2025-06-04 | 0100 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |