Madison Medical Center
Madison Medical Center
Skilled Nursing Facility • 99 Licensed Beds
611 West Main Street, Fredericktown, MO
24-Hour Skilled Nursing Care
Round-the-clock nursing staff
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Madison Medical Center

Skilled Nursing Facility • 99 Licensed Beds
611 West Main Street,
Fredericktown, MO
24-Hour Skilled Nursing Care
Round-the-clock nursing staff available
About

Madison Medical Center

Madison Medical Center is a Medicare and Medicaid certified skilled nursing facility located in Fredericktown, Missouri. This is a government - city/county facility. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.

This facility has 99 certified beds with a current occupancy rate of 65% (averaging 64 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.

Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.88 hours of total nursing care per resident per day (2.64 hours from CNAs, 0.73 hours from LPNs, 0.51 hours from RNs).

The Centers for Medicare & Medicaid Services rates nursing homes using a 5-star quality rating system based on health inspections, staffing levels, and quality measures.

Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.

Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.

Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.

Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.

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Medicare Star Ratings

Official CMS ratings based on health inspections, staffing, and quality measures

What do Medicare star ratings measure?
Medicare rates nursing homes on a 1-5 star scale based on three key areas: health inspection results, staffing levels, and quality measures like falls and infections.
How often are ratings updated?
CMS updates nursing home ratings monthly. Ratings can change based on new inspection results, staffing data from payroll records, and clinical quality outcomes.

Star Ratings History

Quarterly performance from 2013-2026

View on Medicare.gov
Overall
Health Inspections
Quality
Staffing
Source: Centers for Medicare & Medicaid Services

Direct Care Staffing

Average minutes of direct nursing care per resident per day

Data as of December 2025

Understanding staffing levels: Higher staffing is associated with better quality outcomes. Research suggests around 4.1 hours of total nursing care per resident per day as a quality benchmark. Compare this facility's staffing to local averages to assess relative care levels.
158
minutes/day
CNAs
Certified Nursing Assistants
44
minutes/day
LPNs
Licensed Practical Nurses
31
minutes/day
RNs
Registered Nurses
0
minutes/day
PTs
Physical Therapists

Staffing Trends

Direct care minutes per resident per day

CNAs
LPNs
RNs
PTs
Source: Centers for Medicare & Medicaid Services

Occupancy Rate History

Average daily residents as a percentage of certified beds

Understanding occupancy: Higher occupancy can indicate strong community reputation and demand. Very low occupancy may affect financial stability, while extremely high occupancy could mean limited bed availability.
Madison Medical Center

Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.

Staff Turnover History

Annual percentage of nursing staff who left the facility

Understanding turnover: Lower turnover rates generally indicate a more stable workforce and better continuity of care. High turnover can affect care quality and resident relationships. The national average for nursing homes is around 50-60%.
All Nursing Staff
Registered Nurses (RN)

Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.

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