CareSentinel

Federal Nursing-Home Survey Record

Madisonville Care Center

CCN 675821 · 411 E Collard, Madisonville, TX, 77864 · Operated within the CREATIVE SOLUTIONS IN HEALTHCARE chain

Does Madisonville Care Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Madisonville Care Center (CCN 675821), in Madisonville, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 5 deficiencies; the most serious carries scope/severity J on CMS's A–L scale, a level CMS classifies as Immediate Jeopardy. The most recent federal survey on file is dated 2024-12-19. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $24,346 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

The Federal Record

At its most recent federal inspection, CMS cited this facility for an Immediate Jeopardy deficiency.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$24,346

CMS has $24,346 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2026-03-03
CURRENT CYCLE
F550S/S H

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

2026-03-03
CURRENT CYCLE
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2025-11-07
CURRENT CYCLE
F689S/S J

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

2025-02-17
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-12-19
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2024-12-19
CURRENT CYCLE
F583S/S D

Keep residents' personal and medical records private and confidential.

2021-10-08
HISTORICAL
F686S/S J

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

2021-10-08
HISTORICAL
F727S/S F

Have 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.

2021-10-08
HISTORICAL
F761S/S E

Ensure 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.

2021-10-08
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2019-08-28
HISTORICAL
F761S/S F

Ensure 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.

2019-08-28
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2019-08-28
HISTORICAL
F758S/S E

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2019-08-28
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2019-08-28
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2019-08-28
HISTORICAL
F710S/S D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

2019-08-28
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2019-08-28
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2019-08-28
HISTORICAL
F602S/S D

Protect each resident from the wrongful use of the resident's belongings or money.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Madisonville Care Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…