Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Madison Medical Center during CMS and state inspections, most recent first.
The facility failed to maintain proper infection control practices during incontinent care for two residents. CNAs involved in the care did not consistently perform hand hygiene between glove changes and tasks, violating the facility's handwashing policy. Observations showed CNAs handling soiled items and residents without washing or sanitizing hands. Interviews revealed inconsistencies in staff understanding and implementation of hand hygiene practices.
Inadequate Hand Hygiene During Incontinent Care
Penalty
Summary
The facility failed to maintain proper infection control practices during incontinent care for two residents. During an observation of Resident #3, two CNAs were involved in providing perineal and catheter care. CNA A found bowel movement on their glove, removed the gloves, and placed them on a disposable bed pad without performing hand hygiene. CNA A then donned new gloves and continued cleaning the resident without washing hands. CNA C also failed to perform hand hygiene after removing gloves and before re-entering the room. Both CNAs continued to handle soiled items and the resident without proper hand hygiene, violating the facility's handwashing policy. In another instance, Resident #16 was observed receiving peri care from CNA A and CNA B. CNA A touched various surfaces in the resident's room before donning gloves and performing peri care. During the care, CNA A touched clean gloves with contaminated gloves and failed to perform hand hygiene after removing gloves. CNA B also did not perform hand hygiene after removing gloves and assisted in dressing the resident with bare hands. Both CNAs continued to handle the resident and their belongings without washing or sanitizing their hands, contrary to the facility's infection control policies. Interviews with the Infection Preventionist, CNA A, CNA B, and the Director of Nursing revealed inconsistencies in understanding and implementing hand hygiene practices. The Infection Preventionist emphasized the importance of hand hygiene with glove changes, while CNA B admitted to not always washing or sanitizing hands between tasks. CNA A acknowledged the need for sanitizing when moving from dirty to clean tasks. The Director of Nursing expected staff to perform hand hygiene with glove changes and before and after resident care, highlighting a gap between expected practices and actual staff behavior.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fredericktown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Claru Deville Nursing Center | 1 mi | — | 0 | 0 |
| St Francois Manor | 15.5 mi | — | 4 | 0 |
| Baptist Homes Of Arcadia Valley | 16.6 mi | — | 0 | 0 |
| Farmington Presbyterian Manor | 16.7 mi | — | 0 | 0 |
| Southbrook Nursing Center | 17.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.