Madison Medical Center
611 WEST MAIN STREET, Fredericktown, MO 63645
Fredericktown, Missouri · CMS verdict
Madison Medical Center does not yet carry a CMS overall star rating, too new, recently sold, or with insufficient resident-assessment data for the public five-star algorithm. An absent rating is neither positive nor negative.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Madison Medical Center in Fredericktown, Missouri is not yet rated by CMS and a PlainElderCare Quality & Compliance Index of 97 of 100 (grade A). The 99-bed facility operates where a semi-private nursing-home room in Missouri runs a median of $6,741 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of not yet rated. How this is calculated.
How the 97 is built
Each segment is a dimension's weighted points toward the score, summing to 97.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Madison Medical Center does not currently carry a CMS overall star rating on Care Compare (data as of April 2026). Facilities remain unrated when they are too new to have completed a full inspection cycle, have undergone a change of ownership, or have insufficient resident-assessment data to compute the quality measures component. Absence of a rating is neither positive nor negative, it simply means CMS has not yet published enough verified data for the public algorithm to produce a score.
Size and setting
Located in Fredericktown, Missouri, this facility operates 99 certified beds with an average daily census of roughly 60 residents - an occupancy rate of about 61%. The facility is classified under government - city/county ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 61% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility (1 total). CMS has levied no enforcement penalties over the equivalent window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
Facility details
| Attribute | Value |
|---|---|
| Beds | 99 |
| Residents | 60 |
| Ownership | Government - City/county |
| County | Madison |
| Penalties | 0 |
| Deficiencies | 1 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
How much does a nursing home cost per month in Missouri? ▾
The median cost for a semi-private nursing home room in Missouri is $6,741 per month ($80,893 annually). A private room averages $7,604 per month. Costs are from the CareScout 2025 survey.
What services does Madison Medical Center offer? ▾
Madison Medical Center is a skilled nursing facility with 99 beds with approximately 60 current residents. It operates under government - city/county ownership. The facility has recorded 1 deficiencies and 0 penalties in CMS inspections.
Does Madison Medical Center have any deficiencies or penalties? ▾
Madison Medical Center has few deficiencies (1 total) and 0 penalties recorded by CMS. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in Missouri? ▾
In Missouri, alternatives include assisted living ($5,400/mo), home health aides ($6,292/mo), and adult day care ($2,058/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Missouri elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 26E421.
Read our methodology - how this data is sourced, computed, and verified.