The Madison: Nursing Home OverviewSkip to content

The Madison

  • Nursing Home
  • Memory Care

Updated Nov 1, 2023 by Nick Reese

Historical Rating
Grade: B
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMar 19: BApr 19: B+May 19: B+Jun 19: B+Jul 19: BAug 19: BSep 19: BJan 20: B+Mar 20: B+Apr 20: B+May 20: B+Jun 20: B+Jul 20: B+Aug 20: B+Sep 20: B+Oct 20: B+Nov 20: B+Jan 21: B+Feb 21: B+Mar 21: B+Apr 21: BMay 21: BJun 21: BJul 21: BAug 21: BSep 21: BOct 21: B+Nov 21: B+Jan 22: BFeb 22: BMar 22: BApr 22: BMay 22: BJun 22: BAug 22: BSep 22: BOct 22: BNov 22: BJan 23: B-Feb 23: B-Mar 23: B-Apr 23: B-Jun 23: B-Jul 23: B+Aug 23: BSep 23: BOct 23: BNov 23: B
See Rating Overview
The Madison's website

1702 41st Street,
Fort Madison IA 52627

(319) 372-8021

70.37% estimated occupancy 1

The Madison is located in Fort Madison, Iowa, a city with 13,105 people. This is a very respectable facility, with an overall grade of B. In our view, this place looks like a solid choice for quite a few people. Fortunately, this place did not have any bad scores in any of the major categories. More information about its category grades can be found below.

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Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Limited Liability company
  • Secure Memory Care 
  • Offers Hospice
  • Offers Inpatient Rehab

Specialized Services

  • Personal Care
  • Speech Therapy
  • Occupational Therapy
  • Physical Therapy
  • Respiratory Therapy
  • Nutritional Counseling
  • Recreational Therapy

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
Less:
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Facility Inspections

Grade: A-minus

On top of receiving a great overall grade, this nursing home also earned first-rate inspections in recent years. We awarded them one of our best scores in that area, with an A-. Our inspection grades account for several factors found on a nursing home's inspection reports. One of the most important criteria we consider is the quantity and severity of deficiencies. Nursing homes with higher scores in this category tend to have few severe deficiencies. While this place had some deficiencies on its report, none of them were major deficiencies based on CMS' scale. We should point out that deficiency-free inspection reports are rare in this industry.

Short-term Care Quality

Grade: B-plus

Another one of this nursing home's above average category grades came in the category of short-term care. We awarded them one of our better grades in that category, with a grade of B+. Our short-term care grades are presumably more meaningful for patients needing rehabilitation services. Rehabilitation usually utilizes additional skilled nursing. Skilled nursing means not only nursing, but also physical and respiratory therapy, as well as other variations of therapy. Fortunately, it looks like this facility employs registered nurses. Not all facilities employs these types of nurses. However, based on the data this nursing home provided, they do not appear to employ physical therapists. The last metric we looked at in this area is the percentage of patients who were able to leave the nursing home and return to the community. We discovered that 5.3 percent of this nursing home's patients were able to return home.

Nurse Quality

Grade: B-plus

In addition, this facility also received favorable nursing grades this year. In fact, we awarded them one of our better scores in that area, with a grade of B+. Nursing scores are primarily based on the facility's level of nurse staffing. This facility provided 0.4 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a nursing home has reliable quality controls in place. Major falls can typically be avoided if more nurses aids and better safety protocols are in place.

Long-term Care Quality

Grade: C

The last category we graded is long-term care. We awarded it a grade of C in that category. This is a decent grade in this category. In a long-term care setting, the facility's primary goal is to maintain patients' quality of life and keep them safe. On top of assessing the volume of care provided by aids and other staff, we looked at the percentage of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its residents. Lastly, this nursing home was also able to limit hospitalizations. In fact, it had only 0.02 hospitalizations per 1,000 long-term resident days, which is an impressively low number.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

The Madison Quality Metrics

Minimizes Pressure Ulcers

Grade: F

In The Madison, 18.18% of Patients had Pressure Ulcers

This indicates the percent of residents that suffered from a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of nursing care . Pressure ulcers, which are also called bed sores, are routinely the result of residents not being moved frequently enough.

Minimizes Serious Falls

Grade: A

In The Madison, 0.88% of Patients had Serious Falls

This is the percent of residents that suffered from a major fall. Falls resulting in severe injuries are often the result of lower quality nursing care. More supervision can limit the number of major falls sustained by residents in a nursing home.

Minimizes Urinary Tract Infections

Grade: C

In The Madison, 3.7% of Patients had UTIs

This gauges the percentage of long-term patients that experienced a UTI. While more of these infections could reflect poorly on a facility's nursing care, it is difficult to compare between facilities due to facilities having varying reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In The Madison, 7.66% of Patients use Anti-Psychotic Medication

This figure is an indication of the percentage of long-term stay residents who were given antipsychotic drugs. High levels of antipsychotic drug use may indicate a facility is using these drugs to subdue residents in situations where such medications are not medically required. However, some nursing homes need to rely on these medications due to an increased number of patients suffering from Alzheimer's or other dementias.

Appropriately Uses Anti-Anxiety Medication

Grade: B-plus

In The Madison, 16.82% of Patients use Anti-Anxiety Medication

This statistic gauges the percent of long-term care patients taking antianxiety drugs.

Managing Depression Among Residents

Grade: A-minus

In The Madison, 0.48% of Patients

This datapoint measures the percent of long-term care patients who are exhibiting depressive symptoms.

Appropriate Vaccine Usage

Grade: A-minus

In The Madison, 99.17% of Patients

This metric measures the percent of long-term stay patients that received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: B-plus

In The Madison, 13% of Patients

This tells you the percent of patients that needed more assistance with activities of daily living over time.

Ability to Keep Residents Mobile

Grade: C

In The Madison, 11.71% of Residents

This indicates the percent of residents that remained mobile levels over time. Retaining mobility is often a good sign for residents' well-being.

Hospitalizations

Grade: B-minus

In The Madison, 0.02 Hospitalizations per 1,000 resident days

This indicates the number of hospitalizations per thousand days of patient care. There is usually a correlation between reduced hospitalizations and the quality of care.

Short-term Care: Rehospitalizations

Grade: A-minus

In The Madison, 11.71% of Residents Rehospitalized

This tells you the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between staying out of the hospital and the quality of rehabilitation services.

Short-term Care: ER Visits

Grade: F

In The Madison, 28.08% of Patients

Measures the number of emergency room visits per 1,000 days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: B-plus

In The Madison, 81.62% of Resident

This metric measures the percentage of short-term stay patients who saw functional improvements, such as enhanced ability to perform activities of daily living. Many would argue this is a reasonable measure of rehabilitation services.

Nearby Hospitals

  • Fort Madison Community HospitalAcute Care Hospitals 0.85 miles away5445 Ave O Fort Madison Iowa 52627Voluntary non-profit - Private(319) 372-6530
  • Unitypoint Health - KeokukAcute Care Hospitals 14.95 miles away1600 Morgan Street Keokuk Iowa 52632Voluntary non-profit - Private(319) 524-7150
  • Blessing HospitalAcute Care Hospitals 15.89 miles awayBroadway St & N 11th St Quincy Illinois 62305Voluntary non-profit - Private(217) 223-1200
  • Great River Medical CenterAcute Care Hospitals 16.41 miles away1221 South Gear Avenue West Burlington Iowa 52655Voluntary non-profit - Private(319) 768-1000
  • Memorial HospitalCritical Access Hospitals 19.85 miles away1454 N County Road 2050 E Carthage Illinois 62321Voluntary non-profit - Private(217) 357-8500

Nearby Dialysis

  • Southeastern Renal Dialysis, Lc - Ft Madison0.45 miles away4703 Avenue L Fort Madison Iowa 52627Dialysis Stations: 12 (319) 372-7829
  • Southeastern Renal Dialysis, l.c. - Lee County15.01 miles away1419 Morgan St. Keokuk Iowa 52632Dialysis Stations: 10 (319) 524-2105
  • Southeastern Renal Dialysis, Lc - W Burlington16.59 miles away1213 S. Gear West Burlington Iowa 52655CMS Rating: 4 stars Dialysis Stations: 12 (319) 758-0691