Madigan Estates
93 Military Street, Houlton ME 04730 · (207) 532-6593 · 96.36% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Madigan Estates is an average-sized nursing home located in Houlton, Maine. It looks like this is a quality facility. We gave this it an overall grade of B+, which is a well above average rating. As far as we can see, this place looks like a solid choice for quite a few people. The best aspect of this nursing home's impressive report card is its inspection grade. Inspection reports are discussed in the next paragraph
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 99 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To go along with a favorable overall grade, we gave this facility an A+ for our inspection category. Inspection grades weigh a host of factors found on a nursing home's inspection report. One of the most important criteria we look at is the quantity and severity of deficiencies. Facilities with higher grades in this area generally have few severe deficiencies. Although this facility had a few deficiencies on its government inspection report, none were major deficiencies based on CMS' scale. A few minor dings are not the end of the world.
Nurse Quality
One of the other reasons we rated this nursing home so highly is that it received a very impressive nursing grade. In that category, we gave this facility an A-. When calculating our nursing ratings, we analyze both the number of hours nurses spend with residents and the training levels of those nurses. This nursing home provided 4.1 hours of nursing care per patient each day. This is an impressive statistic which typically correlates with quality care. Finally, this nursing home also excelled in several of the quality-based metrics we assessed. With fewer than five percent of its residents suffering from pressure ulcers, it performed as well as any facility the country in this category.
Short-term Care Quality
Turning to the next area, this nursing home also received a score of B for its short-term care rating. This is an above average grade in this category. In the area of short-term care, we attempt to qualify indicators of a facility's rehabilitation services. We look at a facility's skilled nursing services, such as those performed by registered nurses and physical and occupational therapists. This nursing home offered more registered nurse and physical therapist hours per patient than most nursing homes. This is what we like to find when assessing a facility in this category. The final metric we looked at in this category is the number of patients who were able to leave the nursing home and return to the community. We discovered that 32.2 percent of this facility's residents were able to return home.
Long-term Care Quality
Moving on to the last area, this nursing home was awarded an excellent long-term care rating. This facility didn't end up having any weak categories. When facilities receive this kind of grade in this category it is usually a good sign for resident care and indicates that the place is well-staffed with nurses aids. On top of patient-friendly nursing hour statistics, this nursing home's vaccination records was as good as it gets as well. In fact, it vaccinated 97.68786 percent of its residents against pneumonia. Lastly, this place was able to limit hospitalizations. With only 1.38 hospitalizations per 1,000 long-term resident days, this facility has fewer hospitalizations than the average nursing home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Madigan Estates Quality Metrics
Minimizes Pressure Ulcers
This tells you the percentage of patients who have had a pressure ulcer. Pressure ulcers are considered by many in the nursing home industry to be a barometer of nursing care at a nursing home. Pressure ulcers, which are also known as bed sores, are routinely the result of residents not being moved frequently enough.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percentage of patients that suffered from a major fall. Falls leading to severe injuries are often the result of lower quality nursing care. Better nursing protocols can reduce the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients who sustained a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of nursing care at a nursing home. UTI's are often caused by worse hygiene protocols. Nevertheless, this statistic could be skewed for certain facilities due to inconsistent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is the percentage of patients given antipsychotic drugs. Antipsychotic drugs are given to patients for a variety of conditions, such as cognitive disorders. Unfortunately, in some situations, high levels of antipsychotic drug use may mean that a facility is using these medications to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This figure measures the percent of long-term patients who were given antianxiety medication. These drugs are typically prescribed to residents experiencing depression or anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents who are exhibiting signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This indicates the percentage of residents who were given the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of residents who required more assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's may be a sign of the deterioration of a resident's medical condition.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This datapoint is a measure of the percentage of long-term care residents that maintained mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term patient care. There is usually a correlation between keeping patients out of the hospital and the quality of rehabilitation services.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per thousand days of short-term patient care. There is usually a correlation between having fewer emergency room visits and the quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term stay residents who saw functional improvements, such as enhanced ability to perform activities of daily living.
Percentage of Resident
Higher is Better