Madison Medical Center
611 West Main Street, PO Box 431, Fredericktown MO 63645 · (573) 783-3341 · 59.57% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
With an address in Fredericktown, Missouri, Madison Medical Center is one of just a couple available nursing homes in the city. This proved to be an A+ facility. Receiving an A+ in our rating scheme requires first-rate marks across the board. In addition, this facility is also based in a hospital, which often means the nursing home offers a wider array of healthcare services. This also proved to be a very consistent facility with consistent grades in all four of the major categories we assessed. Additional information about its category grades can be found below.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 119 Beds
CCRC :
Government - City/county
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
In addition to receiving a great overall grade, this nursing home received an A+ in the area of long-term care. When nursing homes receive this type of score in long-term care it is typically a good sign for patient care and suggests that the nursing home is well-staffed with nurses aids. One of the statistics we considered after nursing hours was vaccinations. This facility administered the pneumonia vaccination to 98.47909 percent of its patients. This is a great way to avoid unnecessary deaths for the senior population. Lastly, we looked at its number of hospitalizations. With 1.94 hospitalizations per one thousand long-term resident days, this nursing home was just about middle of the road in this area.
Nurse Quality
One of the other reasons we graded this facility so highly is that it received a very impressive nursing score. In that category, we awarded this nursing home an A+. There are a host of criteria within this category. Many of the subcategories are tied to the quantity and quality of nurse staffing. This place provides an impressive 3.8 hours of nursing care per patient daily. Out of this total, more than one quarter of these hours were provided by registered nurses, which is among the most highly skilled levels of nurses. We add more weight to hours worked by skilled nurses in calculating our nursing grades. Finally, we also looked at several nursing quality-based metrics and this place excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it performed as well as any nursing home the country in this category. This is generally a good indicator of quality nursing care. Pressure ulcers can many times be avoided by providing better nursing care, such as having a policy of turning a resident more often.
Facility Inspections
Another impressive feature of this nursing home is its inspection score. In that area, we awarded this nursing home a grade of A. We weigh several aspects of a nursing home's inspection report in determining our inspection ratings. One critical factor is health deficiencies. It should be noted that the severity of deficiencies is arguably more important than the quantity of deficiencies, as some deficiencies end up being quite minor. This facility received 3 deficiencies on its inspection report, but none of the deficiencies were considered to be major deficiencies. This tells you that the inspectors didn't deem any of the deficiencies to cause an immediate threat to resident safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Short-term Care Quality
In the final category, this nursing home also was awarded a very strong short-term care grade, with an A-. This rounded out a very impressive profile. In the category of short-term care, we try to assess indicators of a facility's rehabilitation. We look at the facility's skilled nursing services, including the ones performed by registered nurses and physical and occupational therapists. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. Finally, we looked at the percentage of patients that returned home from this facility. We found that 0 percent of this facility's residents were able to return home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Madison Medical Center Quality Metrics
Minimizes Pressure Ulcers
This datapoint tells you the percent of long-term stay residents that are suffering from pressure ulcers. We find that pressure ulcers are a great barometer of the quality of nursing care a nursing home provides.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who have had a fall resulting in serious injury.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is a measure of the percent of long-term residents who have had urinary tract infections. While a higher rate of these infections could reflect poorly on a nursing home's cleanliness, it can be problematic to compare between nursing homes due to nursing homes having inconsistent reporting standards.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This metric gauges the percent of long-term patients which were administered antipsychotic medication. Increased usage of these drugs may mean a facility is using these drugs to subdue residents in situations where such medications aren't medically required. However, some facilities may need to rely more on these drugs due to an increased number of residents with Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percentage of residents who were prescribed antianxiety medications. Antianxiety medications are administered to patients experiencing depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This tells you the percent of patients showing signs of depression. High rates of depression could reveal a lower level of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be demanded by residents.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This datapoint measures the percent of long-term residents who required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and taking a bath. Some believe that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percentage of patients that maintained mobility over time. Optimizing mobility can be a great sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This is a measure of the number of times residents are hospitalized per 1,000 days of patient care. Avoiding the hospital is important to maintaining the physical well-being of nursing home patients.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of times residents are rehospitalized per 1,000 days of short-term care.
Percentage of Residents Rehospitalized
Lower is Better