Madisonville Care Center
411 East Collard Street, Madisonville, TX 77864
Madisonville Care Center is a nursing home in Madisonville, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMarch 19, 2026 (7 months ago)
- Health citations since October 8, 202113 (Texas average 28)
- Fines in the past three years2, $19,041 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Fine
CMS changed the fine from March 3, 2026 from $10,442 to $10,631.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Fine
CMS changed the fine from March 3, 2026 from $16,065 to $10,442.
CMS update of June 24, 2026
Fine
CMS changed the fine from November 7, 2025 from $8,281 to $8,410.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Fine
CMS changed the fine from November 7, 2025 from $12,740 to $8,281.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Health inspection on March 19, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0561 2 times since 2026.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 20, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for F0880 3 times since 2021.
Fire safety inspection on March 19, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS has cited this home for K0521 3 times since 2021.
Health inspection on March 3, 2026
2 citationsCMS lists this as a complaint inspection.
Severity H is the second-highest of CMS's four levels. It means a resident was harmed.
95 of 1,177 Texas homes (8%) got a citation at the actual harm level in 2026.
CMS fine of $10,631 on March 3, 2026.
Show the 2 citations
Citation F0550. Severity H: actual harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on March 4, 2026.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 4, 2026.
CMS update of January 14, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from not rated by CMS to 4 of 5.
Health inspection on November 7, 2025
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $8,410 on November 7, 2025.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from not rated by CMS to 1 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to not rated by CMS.
CMS update of March 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on February 17, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 18, 2025.
Health inspection on December 19, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on December 20, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on December 20, 2024.
Fire safety inspection on December 19, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0341. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on December 19, 2024.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS update of January 31, 2024
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
Health inspection on October 8, 2021
4 citationsCMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
1 of 1,177 Texas homes (under 1%) got a citation at the immediate jeopardy level in 2021.
Show the 4 citations
Citation F0686. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on October 25, 2021.
Citation F0727. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS lists it as corrected on October 25, 2021.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on October 25, 2021.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 25, 2021.
Fire safety inspection on October 8, 2021
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 16, 2021.
Citation K0521. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 17, 2021.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (936) 348-2735
- Last standard health inspection
- March 19, 2026 (7 months ago)
- Certified beds
- 106
- Residents per day, on average
- 58
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Madisonville II Enterprises, LLC
- Chain
- Creative Solutions in Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (13 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CREATIVE SOLUTIONS IN HEALTHCARE INCOperational/managerial control · not applicable · since 01/01/2008
- BLAKE, GARYOperational/managerial control · not applicable · since 01/01/2008
- BLAKE, MALISAOperational/managerial control · not applicable · since 11/21/2007
Questions
When was Madisonville Care Center last inspected?
CMS lists March 19, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Madisonville Care Center have?
CMS lists 13 health citations since October 8, 2021. CMS also calls these deficiencies.
Has Madisonville Care Center been fined?
CMS lists 2 fines in the past three years, $19,041 in total.
What is the CMS star rating of Madisonville Care Center?
Its CMS overall star rating is 2 of 5.
Is Madisonville Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.