Madison Medical Resort ratings, inspections, staffing, and fines

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
Staffing

−1 star

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

2 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Madison Medical Resort carries 84.25 inspection points. That is fewer than 43% of Texas's 1,166 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–26 pts
4★ 26–51 pts
3★ 51–85 pts
2★ 85–145.75 pts
1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 2 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts

E 5 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

K

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

February 1, 2024 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected February 2, 2024
K

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

February 1, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 2, 2024

Everything else, by area of care

Quality of Life and Care3E

E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
July 23, 2026 · Complaint · F693 · Corrected July 31, 2026
D
Provide safe and appropriate respiratory care for a resident when needed.
January 30, 2025 · Standard · F695 · Corrected February 3, 2025
E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 6, 2023 · Complaint · F689 · Corrected January 5, 2024

Freedom from Abuse, Neglect, and Exploitation1D

D
Respond appropriately to all alleged violations.
July 23, 2026 · Complaint · F610 · Corrected July 31, 2026

Resident Assessment and Care Planning1E

E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
April 2, 2026 · Standard · F656 · Corrected May 2, 2026

Nutrition and Dietary1E

E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 2, 2026 · Standard · F812 · Corrected May 2, 2026

Infection Control1E

E
Provide and implement an infection prevention and control program.
January 30, 2025 · Standard · F880 · Corrected February 3, 2025

Resident Rights1D

D
Keep residents' personal and medical records private and confidential.
January 30, 2025 · Standard · F583 · Corrected February 3, 2025

Pharmacy Service1D

D
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.
December 6, 2023 · Complaint · F761 · Corrected January 5, 2024

Inspection history

2026-04-02
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-01-30
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-12-06
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 42 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 42 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 46% of nursing staff and 44% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$32,445 in federal fines on record over the past three years.

Date	Penalty	Amount
2024-02-01	Fine	$32,445

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts better	1.5	2.0	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better	1.4	2.0	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better	100.0%	96.4%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better	100.0%	97.0%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse	4.7%	3.2%	3.2%
Percentage of long-stay residents who have depressive symptoms81.4 pts worse	83.7%	2.3%	13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better	0.0%	2.9%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse	24.6%	17.8%	19.5%
Percentage of long-stay residents who received an antipsychotic medication3 pts better	6.8%	9.8%	15.4%
Percentage of long-stay residents who were physically restrainedAbout the same	0.0%	0.0%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened10.1 pts worse	23.0%	12.9%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.6 pts better	12.2%	15.8%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse	0.5%	0.3%	0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better	0.7%	0.8%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.2 pts better	6.3%	12.5%	18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts worse	4.9%	3.7%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.2 pts better	99.9%	88.7%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.7 pts better	11.5%	12.2%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better	0.0%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.3 pts better	98.7%	85.4%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts better	21.9%	25.5%	23.4%

·

Who owns and runs it

36 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Bowerman, Stephen	Corporate Officer · Individual	0%	7 facilities
Campbell Gs-Trust	5% Or Greater Mortgage Interest · Organization	0%	5 facilities
Campbell Gs-Trust	Adp Of The SNF · Organization	0%	5 facilities
Campbell, John	Operational/Managerial Control · Individual	0%	12 facilities
Campbell, Kenneth	Operational/Managerial Control · Individual	0%	12 facilities
Campbell, William	5% Or Greater Mortgage Interest · Individual	0%	5 facilities
David W Miller Gs Trust	Operational/Managerial Control · Organization	0%	8 facilities
Fairbrook Partners, LP	5% Or Greater Mortgage Interest · Organization	0%	10 facilities
Fairbrook Partners, LP	Adp Of The SNF · Organization	0%	10 facilities
Green, William	Adp Of The SNF · Individual	0%	4 facilities
Jec Gs Trust	Operational/Managerial Control · Organization	0%	8 facilities
Jem 5x5 Trust	5% Or Greater Mortgage Interest · Organization	0%	9 facilities
Jem 5x5 Trust	Adp Of The SNF · Organization	0%	9 facilities
John E Miller Gs Trust	Operational/Managerial Control · Organization	0%	8 facilities
Kingsbury Capital LLC Series F	Operational/Managerial Control · Organization	0%	8 facilities
Kjc Gs Trust	Operational/Managerial Control · Organization	0%	8 facilities
Lewis, Shane	Operational/Managerial Control · Individual	0%	12 facilities
Lion Plaza LP	Operational/Managerial Control · Organization	0%	8 facilities
Miller Gs- Trust	5% Or Greater Mortgage Interest · Organization	0%	3 facilities
Miller Gs- Trust	Adp Of The SNF · Organization	0%	3 facilities
Miller, David	Operational/Managerial Control · Individual	0%	16 facilities
Miller, Don	5% Or Greater Mortgage Interest · Individual	0%	10 facilities
Miller, John	5% Or Greater Mortgage Interest · Individual	0%	25 facilities
Miller, John	Operational/Managerial Control · Individual	0%	25 facilities
Miller, Richard	Operational/Managerial Control · Individual	0%	18 facilities
Mnh-Inv Series LLC Series D	Operational/Managerial Control · Organization	0%	8 facilities
Montague Nh, LP	5% Or Greater Mortgage Interest · Organization	0%	12 facilities
Montague Nh, LP	Adp Of The SNF · Organization	0%	12 facilities
Odessa Nh Realty, Ltd	5% Or Greater Mortgage Interest · Organization	0%	1 facilities
Odessa Nh Realty, Ltd	Adp Of The SNF · Organization	0%	1 facilities
Richard M Miller Gs Trust	Operational/Managerial Control · Organization	0%	8 facilities
Sdl Gs 5x5 Trust	5% Or Greater Mortgage Interest · Organization	0%	12 facilities
Sdl Gs 5x5 Trust	Adp Of The SNF · Organization	0%	12 facilities
Slaughter, Paul	Adp Of The SNF · Individual	0%	2 facilities
Uptown Fs LLC	Operational/Managerial Control · Organization	0%	5 facilities
Uptown Fs LLC	Adp Of The SNF · Organization	0%	5 facilities

·

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