Madisonville Care Center
411 EAST COLLARD STREET, Madisonville, TX, 77864
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 106 · avg 51 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $12,740 total
State licensing & capacity
- License number
- 148037
- Service type
- Medicare/medicaid
- Licensed capacity
- 106 beds
- Bed type breakdown
- 3 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- November 20, 2024
- Current license expires
- November 20, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Madisonville Ii Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Jared Romine
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2013
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2013
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2013
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2008
- Linda f Huggins
W-2 Managing Employee · since 2008
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 17)
- J0689·Nov 7, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0842·Feb 17, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0880·Dec 19, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0583·Dec 19, 2024
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0880·Oct 8, 2021
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·Oct 8, 2021
Pharmacy Service Deficiencies
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.
- F0727·Oct 8, 2021
Nursing and Physician Services Deficiencies
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.
- J0686·Oct 8, 2021
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20251 fine · $13K
Most recent events
- Nov 7, 2025Fine · $13K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Dec 19, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Madisonville Care Center is a 106-bed nursing home in Madisonville, TX, managed by Creative Solutions In Healthcare. CMS rates it 4 stars overall, with 4 stars each on health inspections and quality measures. Staffing is rated 2 stars — the facility's clearest gap. At 51 residents against 106 licensed beds, it is operating at roughly 48% capacity, well below typical occupancy for a nursing home of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — about 193 minutes of nursing care per resident per day, roughly 48 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating. RN coverage specifically runs about 29 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas.
The facility received one CMS fine totaling $12,740. Texas nursing homes that have received any fine at all make up roughly 70% of the state's facilities; this fine falls below the state median of $20,699 for fined facilities.
The facility is operating at roughly 48% of its 106 licensed beds — about 51 residents on an average day. Low occupancy at a nursing home can reflect recent challenges in admissions, staffing capacity limits, or local market conditions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
The facility averages 51 residents against 106 licensed beds — ask what is driving the low census and whether it affects which services or staff are available day-to-day.
Staffing levels on nights and weekends
With a 2-star staffing rating and weekend nursing hours of about 2.96 hours per resident per day, ask how many nurses and aides are typically on the floor during evenings and weekends.
Plan for closing the RN gap
Reported RN hours run about 29 minutes per resident per day versus the 37-minute Texas 4-star threshold — ask whether the facility is actively recruiting RNs or using agency staff to fill shifts.
Resident and family council status
The CMS record does not show an active resident or family council — ask whether one exists and, if not, how residents and families currently raise concerns with management.
Management company's role on-site
Creative Solutions In Healthcare manages this facility — ask how often corporate or regional leadership is physically present and who families contact when the administrator is unavailable.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.