Madison Medical Resort
5001 OFFICE PARK DR., Odessa, TX, 79762
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: Foursquare Healthcare
- Certified beds
- 124 · avg 117 residents/day
- Total nursing staff turnover
- 42.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 44.4% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $32,445 total
- Infection control citations
- 1
State licensing & capacity
- License number
- 312229
- Service type
- Medicare/medicaid
- Licensed capacity
- 124 beds
- Bed type breakdown
- 8 Medicare-only · 116 Medicaid/Medicare
- Current license effective
- November 1, 2024
- Current license expires
- November 1, 2027
- Initial license date
- December 9, 2013
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Midland County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Uptown Fs Llc
- Administrator
- William T Green
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Foursquare Healthcare chain — 10 facilities. Chain-wide average overall rating 3.3 / 5.
Parent entity
Odessa nh Realty, Ltd
Disclosed owners (28 on record)
- Campbell Gs-trust
Adp of The Snf · since 2025
- Fairbrook Partners, lp
Adp of The Snf · since 2025
- Jem 5x5 Trust
Adp of The Snf · since 2025
- Miller Gs- Trust
Adp of The Snf · since 2025
- Montague Nh, lp
Adp of The Snf · since 2025
- Odessa nh Realty, Ltd
Adp of The Snf · since 2025
+ 22 additional owners on the federal record.
Recent change of ownership
November 2024 (1 year ago) · acquired from Madison Medical Resort
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 11)
- E0880·Jan 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Jan 30, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0583·Jan 30, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- K0689·Feb 1, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0656·Feb 1, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0761·Dec 6, 2023Complaint
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.
- E0689·Dec 6, 2023Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0842·Jun 2, 2023ComplaintInfection control
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.
Federal penalties
By year
- 20241 fine · $32K
Most recent events
- Feb 1, 2024Fine · $32K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Madison Medical Resort is a 124-bed nursing home in Odessa operated by Foursquare Healthcare for the Midland County Hospital District. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. One CMS fine totaling $32,445 has been assessed. The facility is running near full capacity at roughly 117 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas. Of that total, only 15 minutes per day come from a registered nurse; the Texas threshold for a 4-star RN staffing level is 37 minutes. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — which means those 203 minutes stretch further than they would at a facility with a more independent resident population.
One CMS fine of $32,445 has been assessed. About 30% of Texas nursing homes have received no fines at all, and the state median among facilities that do have fines is roughly $20,700 — putting this fine above that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Registered nurse coverage each day
Ask how many hours an RN is physically on-site daily, given that reported RN time here averages just 15 minutes per resident per day.
Staffing on nights and weekends
Weekend nursing hours average 2.85 hours per resident per day here — ask how weekend staffing compares to weekday staffing and how overnight coverage is structured.
Details on the CMS fine
One fine of $32,445 is on record — ask what deficiency triggered it and what corrective steps were taken.
Current waitlist and bed availability
The facility is running at about 117 of 124 licensed beds — ask whether there is a waitlist and what the typical wait time has been recently.
Management company's role day to day
The facility is licensed to a hospital district but managed by Uptown Fs LLC — ask which entity makes staffing and care decisions and who to escalate concerns to.
How resident concerns are raised
There is a Resident Council but no Family Council on record — ask how family members can formally raise concerns outside of individual conversations with staff.
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.