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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.