Madigan Estates
93 Military Street, Houlton, ME 04730
Madigan Estates, a 99-bed for profit - corporation nursing facility in Houlton, ME, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #27 of 77 rated homes in ME on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 2075326593
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #27 of 77
- In-state rank among rated ME homes
- 3.95
- About average · nurse hrs/day · nat'l 3.86
- 25
- Inspection findings · 1 serious
The verdict
Madigan Estates, a 99-bed for profit - corporation nursing facility in Houlton, ME, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #27 of 77 rated homes in ME on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #27 of 77
- In-state rank among rated ME homes
- 3.95
- Nurse hrs/resident-day · national 3.86
- 25
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 78 ME nursing homes split by ownership sector
This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 205083
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 99
- Residents
- 97
- In Hospital
- No
- County
- Aroostook
- Last Inspection
- May 22, 2025
Staffing Data
How the 3.95 total nursing hours per resident-day are staffed:
- RN Hours
- 0.85 (nat'l avg: 0.69)
- LPN Hours
- 0.50
- CNA Hours
- 2.60
- Total Nursing Hours
- 3.95 (nat'l avg: 3.86)
- PT Hours
- 0.08
- Nursing Turnover
- 42.6%
- RN Turnover
- 23.8%
What the CMS Record Reveals About Madigan Estates
According to CMS Nursing Home Compare, Madigan Estates ranks #27 of 77 rated nursing homes in ME on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madigan Estates operates 99 certified beds in Houlton, ME with approximately 97 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 2★).
The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $11K against this provider. Per resident day, this facility reports 3.95 total nursing hours (national average 3.86) and 0.85 RN hours.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Madigan Estates falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 42.6% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (25 most recent)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Jun 17, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 14, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 27, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 6, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 6, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 27, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 27, 2025
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 27, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 6, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jul 6, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 5, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 9, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 29, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 3, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jun 15, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 12, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 24, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.0% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.8% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.5% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.9% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 7.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 17.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 91.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 21.7% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 78.5% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 35.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 71.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 77.3% | No |
Penalty History 1 penalties totaling $11K
| Date | Type | Amount |
|---|---|---|
| Nov 14, 2023 | Fine | $11K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Madigan Estates, both outside ME so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside ME (99 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside ME (4.16 here).
Nearby Nursing Homes in ME
77 other nursing homes are on record in ME; 6 are shown here.
Aroostook Health Center
Mars Hill, ME
Augusta Center for Health & Rehabilitation, LLC
Augusta, ME
Bangor Nursing & Rehabilitation Center
Bangor, ME
Barron Center
Portland, ME
Borderview Rehab & Living Ctr
Van Buren, ME
Breakwater Commons
Rockland, ME
Understanding Nursing Home Data
What the CMS records show for Madigan Estates
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The ME registry aggregates state averages and the highest-rated homes in this cohort. View ME registry
- Peer homes near 99 beds show how CMS stars vary at a similar scale in ME. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Madigan Estates?
Where does Madigan Estates rank among nursing homes in ME?
What are the staffing levels at Madigan Estates?
How many beds does Madigan Estates have?
Does Madigan Estates have any deficiencies on record?
Has Madigan Estates received any fines or penalties?
Who owns Madigan Estates?
When was Madigan Estates last inspected?
What quality measures are tracked for Madigan Estates?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
