Madigan Estates
93 Military Street · Houlton, ME · 04730 · 2075326593
99 certified beds For profit - Corporation
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.86 | 0.55–0.75 |
| Weekend hours / resident-day | 3.57 | ≈ weekday level |
| Nursing turnover / year | 32% | median 45% |
| Fines (3-yr window) | 1 · $11,450 |
Inspection citations (25 in the current record)
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Potential for harm · D May 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected July 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025
Ensure each resident receives an accurate assessment.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 6, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 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.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected July 14, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected June 17, 2025 · Nursing and Physician Services
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Potential for harm · D May 22, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 21, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 21, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · E March 21, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 11, 2024 · Quality of Life and Care
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Potential for harm · E March 21, 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.
Corrected April 11, 2024 · Pharmacy Service
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Potential for harm · D March 21, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 5, 2024 · Nutrition and Dietary
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Potential for harm · E March 21, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Actual harm · G November 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 3, 2023 · Quality of Life and Care
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No harm found · B November 14, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 24, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2023 · Quality of Life and Care
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Potential for harm · E May 24, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2023 · Nutrition and Dietary
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Potential for harm · D May 24, 2023
Provide and implement an infection prevention and control program.
Corrected June 12, 2023 · Infection Control
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No harm found · C May 24, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 15, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 14, 2023 | Fine | $11,450 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 205083 · certified since January 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.