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B

77/100

Above average

Madigan Estates

93 Military Street, Houlton, ME 04730

CMS 3/5 stars #4 of 7 in Aroostook County (207) 532-6593
Certified beds
99
Occupancy
98%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $11,450 in federal fines

    CMS has fined this facility across 1 penalty action(s).

Our read on Madigan Estates

Madigan Estates sits in Houlton with 99 certified beds and a for-profit corporate owner. Nurse staffing runs 3.95 hours per resident day, a bit above the national average, and the 42.6% turnover rate is slightly better than typical, though weekend coverage drops about 8% below weekday levels. Inspections are recent, from May 2025, and the health inspection rating is strong at 4 out of 5. The quality measure rating, though, is 2 out of 5, and the record shows 25 deficiencies, including one at the harm or jeopardy level and five related to abuse. One fine totaling $11,450 has been levied.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing22/30Stability12/15Outcomes5/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →4.16 total nurse hours per resident per day (national median 3.77)
  • →0.85 RN hours per resident per day
  • →Weekend staffing drops 8% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →43% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$11,450 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.95 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.85 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours3.64 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover42.60%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 22, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Madigan Estates

What is the ElderGrade for Madigan Estates? +

Madigan Estates holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Madigan Estates? +

Residents receive an average of 3.95 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Madigan Estates been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Madigan Estates accept Medicaid? +

Yes, Madigan Estates is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.