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Aroostook County, Maine · Nursing home

Madigan Estates

4 of 5 overall from CMS

93 Military Street, Houlton, ME 04730

Call (207) 532-6593Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Madigan Estates is a 99-bed nursing home in Houlton, Maine (Aroostook County). CMS rates it 4 of 5 stars overall as of Aug 2026. It reports 3.95 nurse staffing hours per resident per day, below the Maine average of 4.34. CMS lists 1 fine totaling $11,450 in the past three years.

Certified beds
99
Residents per day (average)
96.6
Certified since
1993 (33 yrs)

For profit - Corporation Participates in Medicare and Medicaid

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Questions to ask Madigan Estates

Chosen from this home's public data.

  1. CMS lists 1 fine totaling $11,450 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. The latest standard inspection (May 22, 2025) cited 12 health deficiencies; the Maine average is 11.0. Which have been corrected?Inspection results in CMS data
  3. About 97.6% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Maine average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 7 hours. The vertical line marks the Maine average; the national average for all nursing staff is 3.86 hours.

Inspection history

Inspectors cited 25 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 5 followed a complaint investigation. The most recent citation at the harm level or above was on Nov 14, 2023: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficiencies cited at each standard inspection
Inspection dateHealthFire safety
May 22, 2025129
Mar 21, 202470
May 24, 202364

Maine homes averaged 11.0 health deficiencies in the latest cycle; the national average is 9.3.

Health citations, past three years (25)

  1. DPotential for more than minimal harm, isolated

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 6, 2025)

  2. DPotential for more than minimal harm, isolated

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 6, 2025)

  3. DPotential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 27, 2025)

  4. DPotential for more than minimal harm, isolated

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 27, 2025)

  5. DPotential for more than minimal harm, isolated

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 27, 2025)

Show 20 more

  1. DPotential for more than minimal harm, isolated

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 27, 2025)

  2. DPotential for more than minimal harm, isolated

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 6, 2025)

  3. DPotential for more than minimal harm, isolated

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care · Deficient, Provider has date of correction (Jun 27, 2025)

  4. DPotential for more than minimal harm, isolated

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jul 6, 2025)

  5. DPotential for more than minimal harm, isolated

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 27, 2025)

  6. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 14, 2025)

  7. DPotential for more than minimal harm, isolated

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jun 17, 2025)

  8. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 8, 2025)

  9. EPotential for more than minimal harm, pattern

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)

  10. EPotential for more than minimal harm, pattern

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)

  11. EPotential for more than minimal harm, pattern

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2024)

  12. EPotential for more than minimal harm, pattern

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 29, 2024)

  13. DPotential for more than minimal harm, isolated

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 9, 2024)

  14. DPotential for more than minimal harm, isolated

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Apr 5, 2024)

  15. GActual harm, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Complaint inspection · Quality of Life and Care · Past Non-Compliance (Nov 3, 2023)

  16. BPotential for minimal harm, pattern

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has no plan of correction

  17. EPotential for more than minimal harm, pattern

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 24, 2023)

  18. EPotential for more than minimal harm, pattern

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 12, 2023)

  19. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jun 12, 2023)

  20. CPotential for minimal harm, widespread

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Infection Control · Deficient, Provider has date of correction (Jun 15, 2023)

What severity letters A to L mean

Penalties, past three years

DateTypeAmount
Nov 14, 2023Fine$11,450

Maine homes averaged 0.4 fines and $7,431 in fine amounts; the national averages are 0.9 and $31,093.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Maine

Common questions

What is the CMS star rating for Madigan Estates?

Madigan Estates has an overall rating of 4 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 2.

How many beds does Madigan Estates have?

Madigan Estates has 99 certified beds. It averages 96.6 residents per day, about 97.6% of its certified beds.

How much nursing care do residents get at Madigan Estates?

The home reports 3.95 hours of nurse staffing per resident per day, including 0.85 hours from registered nurses. The Maine average is 4.34 hours and 1.05 hours from registered nurses.

Has Madigan Estates been fined?

Yes. CMS lists 1 fine totaling $11,450 in the past three years.

Does Madigan Estates accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Aroostook County

Who to call in Maine

These offices serve residents of every nursing home in Maine.

Maine staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (207) 532-6593 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 205083. Check the official record on Medicare.gov

See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.