Quick answers
- Where is Madigan Estates?
- 93 Military Street, Houlton, ME 04730, in Aroostook County, Maine.
- What is the phone number of Madigan Estates?
- (207) 532-6593, as listed by Medicare (CMS).
- What is the Medicare star rating of Madigan Estates?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Madigan Estates been fined?
- Medicare lists 1 fine totaling $11,450.
- What did inspectors find at Madigan Estates?
- In its last three inspection cycles (May 24, 2023 to July 30, 2026), Medicare lists 26 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 24, 2023 to July 30, 2026), Madigan Estates had 26 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $11,450 in total (1 fine, the latest on November 14, 2023). Nurse staffing is 4.13 hours per resident per day; the Maine average is 4.39 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 22, 2025 — 13 health citations
Inspections in this cycle: May 22, 2025 (standard health inspection); July 30, 2026 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0947 Level D
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
Previous cycle: March 21, 2024 — 7 health citations
Inspections in this cycle: March 21, 2024 (standard health inspection); January 22, 2025 (complaint investigation); May 22, 2025 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level E
“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.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Earlier cycle: May 24, 2023 — 6 health citations
Inspections in this cycle: May 24, 2023 (standard health inspection); November 14, 2023 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0883 Level C
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0607 Level B
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (13)
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0761 Level D
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0911 Level D
“Meet requirements for the installation and maintenance of electrical systems.”
K0914 Level D
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0271 Level D
“Have exits that are accessible at all times.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
Fines and payment denials
Total fines over about the last three years: $11,450 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 14, 2023 | Fine | $11,450 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Maine | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.83 | 1.06 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.50 | 0.46 | 0.86 |
| Nurse aide hours per resident per day | 2.80 | 2.87 | 2.35 |
| Total nurse staff hours per resident per day | 4.13 | 4.39 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.57 | 3.93 | 3.43 |
| RN hours per resident per day on the weekend | 0.34 | 0.72 | 0.48 |
| Nursing staff turnover (per year) | 43.2% | 45.3% | 45.3% |
| RN turnover (per year) | 26.3% | 39.2% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.5 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Maple Grove Nursing Home, Inc.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Brown, James | Direct owner | 100% | December 31, 2021 |
| Brown, James | Indirect owner | NOT APPLICABLE | December 31, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 95.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Maple Grove Nursing Home, Inc |
| First approved by Medicare/Medicaid | 1993-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 93 Military Street, Houlton, ME 04730 |
| County | Aroostook County |
| State | Maine |
| Phone | (207) 532‑6593 |
| CMS Certification Number | 205083 |
| Name in Medicare records | MADIGAN ESTATES |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Nearest hospital emergency rooms
- Houlton Regional Hospital0.8 mi · Houlton, ME · Critical Access Hospital
- Northern Light A R Gould Hospital40 mi · Presque Isle, ME · Acute Care Hospital
- Cary Medical Center52 mi · Caribou, ME · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13