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Nursing homeFAID #5371

Madigan Estates

93 MILITARY STREET, HOULTON, ME, 04730
(207) 532-6593
99 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
99
CMS facility ID
205083
Care type
Nursing home
County
Aroostook
Facility name
Madigan Estates
Street address
93 MILITARY STREET
City / state / ZIP
Houlton, ME 04730
Phone
(207) 532-6593

About this facility — Madigan Estates

Madigan Estates is a Medicare/Medicaid-certified skilled nursing facility in Houlton, Maine. It is licensed for 99 beds — above the median for skilled nursing facilities in Maine (72 beds).

It is one of 6 senior care facilities in Houlton and 78 skilled nursing facilities across Maine. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Madigan Estates 38 times across 9 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $11,450 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Corporation

Registered owners & officers

Brown, James
Direct owner · Indirect owner · Director · Operational control · Trustee · Additional disclosable party — 100% stake — since 1996
Abouleish, Hassan
Operational control · Additional disclosable party — since 2015
Brown, Dana
Operational control · Additional disclosable party — since 2024
Russell, Ashley
Operational control · Additional disclosable party — since 2020

Regulatory standing

Licensed / certified since
1993-01-01
CMS overall rating
4 of 5 stars
Health deficiencies
12 at the last standard inspection
Federal fines
$11,450 total
Last standard inspection
2025-05-22
Nurse staffing
4.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$302 per day (≈ $9,180/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
51% Medicaid · 4% Medicare · 44% private/other
Occupancy
92% (fiscal year 2023)
Vs. state median
32% below the ME median of $442/day — full state cost breakdown

Services & coverage

Licensed beds
99
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-05-22Health inspectionComplaint-triggered12 citations
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-06
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-07-06
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-06-27
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-27
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-27
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-06-27
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-06
F-0690
D · No harm found
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 2025-06-27
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-06
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-07-14
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-06-17
2025-01-22Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-08
5 earlier / fire-safety inspections (25 citations)
2024-03-21Health inspection6 citations
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-04-09
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-11
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-11
F-0761
E · No harm found
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 2024-04-11
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-05
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-29
2023-11-14Health inspectionComplaint-triggered2 citations
F-0607
B · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-03
2023-05-24Health inspection4 citations
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-24
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-12
F-0883
C · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-06-15
2025-05-22Fire-safety inspection9 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-30
K-0222
D · No harm found
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.
Corrected 2025-06-30
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-06-30
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-06-30
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-30
K-0761
D · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-30
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-30
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-06-30
2023-05-24Fire-safety inspection4 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-05
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2023-06-05
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-05
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-05

Federal penalties

2023-11-14Fine$11,450
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 205083.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered