Mars Hill · 04758
Aroostook Health Center
15 Highland Ave
Mars Hill, ME 04758
Madigan Estates
⌖ Houlton, ME · Aroostook County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds99
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Madigan Estates
Madigan Estates is a 99-bed for-profit nursing home in Houlton, ME. Medicare rates it 3 out of 5 stars overall (average); the average in Maine is 3.1. At its last full inspection (May 2025), inspectors found 13 problems, close to the Maine average of 10.8. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 57 min a day with each resident, about the same as the Maine average of 4 hr 20 min. About 43% of its nursing staff left in the past year. Medicare fined it $11,450 in the last three years. Its quality ratings are stronger for short-term rehab than for long-term care.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameMadigan Estates
LocationAroostook County, Maine
Phone(207) 532-6593
Address93 Military Street, Houlton, ME 04730 · Aroostook County
CMS provider number205083
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 1993 (33 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
1 strength and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since May 2025.Strength
About average
- Health citations at last inspection13 (May 2025)Maine average: 10.8. Most citations are minor and corrected within weeks.About average
- Nurse staffing per resident3 hr 57 min a dayMaine average: 4 hr 20 minAbout average
- Nursing staff turnover43% a yearMaine average: 47%About average
Things to ask about
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- Fines and penalties1 fine totaling $11,450Federal penalties from the last three years, most recently in Nov 2023 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Registered nurse time per resident51 min a dayMaine average: 1 hr 03 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Maine average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital13.3%State average: 20.8%Better than average
- Needed an emergency room visit19.1%State average: 16.1%About average
- Newly given antipsychotic drugs0.0%State average: 1.2%Better than average
Physical therapist time: about 5 minutes per resident a day. That is about the same as the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury7.1%State average: 4.1%Worse than average
- Pressure sores (bedsores)4.4%State average: 4.3%About average
- Given antipsychotic drugs23.9%State average: 20.2%About average
- Hospital stays per 1,000 resident days1.0State average: 1.4Better than average
Source: Medicare (CMS) quality measures, compared with the Maine average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Maine, Medicaid pays for 59% of resident days at a typical home.
- 48% Medicaid
- 3% Medicare
- 48% Private pay, insurance and other
Beds in use, on average96%Maine typical: 91%
Cost of care per resident day$276Maine typical: $393
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 2 stars in January 2019. It has ranged from 2 to 5 stars and changed 11 times.
Overall rating3★
Health inspections3★
Staffing4★
Quality of care2★
Nurse hours per resident per day4.0
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 2 | 1 | 4 | 5 | 4.3 |
| Jan 2020 | 3 | 2 | 4 | 3 | 4.4 |
| Jan 2021 | 3 | 3 | 3 | 2 | 4.3 |
| Jan 2022 | 4 | 3 | 4 | 2 | 4.1 |
| Jan 2023 | 3 | 3 | 4 | 2 | 4.1 |
| Jan 2024 | 4 | 3 | 5 | 3 | 4.5 |
| Feb 2025 | 3 | 3 | 4 | 2 | 4.1 |
| Feb 2026 | 5 | 4 | 5 | 2 | 4.4 |
| Sep 2026 | 3 | 3 | 4 | 2 | 4.0 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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