# Madigan Estates Madigan Estates is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Houlton, ME, CMS Certification Number 205083, with 99 certified beds and about 96 residents per day. CMS rates it 4/5 overall (health inspections 3/5, staffing 5/5, quality measures 2/5). ## Key facts - Status: Active CMS certification - Address: 93 Military Street, Houlton, ME 04730 (Aroostook County) - Ownership type: For profit - Corporation - Operator (legal business name): [Maple Grove Nursing Home, Inc](https://carefield.site/operator/op-maple-grove-nursing-home-inc) - CMS chain: not part of a CMS-reported chain - Phone: 2075326593 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/205083 ## Inspection record 9 inspections in the CMS window (latest 2026-07-30); 39 citations (26 health, 13 fire safety); 1 at actual harm and 0 at immediate jeopardy; 2 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2023-11-14 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Past non-compliance; complaint survey - 2026-07-30 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity E (No actual harm, potential for more than minimal harm); Plan of correction, not yet verified; complaint survey - 2025-05-22 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0293](https://carefield.site/deficiency/cms-k0293) Have properly located and lighted "Exit" signs. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0355](https://carefield.site/deficiency/cms-k0355) Properly select, install, inspect, or maintain portable fire extinguishes. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0761](https://carefield.site/deficiency/cms-k0761) To conduct inspection, testing and maintenance of fire doors by qualified individuals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0911](https://carefield.site/deficiency/cms-k0911) Meet requirements for the installation and maintenance of electrical systems. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0914](https://carefield.site/deficiency/cms-k0914) Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [K-0920](https://carefield.site/deficiency/cms-k0920) Ensure proper usage of power strips and extension cords. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0609](https://carefield.site/deficiency/cms-f0609) Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-22 — [F-0610](https://carefield.site/deficiency/cms-f0610) Respond appropriately to all alleged violations. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-05-22 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0655](https://carefield.site/deficiency/cms-f0655) Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0657](https://carefield.site/deficiency/cms-f0657) Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-05-22 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - …and 19 more on the source page. ## Penalties - 2023-11-14 — Civil money penalty (fine): $11,450 ## Staffing (PBJ, hours per resident per day) - Total nurse: 4.12857 (state avg 4.38581, US 3.90085) - RN: 0.83003 - Nursing staff turnover: 43.2% ## Owners and managers of record (CMS disclosures) - James Brown — Direct owner, 100%, since 2021-12-31 - James Brown — Indirect owner, since 2021-12-31 - Hassan Abouleish — Operational / managerial control, since 2015-01-01 - Dana Brown — Operational / managerial control, since 2024-12-01 - James Brown — Operational / managerial control, since 1996-07-01 - Ashley Russell — Operational / managerial control, since 2020-01-01 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=205083&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-205083 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.