Madonna Manor
Madonna Manor is a 60-bed nursing home in Villa Hills, Kentucky. CMS has certified it for Medicare and Medicaid since 1990-11-07. It averages 54.5 residents a day.
What harm was found in the violations cited at Madonna Manor?
CMS lists 21 health-inspection deficiencies for Madonna Manor since 2019-10-25, 16 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-05 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-12-05 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-08-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-02-27 | F0604, F0607 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2025-01-03 | F0580, F0655, F0684, F0760 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. | J |
| 2025-01-03 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-01-03 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-01-03 | F0583, F0761 | Keep residents' personal and medical records private and confidential. / 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. | D |
| 2024-08-23 | F0550, F0552, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2019-10-25 | F0880, F0919 | Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2019-10-25 | F0550, F0656, F0657 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
Why was Madonna Manor fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-08-23 | Fine | $19,145 |
| 2025-01-03 | Fine | $162,133 |
How is Madonna Manor staffed?
| Measure | This facility | KY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 6.84962 | 3.95044 |
| Total nursing staff turnover (%) | 63.3 | 46.4 |
| Average number of residents per day | 54.5 | 81.9 |
Who owns Madonna Manor, and what chain is it in?
Madonna Manor is registered with CMS as Non profit - Church related, operates under the legal business name MADONNA MANOR, INC. and belongs to the COMMONSPIRIT HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CHI LIVING COMMUNITIES | since 11/01/2014 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | COMMONSPIRIT HEALTH | since 11/01/2014 |
| INDIRECT OWNERSHIP INTEREST | SYLVANIA FRANCISCAN HEALTH | since 11/01/2014 |
| MANAGING CONTROL - GOVERNING BODY | LIPSEY, PRENTICE, MBANU, TERIKA, MELFI, MITCH | since 01/05/2024 |
| CORPORATE DIRECTOR | CECIL, CAITLIN, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, SNODGRASS, BARBARA, WINE, MATTHEW | since 03/06/2021 |
| CORPORATE OFFICER | IFFLAND, ALISA, LIPSEY, PRENTICE, REHMER, HEATHER | since 01/01/2022 |
| OPERATIONAL/MANAGERIAL CONTROL | CHI LIVING COMMUNITIES, COMMONSPIRIT HEALTH, DICON HEALTH SERVICES, INC., FORVIS MAZARS LLP, OHIO NEWSPAPERS, INC., PRELUDE SYSTEMS, INC., SKILLED CARE PHARMACY LLC, THE NORTHERN TRUST COMPANY, ULRICHPINCIOTTI DESIGN GROUP, LLC, BRINSON, ROGER, CECIL, CAITLIN, CORROU, DENISE, EVANS, ELAINE, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, HOWARD, CASEY, IFFLAND, ALISA, KUMAR, KELASH, LONGHIN-HOWARD, JOAN, LUNSFORD, DALE, MCFARLAND, DIANNE, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, OWENS, MICHELE, REEVES, KELLIE, REHMER, HEATHER, TEMPLE, PAMELA, THOMAS, LINDA, VOELKER, JENNIFER, WINE, MATTHEW, YELTON, MITZI | since 01/06/2017 |
| ADP OF THE SNF | CHI LIVING COMMUNITIES, COMMONSPIRIT HEALTH, CONCEPT REHAB, INC., DICON HEALTH SERVICES, INC., FORVIS MAZARS LLP, OHIO NEWSPAPERS, INC., PRELUDE SYSTEMS, INC., RICHTER AND ASSOCIATES, SKILLED CARE PHARMACY LLC, SYLVANIA FRANCISCAN HEALTH, THE NORTHERN TRUST COMPANY, ULRICHPINCIOTTI DESIGN GROUP, LLC, CECIL, CAITLIN, CORROU, DENISE, FINN, CHRISTINA, GRUBBS, STACEY, HAZARD, TED, HOWARD, CASEY, IFFLAND, ALISA, KUMAR, KELASH, LONGHIN-HOWARD, JOAN, LUCAS, GINA, MCFARLAND, DIANNE, MUNROE, KYLE, MURRIEL, SHELLY, NAGEL, JENNIFER, REHMER, HEATHER, SNODGRASS, BARBARA, STIDHAM, KATHRYN, VOELKER, JENNIFER, WINE, MATTHEW | since 01/05/2015 |