Kentucky › Kenton County › Villa Hills
Madonna Manor
2344 Amsterdam Road, Villa Hills, KY 41017
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Madonna Manor is a Non-profit, church related nursing home in Villa Hills, Kentucky, certified for 60 beds and caring for about 55 residents a day.
CMS gives it 1 of 5 stars overall, below the Kentucky median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (3, 13, 5 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 35.0 per 100 beds, more than the state median of 12.1.
CMS lists 2 penalties in the period covered: fines totalling $181K.
Reported nurse staffing is 6.8 hours per resident per day (0.9 RN), above the Kentucky median of 3.7; nursing staff turnover is 63.3%.
Compared with county, state and nation
| Measure | This facility | Kenton Co. median | Kentucky median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 12 | 10 | 28.7 |
| Citations per 100 beds | 35.0 | 14.8 | 12.1 | 26.8 |
| Total nurse hours per resident day | 6.8 | 4.4 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 63.3% | 52.5% | 45.1% | 45.8% |
| Fines listed | $181,278 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 267 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kentucky average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 23 Aug 2024.
Severity mix: J ×5 G ×1 D ×11 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Jan 2026 |
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 19 Jan 2026 |
| 23 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 23 Sep 2025 |
| 27 Feb 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 1 Feb 2025 |
| 27 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 1 Feb 2025 |
| 3 Jan 2025 | F0761 | 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 | Complaint investigation | 1 Feb 2025 |
| 23 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Oct 2024 |
| 23 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 21 Oct 2024 |
| 23 Aug 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 21 Oct 2024 |
| 25 Oct 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Dec 2019 |
| 25 Oct 2019 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 13 Dec 2019 |
| 25 Oct 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 13 Dec 2019 |
| 25 Oct 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Dec 2019 |
| 25 Oct 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Dec 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Aug 2025 | Fine | $19,145 | |
| 3 Jan 2025 | Fine | $162,133 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kentucky average. Turnover: nursing staff 63.3%, RNs 56.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kentucky median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | 13.0% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.6% | 3.5% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 13.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.1% | 15.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, church related. Legal business name: Madonna Manor, Inc.. Chain: Commonspirit Health (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Chi Living Communities | 5% or greater direct ownership interest | 100% | 11/01/2014 |
| Commonspirit Health | 5% or greater indirect ownership interest | 100% | 11/01/2014 |
| Sylvania Franciscan Health | Indirect ownership interest | NOT APPLICABLE | 11/01/2014 |
| Chi Living Communities | Operational/managerial control | NOT APPLICABLE | 04/10/2017 |
| Commonspirit Health | Operational/managerial control | NOT APPLICABLE | 11/01/2014 |
| Dicon Health Services, Inc. | Operational/managerial control | NOT APPLICABLE | 09/02/2022 |
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 07/01/2011 |
| Ohio Newspapers, Inc. | Operational/managerial control | NOT APPLICABLE | 07/11/2011 |
| Prelude Systems, Inc. | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Skilled Care Pharmacy LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2024 |
| The Northern Trust Company | Operational/managerial control | NOT APPLICABLE | 11/01/2014 |
| Ulrichpinciotti Design Group, LLC | Operational/managerial control | NOT APPLICABLE | 07/01/2011 |
| Chi Living Communities | Adp of the snf | NOT APPLICABLE | 11/01/2014 |
| Commonspirit Health | Adp of the snf | NOT APPLICABLE | 11/01/2014 |
| Concept Rehab, Inc. | Adp of the snf | NOT APPLICABLE | 01/05/2015 |
| Dicon Health Services, Inc. | Adp of the snf | NOT APPLICABLE | 04/07/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
| Ohio Newspapers, Inc. | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
| Prelude Systems, Inc. | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
| Richter and Associates | Adp of the snf | NOT APPLICABLE | 02/01/2019 |
| Skilled Care Pharmacy LLC | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
| Sylvania Franciscan Health | Adp of the snf | NOT APPLICABLE | 11/01/2014 |
| The Northern Trust Company | Adp of the snf | NOT APPLICABLE | 04/07/2025 |
| Ulrichpinciotti Design Group, LLC | Adp of the snf | NOT APPLICABLE | 03/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kenton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Elizabeth Edgewood SNF | Edgewood | 30 | 5 | 4 | 5 | 4 | 13.3 | — | 12 Feb 2026 |
| Rosedale Green | Covington | 176 | 4 | 5 | 2 | 7 | 4.0 | — | 17 Apr 2025 |
| Village Care Center | Erlanger | 100 | 4 | 4 | 4 | 18 | 18.0 | — | 19 Nov 2025 |
| Woodcrest Nursing and Rehabilitation Center | Elsmere | 127 | 4 | 4 | 2 | 3 | 2.4 | — | 22 May 2025 |
| Villaspring of Erlanger | Erlanger | 140 | 3 | 2 | 2 | 12 | 8.6 | — | 11 Sep 2025 |
| Emerald Trace | Elsmere | 54 | 2 | 2 | 4 | 8 | 14.8 | $9K | 22 Aug 2025 |
| The Pavilion At Kenton | Covington | 82 | 1 | 1 | 1 | 24 | 29.3 | — | 26 Mar 2026 |
All 8 facilities in Kenton County
Questions and answers
How many deficiencies has Madonna Manor been cited for?
21 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Kentucky median is 10 per facility.
Has Madonna Manor been fined?
Yes. CMS lists fines totalling $181K in the period covered.
How does staffing at Madonna Manor compare?
Reported total nurse staffing is 6.8 hours per resident per day against a Kentucky median of 3.7 and a national average of 3.9.
Who operates Madonna Manor?
It is part of the Commonspirit Health chain. Ownership type is non-profit, church related. Organisations in the CMS ownership record include Chi Living Communities, Commonspirit Health and Sylvania Franciscan Health. Individual owners and managers are not listed on this site.
When was Madonna Manor last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 5 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.