About Madonna Manor
Madonna Manor, located in Villa Hills, KY, is a non-profit organization that accepts Medicare and Medicaid. This facility is part of a continuing care retirement community.
Why Families Choose Madonna Manor
- More Nursing Time: Staff spends 5.62 hours per resident daily (National Avg: 3.87).
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 5.62 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the COMMONSPIRIT HEALTH network. This chain operates 19 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Above Average Staffing
Madonna Manor provides more care hours than the state average and more than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 3 |
|
| Staffing | 4 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 95 | Dec 05, 2025 |
| Weighted Average | 148 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 33.5% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 9.8% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.2% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.4% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 12.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 9.8% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 1.1% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 1.4% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 76.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 8.1% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 86.3% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 54.3% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 12.8% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 20.0% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 100.0% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 82.7% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 8.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 23.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 16.7% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2024: 1 complaint
- 2025: 11 complaints
- Total: 12 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Sep 23, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Feb 01, 2025 | Provide and implement an infection prevention and control program. |
| Feb 01, 2025 | 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. |
| Feb 01, 2025 | Ensure that residents are free from significant medication errors. |
| Feb 01, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Feb 01, 2025 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Feb 01, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted |
| Feb 01, 2025 | Keep residents' personal and medical records private and confidential. |
| Feb 01, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Feb 01, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| Feb 01, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Oct 21, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
Nearby Hospitals
ST ELIZABETH FLORENCE
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THE JEWISH HOSPITAL-MERCY HEALTH
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MERCY HEALTH - CLERMONT HOSPITAL
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CINCINNATI VA MEDICAL CENTER
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SPRINGFIELD REGIONAL MEDICAL CENTER
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GOOD SAMARITAN HOSPITAL
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MERCY HEALTH-ANDERSON HOSPITAL
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ST ELIZABETH EDGEWOOD
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ST ELIZABETH FT THOMAS
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ST ELIZABETH DEARBORN HOSPITAL
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CHRIST HOSPITAL
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INCOMPASS HEALTHCARE
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MERCY HEALTH KINGS MILLS HOSPITAL LLC
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SUN BEHAVIORAL HEALTH
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Owner & Operator Information
Business Entity
MADONNA MANOR, INC.
Ownership Structure
- CHI LIVING COMMUNITIES Direct: 100%
- COMMONSPIRIT HEALTH Indirect
Management & Direction
- ROGER BRINSON OPERATIONAL/MANAGERIAL CONTROL
- CAITLIN CECIL ADP OF THE SNF
- CAITLIN CECIL OPERATIONAL/MANAGERIAL CONTROL
- CAITLIN CECIL CORPORATE DIRECTOR
- CHI LIVING COMMUNITIES ADP OF THE SNF
- CHI LIVING COMMUNITIES OPERATIONAL/MANAGERIAL CONTROL
- COMMONSPIRIT HEALTH ADP OF THE SNF
- COMMONSPIRIT HEALTH OPERATIONAL/MANAGERIAL CONTROL
- CONCEPT REHAB INC. ADP OF THE SNF
- DENISE CORROU ADP OF THE SNF
- DENISE CORROU OPERATIONAL/MANAGERIAL CONTROL
- DICON HEALTH SERVICES INC. ADP OF THE SNF
- DICON HEALTH SERVICES INC. OPERATIONAL/MANAGERIAL CONTROL
- ELAINE EVANS OPERATIONAL/MANAGERIAL CONTROL
- CHRISTINA FINN OPERATIONAL/MANAGERIAL CONTROL
- CHRISTINA FINN CORPORATE DIRECTOR
- CHRISTINA FINN ADP OF THE SNF
- FORVIS MAZARS LLP ADP OF THE SNF
- FORVIS MAZARS LLP OPERATIONAL/MANAGERIAL CONTROL
- STACEY GRUBBS CORPORATE DIRECTOR
- STACEY GRUBBS ADP OF THE SNF
- STACEY GRUBBS OPERATIONAL/MANAGERIAL CONTROL
- TED HAZARD ADP OF THE SNF
- TED HAZARD CORPORATE DIRECTOR
- TED HAZARD OPERATIONAL/MANAGERIAL CONTROL
- CASEY HOWARD ADP OF THE SNF
- CASEY HOWARD OPERATIONAL/MANAGERIAL CONTROL
- ALISA IFFLAND ADP OF THE SNF
- ALISA IFFLAND OPERATIONAL/MANAGERIAL CONTROL
- ALISA IFFLAND CORPORATE OFFICER
- KELASH KUMAR ADP OF THE SNF
- KELASH KUMAR OPERATIONAL/MANAGERIAL CONTROL
- PRENTICE LIPSEY CORPORATE OFFICER
- PRENTICE LIPSEY MANAGING CONTROL - GOVERNING BODY
- JOAN LONGHIN-HOWARD ADP OF THE SNF
- JOAN LONGHIN-HOWARD OPERATIONAL/MANAGERIAL CONTROL
- GINA LUCAS ADP OF THE SNF
- DALE LUNSFORD OPERATIONAL/MANAGERIAL CONTROL
- MITCH MELFI MANAGING CONTROL - GOVERNING BODY
- KYLE MUNROE OPERATIONAL/MANAGERIAL CONTROL
- KYLE MUNROE ADP OF THE SNF
- KYLE MUNROE CORPORATE DIRECTOR
- SHELLY MURRIEL CORPORATE DIRECTOR
- SHELLY MURRIEL OPERATIONAL/MANAGERIAL CONTROL
- SHELLY MURRIEL ADP OF THE SNF
- JENNIFER NAGEL ADP OF THE SNF
- JENNIFER NAGEL OPERATIONAL/MANAGERIAL CONTROL
- JENNIFER NAGEL CORPORATE DIRECTOR
- OHIO NEWSPAPERS INC. OPERATIONAL/MANAGERIAL CONTROL
- OHIO NEWSPAPERS INC. ADP OF THE SNF
- MICHELE OWENS OPERATIONAL/MANAGERIAL CONTROL
- PRELUDE SYSTEMS INC. OPERATIONAL/MANAGERIAL CONTROL
- PRELUDE SYSTEMS INC. ADP OF THE SNF
- KELLIE REEVES OPERATIONAL/MANAGERIAL CONTROL
- HEATHER REHMER ADP OF THE SNF
- HEATHER REHMER OPERATIONAL/MANAGERIAL CONTROL
- HEATHER REHMER CORPORATE OFFICER
- TERIKA RICHARDSON MBANU MANAGING CONTROL - GOVERNING BODY
- RICHTER AND ASSOCIATES ADP OF THE SNF
- SKILLED CARE PHARMACY LLC OPERATIONAL/MANAGERIAL CONTROL
- SKILLED CARE PHARMACY LLC ADP OF THE SNF
- BARBARA SNODGRASS CORPORATE DIRECTOR
- BARBARA SNODGRASS ADP OF THE SNF
- DIANNE SOUKUP-MCFARLAND OPERATIONAL/MANAGERIAL CONTROL
- DIANNE SOUKUP-MCFARLAND ADP OF THE SNF
- KATHRYN STIDHAM ADP OF THE SNF
- SYLVANIA FRANCISCAN HEALTH ADP OF THE SNF
- PAMELA TEMPLE OPERATIONAL/MANAGERIAL CONTROL
- THE NORTHERN TRUST COMPANY OPERATIONAL/MANAGERIAL CONTROL
- THE NORTHERN TRUST COMPANY ADP OF THE SNF
- LINDA THOMAS OPERATIONAL/MANAGERIAL CONTROL
- ULRICHPINCIOTTI DESIGN GROUP LLC OPERATIONAL/MANAGERIAL CONTROL
- ULRICHPINCIOTTI DESIGN GROUP LLC ADP OF THE SNF
- JENNIFER VOELKER ADP OF THE SNF
- JENNIFER VOELKER OPERATIONAL/MANAGERIAL CONTROL
- MATTHEW WINE OPERATIONAL/MANAGERIAL CONTROL
- MATTHEW WINE ADP OF THE SNF
- MATTHEW WINE CORPORATE DIRECTOR
- MITZI YELTON OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| St Elizabeth Ft Thomas Snf | N/A | 5 |
| Atlantes The | N/A | 5 |
| Twin Lakes | N/A | 5 |
| Gallatin Nursing and Rehab | N/A | 4 |
| Glen The | N/A | 5 |
| Siena Gardens Rehabilitation and Transitional Care | N/A | 5 |
| Harrison Trail Health Campus | N/A | 5 |
| Venetian Gardens | N/A | 4 |
| Mount Notre Dame Health Center | N/A | 5 |
| Birchwood Care Center | N/A | 5 |
Related Analysis
Best Nursing Homes in Villa Hills, KY
Compare Madonna Manor to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Madonna Manor directly at 8594266400. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.