Cycle 1
Health 2024-08-15 · Fire 2024-08-15
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Madison, AL
Madison Manor Nursing Home
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
3891 Sullivan St, Madison, AL
(256) 772-9243
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Crowne Health Care
Operator or chain grouping
Approved since
1982-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 4 overall / 4 health / 4 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.75
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.78
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.86
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.39
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
4.56
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,309
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.04
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Performance 22.60% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.66
Baseline 6.28% · Performance 6.44% · Measure score 4.66 · Achievement 4.66 · Improvement 0
Total nurse turnover
0
Baseline 55.26% · Performance 63.83% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.95
Baseline 4.17 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 1.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.86% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 47 · Observed rate 4.26% · Lower 95% interval 6.57% |
| Discharge to community | 42.88% |
50.57%
7.7 pts worse
|
No Different than the National Rate · Eligible stays 26 · Observed rate 34.62% · Lower 95% interval 28.46% |
| Medicare spending per beneficiary | 0.85 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 73.91% |
95.27%
21.4 pts worse
|
Numerator 17 · Denominator 23 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 23 |
| Discharge self-care score | 45.45% |
53.69%
8.2 pts worse
|
Numerator 10 · Denominator 22 |
| Discharge mobility score | 18.18% |
50.94%
32.8 pts worse
|
Numerator 4 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 4.35% |
2.29%
2.1 pts worse
|
Numerator 1 · Denominator 23 · Adjusted rate 2.6% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 3.01% |
| Staff COVID-19 vaccination coverage | 5.56% |
8.2%
2.6 pts worse
|
Numerator 6 · Denominator 108 |
| Staff flu vaccination coverage | 21.12% |
42%
20.9 pts worse
|
Numerator 34 · Denominator 161 |
| Discharge function score | 40.91% |
56.45%
15.5 pts worse
|
Numerator 9 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 4.2 |
2.0
2.2 pts worse
|
1.9
2.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.2 · Observed 2.9 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.8
0.1 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
91.3%
4.7 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 95.7% · Q3 97.0% · Q4 100.0% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 69.3% |
94.8%
25.5 pts worse
|
95.5%
26.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 69.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.4%
0.9 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 4.5% · Q4 4.5% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
1.3%
0.3 pts worse
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.3% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 9.7% |
5.3%
4.4 pts worse
|
5.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 8.1% · Q3 10.9% · Q4 9.4% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
24.9%
7.8 pts better
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 22.2% · Q3 15.8% · Q4 14.3% · 4Q avg 17.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.4% |
22.8%
4.4 pts better
|
16.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 19.6% · Q3 22.4% · Q4 13.6% · 4Q avg 18.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.4% |
0.6%
0.2 pts better
|
0.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.2% |
14.8%
4.4 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% |
13.4%
4.6 pts worse
|
14.9%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 14.0% · Q3 8.7% · Q4 18.4% · 4Q avg 18.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
1.3%
0.1 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.4% · Q3 0.0% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.2% |
2.6%
2.6 pts worse
|
1.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.2% · Q3 1.6% · Q4 4.7% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.5% |
13.5%
6 pts better
|
19.8%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 4.5% · Q3 9.3% · Q4 6.2% · 4Q avg 7.5% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
5.7%
2.4 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 4.9% · Q3 4.0% · Q4 3.2% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.8% |
84.3%
14.5 pts worse
|
81.7%
11.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 43.3% · Q3 73.2% · Q4 86.4% · 4Q avg 69.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.8% |
11.5%
8.7 pts better
|
12.0%
9.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.8% · Observed 2.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.1%
0.5 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 4.2% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 53.1% |
80.3%
27.2 pts worse
|
79.7%
26.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 53.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.8% |
24.5%
9.3 pts worse
|
23.9%
9.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 33.8% · Observed 27.0% · Expected 19.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-07-25 · Fire 2019-07-25
3 health deficiencies
Top issue: Environmental (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2018-06-21 · Fire 2018-06-21
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-15
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2024-09-25
D · Potential for more than minimal harm
2024-08-15
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-25
E · Potential for more than minimal harm
2019-07-25
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2019-08-28
E · Potential for more than minimal harm
2019-07-25
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-28
D · Potential for more than minimal harm
2019-07-25
K343 · Smoke Deficiencies
Fire Safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2019-08-28
D · Potential for more than minimal harm
2019-07-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-08-28
D · Potential for more than minimal harm
2019-07-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-08-28
F · Potential for more than minimal harm
2018-06-21
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2018-08-02
D · Potential for more than minimal harm
2018-06-21
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2018-08-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-08-15
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-19
D · Potential for more than minimal harm
2024-08-15
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-19
D · Potential for more than minimal harm
2024-08-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-19
F · Potential for more than minimal harm
2019-07-25
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2019-08-29
D · Potential for more than minimal harm
2019-07-25
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-08-29
D · Potential for more than minimal harm
2019-07-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-29
D · Potential for more than minimal harm
2018-06-21
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-07-26
D · Potential for more than minimal harm
2018-06-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2018-07-26
Penalties and ownership
What sits behind the stars
Ownership
Crowne Management, LLC
Operational/Managerial Control · Organization
Crowne Operations, Inc
5% Or Greater Direct Ownership Interest · Organization
Dunnam, Noel
Corporate Director · Individual
Dunnam, Noel
Corporate Officer · Individual
Jennifer Jones Mcinnish Family Dynasty Trust #1
5% Or Greater Indirect Ownership Interest · Organization
Jones, Joseph
Corporate Director · Individual
Jones, Richard
Corporate Director · Individual
Jones, Richard
Corporate Officer · Individual
Manning, Marcus
Corporate Director · Individual
Richard Bryan Jones Family Dynasty Trust #1
5% Or Greater Indirect Ownership Interest · Organization
Smith, Felita
W-2 Managing Employee · Individual
Wilder, John
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Valley View Health And Rehabilitation, LLC
Madison, AL
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
The Health Center At Research Park
Huntsville, AL
1-star overall rating with 1-star inspections with abuse icon flag with $69,011 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Brookshire Healthcare Center
Huntsville, AL
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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