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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.75

Registered nurse staffing

LPN hours / resident day

0.78

Licensed practical nurse staffing

Aide hours / resident day

2.86

Nurse aide staffing

Weekend hours

3.59

Weekend nurse staffing

RN turnover

46%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

0% 18 facilities 2009-12-10
Crowne Operations, Inc

5% Or Greater Direct Ownership Interest · Organization

0% 18 facilities 2003-11-01
Dunnam, Noel

Corporate Director · Individual

0% 18 facilities 2015-06-11
Dunnam, Noel

Corporate Officer · Individual

0% 18 facilities 2015-06-11
Jennifer Jones Mcinnish Family Dynasty Trust #1

5% Or Greater Indirect Ownership Interest · Organization

0% 16 facilities 2016-12-31
Jones, Joseph

Corporate Director · Individual

0% 18 facilities 2003-12-01
Jones, Richard

Corporate Director · Individual

0% 21 facilities 2003-12-01
Jones, Richard

Corporate Officer · Individual

0% 21 facilities 2015-06-11
Manning, Marcus

Corporate Director · Individual

0% 18 facilities 2015-06-11
Richard Bryan Jones Family Dynasty Trust #1

5% Or Greater Indirect Ownership Interest · Organization

0% 16 facilities 2016-12-31
Smith, Felita

W-2 Managing Employee · Individual

0% 1 facilities 2003-11-01
Wilder, John

Corporate Director · Individual

0% 18 facilities 2003-12-01

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