Federal inspection record · CMS data as of October 1, 2026
Madonna Manor
2344 Amsterdam Road, Villa Hills, KY · (859) 426-6400
- Certified beds
- 60
- Residents per day
- 54
- Ownership
- Non-Profit
- Chain
- Commonspirit Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 7, 1990
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kentucky.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kentucky homes
Madonna Manor carries 110.25 inspection points. That is fewer than 7% of Kentucky's 265 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kentucky: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–2 pts
- 4★ 2–11 pts
- 3★ 11–22 pts
- 2★ 22–45 pts
- 1★ over 45 pts
Bars show every rated home in Kentucky by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that residents are free from significant medication errors.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
Resident Rights4D
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
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.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-12-05
2 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-08-23
14 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2019-10-25
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 55 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
5 h 55 min
Kentucky average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 58% of nursing staff and 69% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$181,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-23 | Fine | $19,145 |
| 2025-01-03 | Fine | $162,133 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.8 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine25.2 pts worse | 68.9% | 94.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts worse | 91.1% | 96.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts worse | 7.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms72.2 pts worse | 91.1% | 18.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 10.1% | 6.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.2 pts better | 21.7% | 29.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.8 pts worse | 24.0% | 16.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5 pts better | 7.3% | 12.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts better | 6.3% | 13.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.5% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.7% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.8 pts better | 9.5% | 18.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.7 pts worse | 7.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine53.7 pts worse | 30.8% | 84.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 15.8% | 13.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 1.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine47.9 pts worse | 35.8% | 83.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission8.7 pts worse | 32.6% | 23.9% | 23.4% |
·
Who owns and runs it
82 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Chi Living Communities | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 18 facilities |
| Brinson, Roger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cecil, Caitlin | Corporate Director · Individual | 0% | 8 facilities |
| Cecil, Caitlin | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Cecil, Caitlin | Adp Of The SNF · Individual | 0% | 8 facilities |
| Chi Living Communities | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Chi Living Communities | Adp Of The SNF · Organization | 0% | 5 facilities |
| Commonspirit Health | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Commonspirit Health | Adp Of The SNF · Organization | 0% | 18 facilities |
| Concept Rehab, Inc. | Adp Of The SNF · Organization | 0% | 22 facilities |
| Corrou, Denise | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Corrou, Denise | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dicon Health Services, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Dicon Health Services, Inc. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Evans, Elaine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Finn, Christina | Corporate Director · Individual | 0% | 8 facilities |
| Finn, Christina | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Finn, Christina | Adp Of The SNF · Individual | 0% | 8 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Grubbs, Stacey | Corporate Director · Individual | 0% | 8 facilities |
| Grubbs, Stacey | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Grubbs, Stacey | Adp Of The SNF · Individual | 0% | 8 facilities |
| Hazard, Ted | Corporate Director · Individual | 0% | 8 facilities |
| Hazard, Ted | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Hazard, Ted | Adp Of The SNF · Individual | 0% | 8 facilities |
| Howard, Casey | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Howard, Casey | Adp Of The SNF · Individual | 0% | 8 facilities |
| Iffland, Alisa | Corporate Officer · Individual | 0% | 8 facilities |
| Iffland, Alisa | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Iffland, Alisa | Adp Of The SNF · Individual | 0% | 8 facilities |
| Kumar, Kelash | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kumar, Kelash | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lipsey, Prentice | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Lipsey, Prentice | Corporate Officer · Individual | 0% | 8 facilities |
| Longhin-Howard, Joan | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Longhin-Howard, Joan | Adp Of The SNF · Individual | 0% | 8 facilities |
| Lucas, Gina | Adp Of The SNF · Individual | 0% | 8 facilities |
| Lunsford, Dale | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mbanu, Terika | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Mcfarland, Dianne | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Mcfarland, Dianne | Adp Of The SNF · Individual | 0% | 8 facilities |
| Melfi, Mitch | Managing Control - Governing Body · Individual | 0% | 12 facilities |
| Munroe, Kyle | Corporate Director · Individual | 0% | 8 facilities |
| Munroe, Kyle | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Munroe, Kyle | Adp Of The SNF · Individual | 0% | 8 facilities |
| Murriel, Shelly | Corporate Director · Individual | 0% | 8 facilities |
| Murriel, Shelly | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Murriel, Shelly | Adp Of The SNF · Individual | 0% | 8 facilities |
| Nagel, Jennifer | Corporate Director · Individual | 0% | 8 facilities |
| Nagel, Jennifer | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Nagel, Jennifer | Adp Of The SNF · Individual | 0% | 8 facilities |
| Ohio Newspapers, Inc. | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Ohio Newspapers, Inc. | Adp Of The SNF · Organization | 0% | 6 facilities |
| Owens, Michele | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Prelude Systems, Inc. | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Prelude Systems, Inc. | Adp Of The SNF · Organization | 0% | 5 facilities |
| Reeves, Kellie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rehmer, Heather | Corporate Officer · Individual | 0% | 8 facilities |
| Rehmer, Heather | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Rehmer, Heather | Adp Of The SNF · Individual | 0% | 8 facilities |
| Richter And Associates | Adp Of The SNF · Organization | 0% | 11 facilities |
| Skilled Care Pharmacy LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Skilled Care Pharmacy LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Snodgrass, Barbara | Corporate Director · Individual | 0% | 8 facilities |
| Snodgrass, Barbara | Adp Of The SNF · Individual | 0% | 8 facilities |
| Stidham, Kathryn | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sylvania Franciscan Health | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Sylvania Franciscan Health | Adp Of The SNF · Organization | 0% | 8 facilities |
| Temple, Pamela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| The Northern Trust Company | Operational/Managerial Control · Organization | 0% | 5 facilities |
| The Northern Trust Company | Adp Of The SNF · Organization | 0% | 5 facilities |
| Thomas, Linda | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ulrichpinciotti Design Group, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ulrichpinciotti Design Group, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Voelker, Jennifer | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Voelker, Jennifer | Adp Of The SNF · Individual | 0% | 5 facilities |
| Wine, Matthew | Corporate Director · Individual | 0% | 8 facilities |
| Wine, Matthew | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Wine, Matthew | Adp Of The SNF · Individual | 0% | 8 facilities |
| Yelton, Mitzi | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
- D
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Smoke4F
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Have exits that are accessible at all times.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
·
Other homes nearby
-
Brookside Healthcare Center
Cincinnati, OH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0
-
Village Care Center
Erlanger, KY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
VillaSpring of Erlanger
Erlanger, KY · Carespring
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 52 min
- Fines
- $0