Madonna Manor
2344 Amsterdam Road, Villa Hills, KY 41017
Madonna Manor, a 60-bed non profit - church related nursing facility in Villa Hills, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #213 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8594266400
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #213 of 265
- In-state rank among rated KY homes
- 6.85
- Well above average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 6 serious
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For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Madonna Manor, a 60-bed non profit - church related nursing facility in Villa Hills, KY, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #213 of 265 rated homes in KY on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 6 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #213 of 265
- In-state rank among rated KY homes
- 6.85
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 6 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 267 KY nursing homes split by ownership sector
This facility is recorded as Non profit - Church related. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 185241
- Ownership
- Non profit - Church related
- Provider Type
- Medicare and Medicaid
- Beds
- 60
- Residents
- 55
- In Hospital
- No
- County
- Kenton
- Last Inspection
- Dec 5, 2025
Staffing Data
How the 6.85 total nursing hours per resident-day are staffed:
- RN Hours
- 0.94 (nat'l avg: 0.69)
- LPN Hours
- 1.07
- CNA Hours
- 4.83
- Total Nursing Hours
- 6.85 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 63.3%
- RN Turnover
- 56.3%
What the CMS Record Reveals About Madonna Manor
According to CMS Nursing Home Compare, Madonna Manor ranks #213 of 265 rated nursing homes in KY on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madonna Manor operates 60 certified beds in Villa Hills, KY with approximately 55 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 4★ · quality 3★).
The inspection file contains 21 deficiency records from recent surveys, of which 6 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $181K levied against this facility. Reported nurse staffing runs 6.85 total hours per resident day (national average 3.86); RN hours specifically are 0.94 per resident day.
Classified as "Non profit - Church related" ownership and operating as a "Medicare and Medicaid" provider, Madonna Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 63.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 23, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 1, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 1, 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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 1, 2025
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Feb 1, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 1, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 1, 2025
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Feb 1, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 1, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 1, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Feb 1, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Oct 21, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Oct 21, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Oct 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 13, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 13, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Dec 13, 2019
Make sure that a working call system is available in each resident's bathroom and bathing area.
Category: Environmental Deficiencies
Corrected: Dec 13, 2019
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 13, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 10.7% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 83.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 75.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 20.5% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 40.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 82.7% | No |
Penalty History 2 penalties totaling $181K
| Date | Type | Amount |
|---|---|---|
| Aug 23, 2025 | Fine | $19K |
| Jan 3, 2025 | Fine | $162K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Madonna Manor, both outside KY so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside KY (60 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside KY (4.88 here).
Nearby Nursing Homes in KY
266 other nursing homes are on record in KY; 6 are shown here.
Auburn Nursing and Rehabilitation Center
Auburn, KY
Baptist Health Hardin
Elizabethtown, KY
Barbourville Health and Rehabilitation Center
Barbourville, KY
Bardstown Health & Rehabilitation
Bardstown, KY
Barren County Nursing and Rehabilitation
Glasgow, KY
Beaver Dam Nursing & Rehab Center, INC
Beaver Dam, KY
Understanding Nursing Home Data
What the CMS records show for Madonna Manor
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The KY registry aggregates state averages and the highest-rated homes in this cohort. View KY registry
- Peer homes near 60 beds show how CMS stars vary at a similar scale in KY. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Madonna Manor?
Where does Madonna Manor rank among nursing homes in KY?
What are the staffing levels at Madonna Manor?
How many beds does Madonna Manor have?
Does Madonna Manor have any deficiencies on record?
Has Madonna Manor received any fines or penalties?
Who owns Madonna Manor?
When was Madonna Manor last inspected?
What quality measures are tracked for Madonna Manor?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
