Madonna Manor

2344 Amsterdam Road, Villa Hills, KY 41017 · CCN 185241 · 60 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-08-23 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-01-03 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-01-03 — IMMEDIATE JEOPARDY (tag F0580, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-01-03 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-01-03 — IMMEDIATE JEOPARDY (tag F0655, severity J)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-01-03 — IMMEDIATE JEOPARDY (tag F0760, severity J)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

Staffing, from payroll records

Nursing hours / resident / day

6.23

state median 3.15

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −5%

RN hours / resident / day

0.73

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

63%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $181,278 in fines.

Date	Type	Amount
2025-08-23	Fine	$19,145
2025-01-03	Fine	$162,133

Ownership

Ownership type: Non profit - Church related. Part of the COMMONSPIRIT HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

COMMUNITY CONVALESCENT CENTER OF SAN BERNARDINO (SAN BERNARDINO, CA) — CMS overall5 of 5
MOUNT ST FRANCIS NURSING CENTER (COLORADO SPRINGS, CO) — CMS overall2 of 5
Bishop Drumm Retirement Center (Johnston, IA) — CMS overall1 of 5
ST FRANCIS HOME (BRECKENRIDGE, MN) — CMS overall5 of 5
LAKEWOOD CARE CENTER (BAUDETTE, MN) — CMS overall4 of 5
CHI Health St. Francis (Grand Island, NE) — CMS overall3 of 5
GARRISON MEM HOSP NSG FAC (GARRISON, ND) — CMS overall2 of 5
ST LEONARD HCC (CENTERVILLE, OH) — CMS overall3 of 5

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 15 · Immediate jeopardy: 5

Survey date	Tag	Category	Severity	Corrected
2025-12-05	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2025-12-05	F0880	Infection Control Deficiencies	D	not recorded
2025-08-23	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-02-27	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-02-27	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-01-03	F0580	Resident Rights Deficiencies	J	not recorded
2025-01-03	F0583	Resident Rights Deficiencies	D	not recorded
2025-01-03	F0655	Resident Assessment and Care Planning Deficiencies	J	not recorded
2025-01-03	F0684	Quality of Life and Care Deficiencies	J	not recorded
2025-01-03	F0686	Quality of Life and Care Deficiencies	G	not recorded
2025-01-03	F0760	Pharmacy Service Deficiencies	J	not recorded
2025-01-03	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-01-03	F0880	Infection Control Deficiencies	E	not recorded
2024-08-23	F0550	Resident Rights Deficiencies	D	not recorded
2024-08-23	F0552	Resident Rights Deficiencies	D	not recorded
2024-08-23	F0883	Infection Control Deficiencies	D	not recorded
2019-10-25	F0550	Resident Rights Deficiencies	D	not recorded
2019-10-25	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-10-25	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2019-10-25	F0880	Infection Control Deficiencies	E	not recorded
2019-10-25	F0919	Environmental Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Madonna Manor, Villa Hills” at medicare.gov/care-compare.