Madonna Manor
CCN: 185241 · Villa Hills, KY 41017 · Kenton County
Overview
- Address
- 2344 Amsterdam Road, Villa Hills, KY 41017
- Phone
- 8594266400
- Certified beds
- 60
- Avg daily residents
- 55 (91% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-11-07
- Setting
- Urban
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.42 | 4.15 | 5.04 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.12 | 0.73 | 1.04 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.64 | 0.92 | 0.60 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.65 | 2.50 | 3.40 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.77 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.00 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-08-23 | 4 | 3 | 2 | 87 | 1 | 87 |
| Cycle 2/3 (prior) | 2019-10-25 | 15 | 5 | 10 | 322 | 1 | 322 |
Deficiencies (24)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-08-23 | 2025-09-23 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-02-27 | 2025-02-01 |
| 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-02-27 | 2025-02-01 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2025-01-03 | 2025-02-01 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2025-01-03 | 2025-02-01 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | 2025-01-03 | 2025-02-01 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-01-03 | 2025-02-01 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-03 | 2025-02-01 |
| 0760 | Ensure that residents are free from significant medication errors. | J | 2025-01-03 | 2025-02-01 |
| 0761 | 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. | D | 2025-01-03 | 2025-02-01 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-01-03 | 2025-02-01 |
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-23 | 2024-10-21 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-08-23 | 2024-10-21 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-23 | 2024-10-21 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-10-25 | 2019-12-13 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-10-25 | 2019-12-13 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2019-10-25 | 2019-12-13 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2019-10-25 | 2019-12-13 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2019-10-25 | 2019-12-13 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2018-09-14 | 2018-10-20 |
| 0659 | Provide care by qualified persons according to each resident's written plan of care. | D | 2018-09-14 | 2018-10-20 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2018-09-14 | 2018-10-20 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2018-09-14 | 2018-10-20 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2018-09-14 | 2018-10-20 |
Penalties (2)
| Date | Type | Fine amount |
|---|---|---|
| 2025-08-23 | Fine | $19,145 |
| 2025-01-03 | Fine | $162,133 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: COMMONSPIRIT HEALTH
- Chain ID
151- Facilities in chain
- 19
- Legal business name
- MADONNA MANOR, INC.
Owner / manager organizations (12)
| Organization | Role | Association |
|---|---|---|
| CHI LIVING COMMUNITIES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/01/2014 |
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2014 |
| SYLVANIA FRANCISCAN HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/01/2014 |
| CHI LIVING COMMUNITIES | OPERATIONAL/MANAGERIAL CONTROL | since 04/10/2017 |
| COMMONSPIRIT HEALTH | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2014 |
| DICON HEALTH SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 09/02/2022 |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2011 |
| OHIO NEWSPAPERS, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 07/11/2011 |
| PRELUDE SYSTEMS, INC. | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2017 |
| SKILLED CARE PHARMACY LLC | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2024 |
| THE NORTHERN TRUST COMPANY | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2014 |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2011 |
Owner / manager individuals (36)
| Name | Role | Association |
|---|---|---|
| BRINSON, ROGER | OPERATIONAL/MANAGERIAL CONTROL | since 08/04/2022 |
| CECIL, CAITLIN | OPERATIONAL/MANAGERIAL CONTROL | since 06/08/2021 |
| CORROU, DENISE | OPERATIONAL/MANAGERIAL CONTROL | since 08/30/2021 |
| EVANS, ELAINE | OPERATIONAL/MANAGERIAL CONTROL | since 10/26/2022 |
| FINN, CHRISTINA | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2017 |
| GRUBBS, STACEY | OPERATIONAL/MANAGERIAL CONTROL | since 03/26/2012 |
| HAZARD, TED | OPERATIONAL/MANAGERIAL CONTROL | since 11/08/2017 |
| HOWARD, CASEY | OPERATIONAL/MANAGERIAL CONTROL | since 05/01/2022 |
| IFFLAND, ALISA | OPERATIONAL/MANAGERIAL CONTROL | since 01/06/2017 |
| KUMAR, KELASH | OPERATIONAL/MANAGERIAL CONTROL | since 06/01/2024 |
| LONGHIN-HOWARD, JOAN | OPERATIONAL/MANAGERIAL CONTROL | since 04/16/2007 |
| LUNSFORD, DALE | OPERATIONAL/MANAGERIAL CONTROL | since 04/12/2019 |
| MUNROE, KYLE | OPERATIONAL/MANAGERIAL CONTROL | since 09/08/2015 |
| MURRIEL, SHELLY | OPERATIONAL/MANAGERIAL CONTROL | since 09/09/2024 |
| NAGEL, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | since 11/12/2015 |
| OWENS, MICHELE | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2023 |
| REEVES, KELLIE | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2024 |
| REHMER, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2024 |
| SOUKUP-MCFARLAND, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | since 12/18/2023 |
| TEMPLE, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | since 05/25/2022 |
| THOMAS, LINDA | OPERATIONAL/MANAGERIAL CONTROL | since 05/27/2023 |
| VOELKER, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2019 |
| WINE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | since 10/01/2018 |
| YELTON, MITZI | OPERATIONAL/MANAGERIAL CONTROL | since 06/06/2022 |
| CECIL, CAITLIN | CORPORATE DIRECTOR | since 06/18/2012 |
Showing 25 of 36 individuals. Full list in CSV.
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- Yes
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $37 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.12 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 22.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-2,665,990 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $12,578,863 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 63.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -23.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $53,576,243 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,083,045 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $13,434,830 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $40,141,413 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -20.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.59891 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.39936 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.04437 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.04263 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.45403 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 54.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.92036 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.50134 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.72545 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.14716 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.65528 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.7 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.1 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.3 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 151 | Chain ID |
| Provider Information | Chain Name | COMMONSPIRIT HEALTH | Chain Name |
| Provider Information | City/Town | Villa Hills | City/Town |
| Provider Information | CMS Certification Number (CCN) | 185241 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | Y | Continuing Care Retirement Community |
| Provider Information | County/Parish | Kenton | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1990-11-07 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.0673 | Latitude |
| Provider Information | Legal Business Name | MADONNA MANOR, INC. | Legal Business Name |
| Provider Information | Location | 2344 Amsterdam Road,Villa Hills,KY,41017 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.583 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 60 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 19 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.46915 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.06642 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2344 Amsterdam Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Madonna Manor | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 580 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 87 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 3 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-08-23 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 87 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 4 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-10-25 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 322 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 10 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 322 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 15 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.53720 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.76510 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.64331 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.65137 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00000 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.12179 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.41647 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | KY | State |
| Provider Information | Telephone Number | 8594266400 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 181278.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.78422 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 145.750 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 41017 | ZIP Code |