Nursing HomeInspections

Madonna Manor

Nursing home in Villa Hills, KY

Medicare & Medicaid certified1★ overall (CMS)

Call (859) 426-6400Send a messageMap ↗

Public-record details

Address
2344 Amsterdam Road, Villa Hills, KY 41017
Phone
(859) 426-6400
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
185241
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
60
Average residents per day
55
Ownership
Nonprofit, church related
Legal business name
Madonna Manor, INC.
Chain
Commonspirit Health (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 7, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 185241. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 5, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 25, 2019 to Dec 5, 2025): 12 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 5, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 23, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Feb 27, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 27, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 3, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 3, 2025Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 3, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 3, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Jan 3, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		J
Immediate jeopardy, isolated
Jan 3, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection		J
Immediate jeopardy, isolated
Jan 3, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $181,278 in the last three years.

Aug 23, 2025Fine: $19,145
Jan 3, 2025Fine: $162,133

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
6.85 hours
Registered nurse (RN) time per resident per day
0.94 hours
Nurse aide time per resident per day
4.83 hours
Total nurse staffing on weekends
6.37 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
56%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.