Madonna Manor
2344 Amsterdam Road · Villa Hills, KY · 41017 · 8594266400
60 certified beds Non profit - Church related Chain: Commonspirit Health Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $181,278 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$181,278 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.62 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.16 | 0.55–0.75 |
| Weekend hours / resident-day | 4.63 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $181,278 |
Inspection citations (21 in the current record)
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Potential for harm · F December 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 19, 2026 · Nutrition and Dietary
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Potential for harm · D December 5, 2025
Provide and implement an infection prevention and control program.
Corrected January 19, 2026 · Infection Control
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Immediate jeopardy · J August 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · D February 27, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected February 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 27, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 1, 2025 · Resident Rights
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Immediate jeopardy · J January 3, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 1, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J January 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 1, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 3, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 1, 2025 · Pharmacy Service
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Actual harm · G January 3, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 1, 2025 · Quality of Life and Care
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Potential for harm · D January 3, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 1, 2025 · Resident Rights
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Potential for harm · D January 3, 2025 · found via complaint
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.
Corrected February 1, 2025 · Pharmacy Service
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Potential for harm · E January 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 1, 2025 · Infection Control
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Potential for harm · D August 23, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · D August 23, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 21, 2024 · Infection Control
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Potential for harm · D August 23, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 21, 2024 · Resident Rights
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Potential for harm · D October 25, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 13, 2019 · Resident Rights
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Potential for harm · D October 25, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · D October 25, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected December 13, 2019 · Resident Assessment and Care Planning
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Potential for harm · E October 25, 2019
Provide and implement an infection prevention and control program.
Corrected December 13, 2019 · Infection Control
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Potential for harm · E October 25, 2019
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 13, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 23, 2025 | Fine | $19,145 |
| January 3, 2025 | Fine | $162,133 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 185241 · certified since November 7, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.