Madonna Manor
Villa Hills, Kenton County, Kentucky · CCN 185241 · Non-profit (Church related) · part of Commonspirit Health (18 facilities, chain average 2.7 stars)
CMS rates Madonna Manor 1 of 5 overall as of August 2026. 60 certified beds, 55 residents a day on average. 21 citations on record from the current inspection cycles, 5 at immediate jeopardy; 2 fines totalling $181,278.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 3 of 5 |
Staffing
| Total nurse staffing | 6.84962 hours per resident per day |
|---|---|
| Registered nurses | 0.94337 hours per resident per day |
| Weekend total | 6.37455 hours per resident per day |
| Nursing staff turnover | 63.3% (registered nurses 56.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-19 |
| 2025-12-05 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-19 |
| 2025-08-23 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-09-23 |
| 2025-02-27 complaint survey |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-02-01 |
| 2025-02-27 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-02-01 |
| 2025-01-03 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Create 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 Deficiencies · tag F0655 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2025-01-03 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-01 |
| 2024-08-23 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2024-08-23 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2024-08-23 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-21 |
| 2019-10-25 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-12-13 |
| 2019-10-25 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2019-12-13 |
| 2019-10-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-13 |
| 2019-10-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-13 |
| 2019-10-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-13 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-23 | Fine | $19,145 |
| 2025-01-03 | Fine | $162,133 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Chi Living Communities Organization | 5% or greater direct ownership interest | 100% | 2014-11-01 |
| Commonspirit Health Organization | 5% or greater indirect ownership interest | 100% | 2014-11-01 |
| Chi Living Communities Organization | adp of the snf | — | 2014-11-01 |
| Commonspirit Health Organization | adp of the snf | — | 2014-11-01 |
| Concept Rehab, Inc. Organization | adp of the snf | — | 2015-01-05 |
| Dicon Health Services, Inc. Organization | adp of the snf | — | 2025-04-07 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-03-28 |
| Ohio Newspapers, Inc. Organization | adp of the snf | — | 2025-03-28 |
| Prelude Systems, Inc. Organization | adp of the snf | — | 2025-03-28 |
| Richter And Associates Organization | adp of the snf | — | 2019-02-01 |
| Skilled Care Pharmacy LLC Organization | adp of the snf | — | 2025-03-28 |
| Sylvania Franciscan Health Organization | adp of the snf | — | 2014-11-01 |
| The Northern Trust Company Organization | adp of the snf | — | 2025-04-07 |
| Ulrichpinciotti Design Group, LLC Organization | adp of the snf | — | 2025-03-28 |
| Sylvania Franciscan Health Organization | indirect ownership interest | — | 2014-11-01 |
| Chi Living Communities Organization | operational/managerial control | — | 2017-04-10 |
| Commonspirit Health Organization | operational/managerial control | — | 2014-11-01 |
| Dicon Health Services, Inc. Organization | operational/managerial control | — | 2022-09-02 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2011-07-01 |
| Ohio Newspapers, Inc. Organization | operational/managerial control | — | 2011-07-11 |
| Prelude Systems, Inc. Organization | operational/managerial control | — | 2017-04-01 |
| Skilled Care Pharmacy LLC Organization | operational/managerial control | — | 2024-02-01 |
| The Northern Trust Company Organization | operational/managerial control | — | 2014-11-01 |
| Ulrichpinciotti Design Group, LLC Organization | operational/managerial control | — | 2011-07-01 |
| Cecil, Caitlin Individual | adp of the snf | — | 2012-06-18 |
| Corrou, Denise Individual | adp of the snf | — | 2025-04-17 |
| Finn, Christina Individual | adp of the snf | — | 2007-07-01 |
| Grubbs, Stacey Individual | adp of the snf | — | 2012-03-26 |
| Hazard, Ted Individual | adp of the snf | — | 2017-11-08 |
| Howard, Casey Individual | adp of the snf | — | 2022-05-01 |
| Iffland, Alisa Individual | adp of the snf | — | 2017-01-06 |
| Kumar, Kelash Individual | adp of the snf | — | 2024-06-01 |
| Longhin-Howard, Joan Individual | adp of the snf | — | 2007-04-06 |
| Lucas, Gina Individual | adp of the snf | — | 2024-06-28 |
| Mcfarland, Dianne Individual | adp of the snf | — | 2023-12-18 |
| Munroe, Kyle Individual | adp of the snf | — | 2015-09-08 |
| Murriel, Shelly Individual | adp of the snf | — | 2024-09-09 |
| Nagel, Jennifer Individual | adp of the snf | — | 2015-11-12 |
| Rehmer, Heather Individual | adp of the snf | — | 2024-06-25 |
| Snodgrass, Barbara Individual | adp of the snf | — | 2016-08-15 |
| Stidham, Kathryn Individual | adp of the snf | — | 2014-12-01 |
| Voelker, Jennifer Individual | adp of the snf | — | 2019-02-01 |
| Wine, Matthew Individual | adp of the snf | — | 2018-10-01 |
| Cecil, Caitlin Individual | corporate director | — | 2012-06-18 |
| Finn, Christina Individual | corporate director | — | 2017-07-01 |
| Grubbs, Stacey Individual | corporate director | — | 2021-03-06 |
| Hazard, Ted Individual | corporate director | — | 2017-11-08 |
| Munroe, Kyle Individual | corporate director | — | 2015-09-08 |
| Murriel, Shelly Individual | corporate director | — | 2024-09-09 |
| Nagel, Jennifer Individual | corporate director | — | 2015-11-12 |
| Snodgrass, Barbara Individual | corporate director | — | 2016-08-15 |
| Wine, Matthew Individual | corporate director | — | 2018-10-01 |
| Iffland, Alisa Individual | corporate officer | — | 2017-01-06 |
| Lipsey, Prentice Individual | corporate officer | — | 2022-01-01 |
| Rehmer, Heather Individual | corporate officer | — | 2024-06-25 |
| Lipsey, Prentice Individual | managing control - governing body | — | 2021-11-01 |
| Mbanu, Terika Individual | managing control - governing body | — | 2024-01-05 |
| Melfi, Mitch Individual | managing control - governing body | — | 2016-05-23 |
| Brinson, Roger Individual | operational/managerial control | — | 2022-08-04 |
| Cecil, Caitlin Individual | operational/managerial control | — | 2021-06-08 |
| Corrou, Denise Individual | operational/managerial control | — | 2021-08-30 |
| Evans, Elaine Individual | operational/managerial control | — | 2022-10-26 |
| Finn, Christina Individual | operational/managerial control | — | 2017-07-01 |
| Grubbs, Stacey Individual | operational/managerial control | — | 2012-03-26 |
| Hazard, Ted Individual | operational/managerial control | — | 2017-11-08 |
| Howard, Casey Individual | operational/managerial control | — | 2022-05-01 |
| Iffland, Alisa Individual | operational/managerial control | — | 2017-01-06 |
| Kumar, Kelash Individual | operational/managerial control | — | 2024-06-01 |
| Longhin-Howard, Joan Individual | operational/managerial control | — | 2007-04-16 |
| Lunsford, Dale Individual | operational/managerial control | — | 2019-04-12 |
| Mcfarland, Dianne Individual | operational/managerial control | — | 2023-12-18 |
| Munroe, Kyle Individual | operational/managerial control | — | 2015-09-08 |
| Murriel, Shelly Individual | operational/managerial control | — | 2024-09-09 |
| Nagel, Jennifer Individual | operational/managerial control | — | 2015-11-12 |
| Owens, Michele Individual | operational/managerial control | — | 2023-04-14 |
| Reeves, Kellie Individual | operational/managerial control | — | 2024-04-01 |
| Rehmer, Heather Individual | operational/managerial control | — | 2024-06-05 |
| Temple, Pamela Individual | operational/managerial control | — | 2022-05-25 |
| Thomas, Linda Individual | operational/managerial control | — | 2023-05-27 |
| Voelker, Jennifer Individual | operational/managerial control | — | 2019-02-01 |
| Wine, Matthew Individual | operational/managerial control | — | 2018-10-01 |
| Yelton, Mitzi Individual | operational/managerial control | — | 2022-06-06 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Madonna Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kenton County.