With a score of 17/100, Madonna Manor ranks in the bottom tier of Kentucky nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Madonna Manor exceed national averages, with 5.42 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.12 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 24 deficiencies at Madonna Manor, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 5.42 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.12 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.64 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 3.65 | 2.4 | Above Average |
| Weekend Total Nursing | 4.78 | 3.8 | Above Average |
| Weekend RN Hours | 0.54 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Aug 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0604 Severity DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.Feb 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Feb 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0580 Severity JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Jan 2, 2025 · Resident Rights Deficiencies
- Tag 0655 Severity JCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJan 2, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.0% | 4.5% | Worse |
| Falls with major injury | 7.5% | 3.0% | Worse |
| On antipsychotic medication | 15.2% | 14.5% | Average |
| Urinary tract infections | 1.3% | 2.5% | Better |
| ADL decline (daily activities) | 13.7% | 14.0% | Average |
| Excessive weight loss | 7.0% | 7.5% | Average |
| New/worsened incontinence | 24.5% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $181,278
How This Grade Was Calculated
This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Kentucky
- A
- F
- BMorgantown Care & Rehabilitation CenterMorgantown
- B
- FPark Grove Nursing and Rehabilitation CenterMadisonville