Madonna Manor Nursing Home

Certification

Medicare-certified.

Ratings

Inspection history (29)

Records from July 2023 to September 2025.

• July 19, 2023

  Tag F0849

  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0685

  Assist a resident in gaining access to vision and hearing services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G: isolated, actual harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0842

  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0688

  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0583

  Keep residents' personal and medical records private and confidential.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 16, 2023.

• July 19, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 28, 2023.

Penalties (2)

Total fines: $119,373

• August 21, 2024 · Fine

  CMS recorded a civil money penalty of $43,011 against this nursing home on August 21, 2024.

• July 19, 2023 · Fine

  CMS recorded a civil money penalty of $76,362 against this nursing home on July 19, 2023.

Staffing

3.83 nurse hours per resident per day in Q2 2026, up from 3.62 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit