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Madonna Manor

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About Madonna Manor

General Information

Legal Business NameMadonna Manor, Inc.
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 7, 1990 (26 years)
Capacity60
Residents57
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Madonna Manor

Madonna Manor
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 13, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

March 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

January 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

May 15, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMake sure that all required doctor visits are made personally.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.

February 15, 2013 - 4 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$16,250 fine

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Madonna Manor require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 55min
2hr 40min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
45min
1hr
ReportedExpected
RN
4hr 25min
4hr 15min
ReportedExpected
Total Nursing

This facility also provides approximately 35min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
49.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
4.7%
14.0%
15.9%
20.6%
Q1 2015Q2 2015Q3 2015KY
Received an Antipsychotic Medication
12.2%
7.3%
11.9%
16.8%
Q1 2015Q2 2015Q3 2015KY
Need for Help with ADLs has Increased
6.0%
3.2%
3.4%
9.5%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
4.7%
9.3%
11.4%
8.3%
Q1 2015Q2 2015Q3 2015KY
Lose Too Much Weight
2.5%
0.0%
0.0%
6.6%
Q1 2015Q2 2015Q3 2015KY
High Risk Residents With Pressure Ulcers
2.4%
0.0%
0.0%
3.4%
Q1 2015Q2 2015Q3 2015KY
Have Depressive Symptoms
0.0%
0.0%
0.0%
6.3%
Q1 2015Q2 2015Q3 2015KY
With a Urinary Tract Infection
2.3%
0.0%
2.2%
3.5%
Q1 2015Q2 2015Q3 2015KY
Experiencing One or More Falls with Major Injury
4.6%
0.0%
5.6%
3.8%
Q1 2015Q2 2015Q3 2015KY
With a Catheter Inserted and Left in Their Bladder
0.0%
2.3%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015KY
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
98.0%
85.6%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
98.8%
88.2%
88.2%
85.3%
Q1 2015Q2 2015Q3 2015KY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
5.4%
8.6%
9.1%
20.2%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
4.2%
2.7%
4.5%
3.2%
Q1 2015Q2 2015Q3 2015KY
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015KY
With Pressure Ulcers That Are New or Worsened