Madonna Manor - Villa Hills Nursing Home
General Information
UPDATEFederal Provider Number
185241
Provider Name
MADONNA MANOR
Provider Address
2344 AMSTERDAM ROAD
VILLA HILLS, KY 41017
VILLA HILLS, KY 41017
Provider Phone Number
(859) 341-3981
Provider SSA County
580
Provider County Name
Kenton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MADONNA MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-11-07
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.84483
Reported LPN Staffing Hours per Resident per Day
0.76897
Reported RN Staffing Hours per Resident per Day
0.72931
Reported Licensed Staffing Hours per Resident per Day
1.49828
Reported Total Nurse Staffing Hours per Resident per Day
4.34311
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07845
Expected CNA Staffing Hours per Resident per Day
2.60558
Expected LPN Staffing Hours per Resident per Day
0.63458
Expected RN Staffing Hours per Resident per Day
1.04261
Expected Total Nurse Staffing Hours per Resident per Day
4.28278
Adjusted CNA Staffing Hours per Resident per Day
2.67900
Adjusted LPN Staffing Hours per Resident per Day
1.00577
Adjusted RN Staffing Hours per Resident per Day
0.52267
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08768
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
16250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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