Facility profile · CCN 185241
Madonna Manor
24 federal citations on record , including 5 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $181,278.
Record summary
Federal record · Q1 202624
Total citations
14
Last 3 years
6
Actual harm+
2
Federal penalties
$181,278
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
24 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 23, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 27, 2025 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Feb 27, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint |
| Jan 3, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Jan 3, 2025 | F761 | 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. | D | Complaint |
| Jan 3, 2025 | F760 | Ensure that residents are free from significant medication errors. | J | Complaint |
| Jan 3, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Jan 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Jan 3, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | J | Complaint |
| Jan 3, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jan 3, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Aug 23, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 23, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Aug 23, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Oct 25, 2019 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard |
| Oct 25, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Oct 25, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Oct 25, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 25, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Sep 14, 2018 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Sep 14, 2018 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard |
| Sep 14, 2018 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Sep 14, 2018 | F659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard |
| Sep 14, 2018 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $181,278 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 23, 2025 | Fine | $19,145 | — |
| Jan 3, 2025 | Fine | $162,133 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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