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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
3 findings in latest survey
This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Madonna Manor presents a stark divide in experiences, with high praise for its independent living and rehab therapy services, contrasted by severe, recurring complaints regarding skilled nursing care. Families frequently report significant neglect in basic hygiene, medication delays, and chronic understaffing in the nursing units. While the campus is described as beautiful and well-maintained, the inconsistency in care quality for high-need residents is a major point of concern.
Quality Themes
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Concerns
Rating Trends
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Distribution · 55 analyzed
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Key Review Excerpts
“My grandmother who was bed bound was at Madonna Manor. I’m not sure about the other departments where she was is absolutely horrible. It was so bad I had to purchase an Alexa so I could see my grandmother when we weren’t there with her.”
“He has been there almost 1 year. We are not happy with his care there. We pay 15k a month and I clean his room and do most of his personal care. He was found today with a saturated bed and clothing unchanged for 5 days.”
“The staff provided amazing care and encouraged her to work towards her goals. My mother-in-law had a lot of complicated illnesses that eventually took her life, but staff were communicative, compassionate, and collaborated with outside providers.”
This facility meets both EveryPlace staffing reference benchmarks. Higher staffing is generally associated with stronger day-to-day care.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
7
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Residents who fell and were seriously hurt
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Madonna Manor has a concerning pattern of complaints filed by families, with 12 complaint-triggered deficiencies across recent surveys. The most recurring issues involve resident rights violations (including failure to notify families of incidents), medication management problems, and care planning deficiencies. While the facility has corrected most violations, the consistent complaints about basic care standards and communication warrant careful consideration during any visit.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
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.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Aug 23, 2025
$19,145
Fine
Jan 3, 2025
$162,133
Madonna Manor
nonprofit
Commonspirit Health
19 facilities nationwide
Chain avg rating: 3.0/5 · Rank 15 of 19 (Lowest rating)
Owners
Chi Living Communities
Owner · Organization
Commonspirit Health
Owner (parent company) · Organization
Sylvania Franciscan Health
Owner (parent company) · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
47 reviews from families & visitors
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