Madonna Manor Nursing Home
85 NORTH WASHINGTON STREET, NORTH ATTLEBORO, MA 02760 · CCN 225475
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 129
- Avg residents/day
- 75.3
- Phone
- 5086992740
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-09-11 | 6 | 8.9 | 9.5 | -2.9 better |
| 2 | 2024-08-21 | 10 | 10.0 | 9.8 | at state average |
| 3 | 2023-07-19 | 13 | 12.7 | 9.3 | +0.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.72 | 14.5% |
| RN staffing (reported) | 0.89 | 6.3% |
| Total nurse staffing (adjusted) | 4.37 | — |
Fines & penalties
- Total fines
- $119,373
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- DIOCESAN HEALTH FACILITIES
- Facilities in chain
- 5
- Chain avg overall
- 3.60 / 5
Inspection citations (29)5 actual harm
- DF0761Ensure 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.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-09-11 · Health · corrected 2025-10-17
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-02 · Health · corrected 2024-12-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-21 · Health · corrected 2024-09-10
Actual harm
- EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2024-08-21 · Health · corrected 2024-09-10
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-08-21 · Health · corrected 2024-09-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-28 · Health · corrected 2024-01-19
Potential for more than minimal harm
- GF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-06 · Health · corrected 2023-09-27
Actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-06 · Health · corrected 2023-09-27
Actual harm
- DF0583Keep residents' personal and medical records private and confidential.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0688Provide 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.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-19 · Health · corrected 2023-08-16
Actual harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-07-19 · Health · corrected 2023-08-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-07-19 · Health · corrected 2023-08-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MITCHELL, LAURA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-02-01 |
| ROQUE, JOANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-07-01 |
| WHEATON, KURT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-18 |
| DA CUNHA, EDGAR | Individual | CORPORATE OFFICER | — | 2014-09-24 |
| MAYER, HARRY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2024-01-01 |
Other facilities in NORTH ATTLEBORO
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.