3891 Sullivan St., Madison, AL 35758 · Madison County · (256) 772-9243
80 certified beds, about 74 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015214 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 15, 2024, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 8 health citations since June 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.31 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
49.5% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Crowne Health Care, an affiliated group of 18 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
Inspectors wroteBased on record review, interview, review of facility investigation, and facility policy review, the facility failed to ensure one (Residents (R) R63) of nine residents reviewed for abuse were protected from abuse, specifically staff to resident verbal abuse.
Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to ensure an abuse allegation by of staff to resident (Resident (R) 63 and resident to resident abuse (R26 and R66) of nine residents reviewed for abuse were reported in a timely manner. Specifically, the facility failed to ensure an initial incident report was submitted to the state survey agency within two hours.
Inspectors wroteBased on observations, medical record reviews, and interviews, the facility failed to prevent accidents for one resident (R)36) of 31 sampled residents. Specifically, a Certified Nurse Aid (CNA) 1 attempted to transfer R36 without assistance during and after the resident's shower.
Inspectors wroteBased on observation, interviews, review of a facility's form titled, DISHWASHING MACHINE TEMPERATURE LOG and the 2017 Food Code, the facility failed to ensure the temperature gauge of the dish machine provided accurate readings for wash and rinse temperatures. This had the potential to affect all 72 residents for whom meals were prepared and served at the time of this survey. Findings Include: The 2017 Food and Drug Administration Food Code revealed: .4-501.110 Mechanical Warewashing Equipment, Wash Solution Temperature .(B) The temperature of the wash solution in spray-type warewashers that use chemicals to SANITIZE may not be less than .(120 degrees F) (Fahrenheit) . The data plate affixed to the dish machine specified a minimum water temperature of 125 degrees F. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident Identifier (RI) #10's Significant Change (SC) Minimum Data Set (MDS) assessment, dated 04/15/19, reflected RI #10 was receiving Hospice Services. This deficient practice affected RI #10 one of 19 sampled residents whose MDS assessments were reviewed. Findings Include: RI #10 was re-admitted to the facility on [DATE], with diagnoses including but not limited to Alzheimer's, Dementia, Chronic Obstructive Pulmonary Disease and Acute Respiratory Failure. A review of RI #10's physician orders, dated 03/29/19, revealed Amedisys Hospice was to evaluate and treat, as indicated. A review of RI #10's SC MDS assessment, dated 04/15/19, did not identify RI #10 as having received hospice services during this assessment period. [...]
Inspectors wroteBased on observations, interviews, medical record review and review of facility policies titled, Hand Hygiene Policy and Procedure and Medication Administration Procedures Nasal Inhalers, Sprays, and Pumps, the facility failed to ensure a Licensed Practical Nurse (LPN): 1. changed gloves and washed her hands after assisting Resident Identifier (RI) #31 to blow his/her nose, 2. wiped off the nasal spray bottle prior to recapping the bottle and returning it to the cart, 3. washed her hands before applying gloves to administer RI #31's eye drops after pulling the light cord and privacy curtain with bare hands, and 4. removed gloves used to administer eye drops before adjusting RI #31's bed control and pulling the light cord. This affected RI #31, one of five residents observed during medication pass observations. Findings Include: [...]
Inspectors wroteBased on observations, interviews and medical record review, the facility failed to ensure Resident Identifier (RI) #55 was not wearing a hand roll with another resident's name on it on 06/19/18 and 06/20/18. This deficient practice affected RI #55, one of two residents sampled for splints. Findings Included: RI #55 was admitted to the facility on [DATE] with diagnoses including, Hemiplegia Following Cerebral Infarction Affecting Left Non-Dominant Side. A review of RI #55's medical record revealed a Functional Maintenance Plan dated 01/07/18 which documented the following: .3. Continue to place hand roll at on left hand and assess at this time in order to complete ADL (Activities of Daily Living) tasks . [...]
Inspectors wroteBased on staff interviews, medical record review and review of a facility policy titled, Medication Monitoring Psychoactive Drug Monitoring, the facility failed to ensure Resident Identifier (RI) #21's Abnormal Involuntary Movement Scale (AIMS)was performed timely to monitor resident's response to ordered antipsychotic medication. This deficient practice affected RI #21, one of three residents sampled for use of an antipsychotic medication. Findings Included: A review of a facility policy titled, Medication Monitoring Psychoactive Drug Monitoring dated 01/12 revealed: .Policy Residents who receive psychoactive/psychopharmacological medications are monitored. These are defined as any medication used for managing behavior, stabilizing mood, or treating psychiatric disorders. [...]
9 fire safety citations on file: 2 on August 15, 2024, 5 on July 25, 2019, 2 on June 21, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.31 | 3.88 | 3.86 |
| Registered nurses | 0.72 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.57 | 3.26 | 3.42 |
| Nurse aides | 2.79 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 49.5% | 46.9% | 45.8% |
| Registered nurse turnover | 50.0% | 39.5% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.61 on weekdays and 3.57 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.36 in April to June 2025 to 4.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.31 | 0.72 | 4.61 | 3.57 | 1.0% | 0 of 90 | 74 |
| Oct to Dec 2025 | 4.34 | 0.61 | 4.60 | 3.66 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 4.39 | 0.75 | 4.71 | 3.59 | 0.0% | 0 of 92 | 74 |
| Apr to Jun 2025 | 4.36 | 0.72 | 4.73 | 3.42 | 0.0% | 0 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.4 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.5 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.7 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.6 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Madison Manor Nursing Home's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.9% this home
No different from the national rate
US median of homes 51.5% · Alabama: 41 better, 10 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 26 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Alabama: 1 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 47 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · Alabama: 0 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.
44.8% this home
Median of homes: Alabama50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
0.0% this home
Median of homes: Alabama0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 35 residents counted.
2.5% this home
Median of homes: Alabama2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 35 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Alabama100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MADISON MANOR NURSING HOME LLC. CMS links this home to Crowne Health Care, a group of 18 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Crowne Operations, Inc | 5% or greater direct ownership interest | Organization | 11/01/2003 | |
| Jennifer Jones McInnish Family Dynasty Trust #1 | 5% or greater indirect ownership interest | Organization | 12/31/2016 | |
| Richard Bryan Jones Family Dynasty Trust #1 | 5% or greater indirect ownership interest | Organization | 12/31/2016 | |
| Smith, Felita | W-2 managing employee | Individual | 11/01/2003 | |
| Dunnam, Noel | Corporate director | Individual | 06/11/2015 | |
| Jones, Richard | Corporate director | Individual | 12/01/2003 | |
| Manning, Marcus | Corporate director | Individual | 06/11/2015 | |
| Wilder, John | Corporate director | Individual | 12/01/2003 | |
| Dunnam, Noel | Corporate officer | Individual | 06/11/2015 | |
| Jones, Richard | Corporate officer | Individual | 06/11/2015 | |
| Crowne Management, LLC | Operational/managerial control | Organization | 12/10/2009 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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