Nursing homeActive

Madonna Manor Nursing Home

85 North Washington Street, North Attleboro, MA 027605086992740129 certified beds · 70 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
29
0245
Penalties · 3 yrs
$43,011
1 fine
Last survey
2025-09-11
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Massachusetts Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-09-11Standard060CMS-2567 (Care Compare)
2024-12-02Complaint010CMS-2567 (Care Compare)
2024-08-21Standard072CMS-2567 (Care Compare)
2023-12-28Complaint010CMS-2567 (Care Compare)
2023-09-06Complaint002CMS-2567 (Care Compare)
2023-07-19Standard091CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Massachusetts Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-09-11Standard survey · 6 deficienciesOfficial report
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F812
F840Employ 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F840
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F880
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 225475-20250911-F887
2024-12-02Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-16Record 225475-20241202-F842
2024-08-21Standard survey · 9 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-10Record 225475-20240821-F580
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-10Record 225475-20240821-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F550
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F565
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F585
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F604
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-10Record 225475-20240821-F880
2023-12-28Complaint survey · 1 deficiencyOfficial report
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-19Record 225475-20231228-F842
2023-09-06Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-27Record 225475-20230906-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-09-27Record 225475-20230906-F689
2023-07-19Standard survey · 10 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-08-16Record 225475-20230719-F689
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F583
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F657
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F685
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F688
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F756
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F842
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-16Record 225475-20230719-F849
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-28Record 225475-20230719-F880

Penalties & enforcement

DateActionAmountSource
2024-08-21Civil money penalty$43,011CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.79
Facility
Massachusetts
National
Massachusetts 0.65 · National 0.69
Total nurse hours per resident day4.03
Facility
Massachusetts
National
Massachusetts 3.86 · National 3.86
Weekend total nurse hours3.75
Facility
Massachusetts
National
Massachusetts 3.48 · National 3.42
Total nursing staff turnover15%
Facility
Massachusetts
National
Massachusetts 38% · National 46%
Registered nurse turnover22%
Facility
Massachusetts
National
Massachusetts 43% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityMassachusettsNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.7%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
5.2%3.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.3%21.4%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.1%1.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.7%16.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.7%5.1%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.8%19.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Mitchell, Laura
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Roque, Joanne
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wheaton, Kurt
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Da Cunha, Edgar
Individual
CORPORATE OFFICERNOT APPLICABLE
Mayer, Harry
Individual
CONTRACTED MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Diocesan Health Facilities5 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Massachusetts.

No county cost figures on file for Bristol.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Garden Place Healthcare
Attleboro
3.8 mi2025-12-100201
Alliance Health At Maples
Wrentham
5.5 mi2025-09-08181
Mount St Rita Health Centre
Cumberland
4.3 mi2026-06-250263
Life Care Center Of Attleboro
Attleboro
5.4 mi2025-09-23040
Grandview Center
Cumberland
6.3 mi2025-09-090170
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01