VILLA MARIA

πŸ“ 116 S CENTRAL AVE, mulvane, KS 67110 πŸ“ž 3167771129 πŸ›οΈ 64 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

51
Total Violations
5 years of data
$61,578
Total Fines
5 penalties
3
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 7 violations

Tag 0550 D Feb 8, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 22, 2023
Tag 0582 D Feb 8, 2023

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Mar 22, 2023
Tag 0657 D Feb 8, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Mar 22, 2023
Tag 0686 D Feb 8, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 22, 2023
Tag 0692 D Feb 8, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Mar 22, 2023
Tag 0700 D Feb 8, 2023

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Mar 22, 2023
Tag 0755 D Feb 8, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Mar 22, 2023

2021 10 violations

Tag 0661 D Apr 20, 2021

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Tag 0689 D Apr 20, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0690 D Apr 20, 2021

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Tag 0695 D Apr 20, 2021

Provide safe and appropriate respiratory care for a resident when needed.

Tag 0756 D Apr 20, 2021

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Tag 0757 D Apr 20, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: May 26, 2021
Tag 0758 D Apr 20, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Tag 0812 F Apr 20, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Tag 0814 F Apr 20, 2021

Dispose of garbage and refuse properly.

Tag 0880 F Apr 20, 2021

Provide and implement an infection prevention and control program.

2019 10 violations

Tag 0655 D Dec 18, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 6, 2020
Tag 0689 G Dec 18, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 6, 2020
Tag 0689 E Jul 10, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 22, 2019
Tag 0657 D Jun 25, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jul 20, 2019
Tag 0689 G Jun 25, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jul 20, 2019
Tag 0756 D Jun 25, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jul 20, 2019
Tag 0761 E Jun 25, 2019

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.

βœ“ Corrected: Jul 20, 2019
Tag 0839 F Jun 25, 2019

Employ staff that are licensed, certified, or registered in accordance with state laws.

βœ“ Corrected: Jul 20, 2019
Tag 0881 F Jun 25, 2019

Implement a program that monitors antibiotic use.

βœ“ Corrected: Jul 20, 2019
Tag 0883 E Jun 25, 2019

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jul 20, 2019

2018 14 violations

Tag 0609 D Nov 9, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Dec 7, 2018
Tag 0561 D Sep 13, 2018

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Oct 12, 2018
Tag 0580 D Sep 13, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Oct 12, 2018
Tag 0637 D Sep 13, 2018

Assess the resident when there is a significant change in condition

βœ“ Corrected: Oct 12, 2018
Tag 0641 E Sep 13, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 12, 2018
Tag 0657 D Sep 13, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Oct 12, 2018
Tag 0679 D Sep 13, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Oct 12, 2018
Tag 0689 D Sep 13, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 12, 2018
Tag 0690 D Sep 13, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 12, 2018
Tag 0692 D Sep 13, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Oct 12, 2018
Tag 0697 D Sep 13, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Oct 12, 2018
Tag 0730 F Sep 13, 2018

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Oct 12, 2018
Tag 0812 F Sep 13, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 12, 2018
Tag 0908 F Sep 13, 2018

Keep all essential equipment working safely.

βœ“ Corrected: Oct 12, 2018

2017 10 violations

Tag 0244 E Feb 20, 2017

Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.

βœ“ Corrected: Mar 8, 2017
Tag 0253 E Feb 20, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Mar 8, 2017
Tag 0278 D Feb 20, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Mar 8, 2017
Tag 0323 G Feb 20, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Mar 8, 2017
Tag 0329 E Feb 20, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Mar 8, 2017
Tag 0371 F Feb 20, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Mar 8, 2017
Tag 0425 D Feb 20, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

βœ“ Corrected: Mar 8, 2017
Tag 0428 E Feb 20, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Mar 8, 2017
Tag 0441 F Feb 20, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Mar 8, 2017
Tag 0514 E Feb 20, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Mar 8, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 1 penalties totaling $650

$650
Fine
April 12, 2021
Average: $650 | Range: $650 - $650

2019 4 penalties totaling $60,928

$8,294
Fine
December 18, 2019
$52,634
Fine
August 30, 2019
$0
Payment Denial
August 30, 2019
$0
Payment Denial
June 25, 2019
Average: $20,309 | Range: $0 - $52,634

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

February 8, 2023
0.00

Health

April 20, 2021
0.00

Health

June 25, 2019
0.00

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Ownership Information

Non profit - Church related
Independent (Not part of a chain)
175456
175456
3167771129
Sumner

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual