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Villa Maria

116 S Central Ave, Mulvane, KS 67110
3167771129
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Overall CMS Rating

5.0/5

vs State Average: 3.0 stars

5.0/5

Health Inspections

vs State Average: 2.8/5

3.0/5

Staffing Level

vs State Average: 3.4/5

4.0/5

Quality Measures

vs State Average: 3.1/5

1 penalties in last 3 years
Penalties
vs State Average: 1.3 penalties

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Ratings Deep Dive

Score
5.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Jul 30, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
Feb 8, 2023 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. 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. D
Feb 8, 2023 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D
Feb 8, 2023 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D
Score
3.0
State Average
3.4
National Average
2.9
0.7 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
83.3% RN Turnover Rate
Score
4.0
State Average
3.1
National Average
3.6
2.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
55.2 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST ASC HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL VIA CHRISTI VILLAGES INC
OPERATIONAL/MANAGERIAL CONTROL SMITH, SIDNEY
CORPORATE DIRECTOR CILLESSEN, KATHY
CORPORATE DIRECTOR HOUSER, CYNTHIA
CORPORATE DIRECTOR HUFFORD, DAVID
CORPORATE DIRECTOR MAGANA, CHRISTOPHER
CORPORATE DIRECTOR RENZ, JAN
CORPORATE DIRECTOR SCHUMER, MARY
CORPORATE DIRECTOR WETTA, THERESE
Recent Penalties
Date Type Fine
Jan 16, 2025 Fine $22,081

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