Villa MariaCMS ratings, inspections and fines
- Address
- 116 S Central Ave, Mulvane, KS 67110
- CCN
- 175456
- Ownership type
- Non-profit, corporation
- Certified beds
- 64
- Chain
- None in the CMS record
- Residents per day
- 57
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Villa Maria an overall rating of 5 of 5 stars. The last standard survey was on 17 Dec 2024. The latest survey cycle has 0 health citations. The median for nursing homes in Kansas is 8. CMS lists 1 fine of $22,081 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sumner County median | Kansas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 5.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 5.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 296 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Kansas median |
|---|---|---|---|
| Cycle 1 (latest) | 17 Dec 2024 | 0 | 8 |
| Cycle 2 | 8 Feb 2023 | 8 | 8 |
| Cycle 3 | No date | 10 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 2: 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Aug 2025 |
| 8 Feb 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0700 | 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. | D | Standard survey | 22 Mar 2023 |
| 8 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Mar 2023 |
Survey cycle 3: 10 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Apr 2021 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0758 | 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. | D | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 26 May 2021 |
| 20 Apr 2021 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 26 May 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 16 Jan 2025 | Fine | $22,081 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Kansas median | Kansas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.92 | 3.90 | 4.07 |
| Registered nurses (RN) | 0.62 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.50 | 0.65 | |
| Nurse aides | 2.80 | 2.70 | |
| All nurse staff, weekends | 3.59 | 3.50 | 3.60 |
- Nurse staff turnover in a year
- 65.8%
- Nurse staff turnover, Kansas median
- 47.4%
- RN turnover in a year
- 76.9%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.8% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.2% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.5% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.5% | 15.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Villa Maria Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Catholic Care Center Inc | Operational/managerial control | 1 Jul 2025 | |
| Ipc Healthcare Inc | Operational/managerial control | 1 May 2020 | |
| Aria Dental Care PC | Adp of the snf | 1 Jan 2010 | |
| Arthur J Gallagher Risk Management Services Inc | Adp of the snf | 1 Jul 2025 | |
| Auburn Pharmacy Inc | Adp of the snf | 1 Jul 2025 | |
| Bank of NY Mellon | Adp of the snf | 1 Jul 2025 | |
| Dettwiller RCM Consulting, LLC | Adp of the snf | 1 Jul 2025 | |
| Forvis Mazars LLP | Adp of the snf | 1 Jan 2010 | |
| Health Technologies, Inc | Adp of the snf | 1 Jul 2025 | |
| Ipc Healthcare Inc | Adp of the snf | 28 Jan 2026 | |
| Kansas State Bank | Adp of the snf | 12 Jul 2017 | |
| Nationwide Mutual Insurance Company | Adp of the snf | 1 Jul 2025 | |
| Quality Rehab Management | Adp of the snf | 1 Jul 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sumner County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Wellington Health and Rehab | Wellington | 5 of 5 | 5 | $0 | 26 Aug 2025 | |
| Botkin Care and Rehab | Wellington | 5 of 5 | 5 | $0 | 26 Feb 2025 | |
| Spring View Manor Healthcare and Rehabilitation | Conway Springs | 3 of 5 | 8 | $0 | 17 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Villa Maria (CCN 175456). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/villa-maria-mulvane-ks-175456/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Villa Maria last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jul 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 8 Feb 2023.
- Who operates Villa Maria?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists no chain for the home. The CMS ownership file names Catholic Care Center Inc and Ipc Healthcare Inc for operational or managerial control. This site does not show the names of persons.
- Is Villa Maria a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Kansas as a Special Focus Facility and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.