B85

Villa Maria

Grade B 85/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
5/5
Health Insp.
5/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

64

Ownership

Non profit - Corporation

Total Fines

$33,970

Last Survey

N/A

116 S CENTRAL AVE, MULVANE, KS 67110
3167771129

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.74h
LPN
0.72h
CNA
2.90h
Total
4.37h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ASC HEALTH SYSTEM

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 1984

100%

VIA CHRISTI VILLAGES INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2010

SMITH, SIDNEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2014

CILLESSEN, KATHY

IndividualCORPORATE DIRECTORSince Oct 2014

HOUSER, CYNTHIA

IndividualCORPORATE DIRECTORSince Oct 2006

HUFFORD, DAVID

IndividualCORPORATE DIRECTORSince Oct 2010

MAGANA, CHRISTOPHER

IndividualCORPORATE DIRECTORSince Oct 2008

RENZ, JAN

IndividualCORPORATE DIRECTORSince Oct 2012

SCHUMER, MARY

IndividualCORPORATE DIRECTORSince Oct 2012

WETTA, THERESE

IndividualCORPORATE DIRECTORSince Jul 2014

MORGAN, CHARLES

IndividualCORPORATE OFFICERSince Oct 2010

OBLINGER, WARREN

IndividualCORPORATE OFFICERSince Oct 2014

SMITH, SIDNEY

IndividualCORPORATE OFFICERSince Nov 2014

SORENSEN, MELINDA

IndividualCORPORATE OFFICERSince Jun 2010

STEADMAN, KYLE

IndividualCORPORATE OFFICERSince Oct 2008

JOHNSON, JACKIE

IndividualW-2 MANAGING EMPLOYEESince Sep 2003

ASC HEALTH SYSTEM

Organization5% OR GREATER SECURITY INTERESTSince Jan 1984

Penalties & Fines (1)

$33,970total fines
DateTypeDescriptionAmount
Jan 16, 2025Fine$33,970

Health Inspection Deficiencies (18)

July 30, 2025Health1 deficiency
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Aug 19, 2025
February 8, 2023Health7 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 22, 2023
0582DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Mar 22, 2023
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 22, 2023
0686DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 22, 2023
0692DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 22, 2023
0700DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Mar 22, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Mar 22, 2023
April 20, 2021Health10 deficiencies
0661DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected May 26, 2021
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 26, 2021
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 26, 2021
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected May 26, 2021
0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 26, 2021
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 26, 2021
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 26, 2021
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected May 26, 2021
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected May 26, 2021
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 26, 2021

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Frequently Asked Questions

What is the CareGrader rating for Villa Maria?

Villa Maria in MULVANE, Kansas has a CareGrader grade of B (Good), with a composite score of 84.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Villa Maria?

Villa Maria has an overall CMS star rating of 5 out of 5, a health inspection rating of 5/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Villa Maria have?

Villa Maria has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Villa Maria been fined?

Yes. Villa Maria has $33,970 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Villa Maria have?

Villa Maria has 64 certified beds with approximately 55 current residents (86% occupancy). The facility is located at 116 S CENTRAL AVE, MULVANE, Kansas 67110. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.