SNF-The Villa at Marymount

Certification

Medicare-certified.

Ratings

Inspection history (26)

Records from June 2021 to March 2025.

• March 13, 2025

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0689

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

  Severity G: isolated, actual harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0757

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0883

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0692

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• March 13, 2025

  Tag F0550

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 5, 2025.

• December 16, 2024

  Tag F0600

  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 19, 2024.

• December 16, 2024

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.

• December 16, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.

• December 16, 2024

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 10, 2025.

• February 20, 2024

  Tag F0686

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

  Severity G: isolated, actual harm. Corrected March 24, 2024.

• February 20, 2024

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2024.

• February 20, 2024

  Tag F0677

  Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 24, 2024.

• November 30, 2023

  Tag F0812

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

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 5, 2023.

• November 30, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected December 5, 2023.

• November 30, 2023

  Tag F0695

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 5, 2023.

Penalties (3)

Total fines: $83,603

• March 13, 2025 · Fine

  CMS recorded a civil money penalty of $29,601 against this nursing home on March 13, 2025.

• February 20, 2024 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting March 19, 2024, lasting 5 days (triggered by inspection on February 20, 2024).

• November 8, 2023 · Fine

  CMS recorded a civil money penalty of $54,002 against this nursing home on November 8, 2023.

Staffing

4.28 nurse hours per resident per day in Q2 2026, up from 4.10 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

• Parent company: Marymount Healthcare Holdco LLC