Villa Maria West Skilled Nursing Facility

Inspection history (10)

• September 11, 2025 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

• September 11, 2025 · D

  Citation F0867

  Federal surveyors cited this nursing home on 2025-09-11 under CMS tag F0867 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2025-10-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-09-11.GOV

• May 15, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

• May 15, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

• May 15, 2024 · D

  Citation F0655

  Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

• May 15, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

• May 15, 2024 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2024-05-15 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-15.GOV

• December 29, 2022 · E

  Citation F0679

  Federal surveyors cited this nursing home on 2022-12-29 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2023-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-12-29.GOV

• December 29, 2022 · D

  Citation F0740

  Federal surveyors cited this nursing home on 2022-12-29 under CMS tag F0740 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident must receive and the facility must provide necessary behavioral health care and services. The deficiency was recorded as corrected on 2023-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-12-29.GOV

• December 29, 2022 · E

  Citation F0803

  Federal surveyors cited this nursing home on 2022-12-29 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2023-01-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2022-12-29.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 5.56 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Church related

1. Parent organization: Villa Maria Nursing & Rehabilitation Center

   parent · PAC 2860483294