All citations for SNF-The Villa at Marymount

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to SNF-The Villa at Marymount

Last standard health inspection on record

March 13, 2025

Showing 1 to 20 of 20 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  2. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  4. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  6. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  7. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  8. No harm, with potential for more than minimal harm

    Have an enclosure around a vertical opening shaft.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  9. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    A waiver was granted (April 5, 2025).

  10. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  11. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  13. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  15. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 11, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2026).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  19. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 5, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.