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 17 of 17 citations

  1. 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 November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Have an enclosure around a vertical opening shaft.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Provide properly sized and located linen or trash receptacles.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

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

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

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 16, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 19, 2024).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of December 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

  16. 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 December 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2025).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of November 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 5, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.