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 19 of 19 citations

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

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0225, Egress Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Install a fire alarm system that can be heard throughout the facility.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0343, Smoke Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Meet requirements for the installation and maintenance of electrical systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

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

    Fire safety citation K-0132, Construction Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

  7. 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 June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Install noncombustible or limited-combustible interior walls.

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

    Fire safety citation K-0163, Construction Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    A waiver was granted (September 20, 2021).

  9. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

  11. 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 June 4, 2021. Found during a standard inspection.

    A waiver was granted (September 20, 2021).

  12. 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 June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Have enough space near smoke barriers to protect residents.

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

    Fire safety citation K-0373, Smoke Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

  17. 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 June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

  18. 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 June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of June 4, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

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.