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 25 of 38 citations

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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).
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).

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.