All citations for Villa Maria

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 Villa Maria

Last standard health inspection on record

December 17, 2024

Showing 1 to 19 of 19 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  4. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  7. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

  8. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 2023).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 30, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 19, 2025).

  12. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

  16. 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 February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 22, 2023).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 10, 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.