All citations for Villa Maria Nursing and Rehabilitation Community

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 Nursing and Rehabilitation Community

Last standard health inspection on record

June 10, 2025

Showing 26 to 38 of 38 citations

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

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

    Health citation F-0865, Administration Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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

    Health citation F-0867, Administration Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

  4. 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 September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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

    Health citation F-0909, Environmental Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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

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

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

  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.

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

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2023).

  13. No harm, with potential for minimal harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 11, 2023).

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.