Nursing Care Index

Villa Maria

Mulvane, Sumner County, Kansas · CCN 175456 · Non-profit (Corporation) · not part of a chain

CMS rates Villa Maria 5 of 5 overall as of August 2026. 64 certified beds, 57 residents a day on average. 18 citations on record from the current inspection cycles; 1 fine totalling $22,081.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay3 / 5 of 5

Staffing

Total nurse staffing3.91738 hours per resident per day
Registered nurses0.61669 hours per resident per day
Weekend total3.59097 hours per resident per day
Nursing staff turnover65.8% (registered nurses 76.9%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-07-30
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-19
2023-02-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 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.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2023-02-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-22
2021-04-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-05-26
2021-04-20 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-05-26
2021-04-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-05-26
2021-04-20 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · tag F0661
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26
2021-04-20 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-05-26

Fines and payment denials

DatePenaltyAmount
2025-01-16Fine$22,081

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Aria Dental Care PC
Organization
adp of the snf2010-01-01
Arthur J Gallagher Risk Management Services Inc.
Organization
adp of the snf2025-07-01
Auburn Pharmacy Inc.
Organization
adp of the snf2025-07-01
Bank Of Ny Mellon
Organization
adp of the snf2025-07-01
Dettwiller Rcm Consulting, LLC
Organization
adp of the snf2025-07-01
Forvis Mazars LLP
Organization
adp of the snf2010-01-01
Health Technologies, Inc.
Organization
adp of the snf2025-07-01
Ipc Healthcare Inc.
Organization
adp of the snf2026-01-28
Jadyn Rya Saunders
Organization
adp of the snf2024-10-01
Kansas State Bank
Organization
adp of the snf2017-07-12
Nationwide Mutual Insurance Company
Organization
adp of the snf2025-07-01
Quality Rehab Management
Organization
adp of the snf2025-07-01
Teresa A. Unruh
Organization
adp of the snf1990-01-01
Catholic Care Center Inc.
Organization
operational/managerial control2025-07-01
Ipc Healthcare Inc.
Organization
operational/managerial control2020-05-01
Bretton, Angelica
Individual
adp of the snf2025-07-01
Carter, Andrea
Individual
adp of the snf2025-05-15
Caudle, Kendall
Individual
adp of the snf2025-05-15
Davis, Brenda
Individual
adp of the snf2025-05-15
Dehass, Brenda
Individual
adp of the snf2025-05-15
Funk, Jonathan
Individual
adp of the snf2025-05-15
Girrens, Joni
Individual
adp of the snf2025-05-15
Guthrie, George
Individual
adp of the snf2025-05-15
Hiebert, Devon
Individual
adp of the snf2025-05-15
Hinshaw, Micah
Individual
adp of the snf2025-05-15
Lafleur, Cynthia
Individual
adp of the snf2025-05-15
Mccue, Tamara
Individual
adp of the snf2020-05-01
Meier-Mcferren, Shawn
Individual
adp of the snf2025-05-15
Sanders, Jennifer
Individual
adp of the snf2025-05-15
Vega, Danielle
Individual
adp of the snf2025-05-15
Woodrow, Felicia
Individual
adp of the snf2025-05-15
Burrus, Michael
Individual
corporate director2025-05-15
Campbell, Brian
Individual
corporate director2025-05-15
Etheredge, Wesley
Individual
corporate director2025-05-15
Hampel, Melicia
Individual
corporate director2025-05-15
Hoffman, Mark
Individual
corporate director2025-05-15
Lafleur, Cynthia
Individual
corporate director2025-05-15
Lazar, Jerald
Individual
corporate director2025-05-15
Macias, Jean
Individual
corporate director2025-05-15
Meier, Connor
Individual
corporate director2025-05-15
Pool, Susan
Individual
corporate director2025-05-15
Schumer, Mary
Individual
corporate director2025-05-15
Strecker, Kevin
Individual
corporate director2025-05-15
Tran, Dan
Individual
corporate director2025-05-15
Carter, Andrea
Individual
corporate officer2025-05-15
Davis, Brenda
Individual
corporate officer2025-05-15
Dehass, Brenda
Individual
corporate officer2025-05-15
Funk, Jonathan
Individual
corporate officer2025-05-15
Girrens, Joni
Individual
corporate officer2025-05-15
Guthrie, George
Individual
corporate officer2025-05-15
Hiebert, Devon
Individual
corporate officer2025-05-15
Hinshaw, Micah
Individual
corporate officer2025-05-15
Lafleur, Cynthia
Individual
corporate officer2025-05-15
Meier-Mcferren, Shawn
Individual
corporate officer2025-05-15
Oblinger, Warren
Individual
corporate officer2025-05-15
Sanders, Jennifer
Individual
corporate officer2025-05-15
Vega, Danielle
Individual
corporate officer2025-05-15
York, Patrick
Individual
corporate officer2025-05-15
Bretton, Angelica
Individual
operational/managerial control2025-05-15
Mccue, Tamara
Individual
operational/managerial control2020-05-01

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sumner County.