01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-12-17 | 0 | 2024-12-17 | 8 |
| Cycle 2 | 2023-02-08 | 8 | 2023-02-08 | 11 |
| Cycle 3 | 2021-04-20 | 10 | 2021-04-20 | 14 |
CMS CCN 1754562026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Villa Maria
116 S Central Ave · Mulvane, KS 67110 · Sumner County
Certified beds64CMS provider file
Recent citation rows51current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
51 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-30 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-08-19 · complaint2024-12-17 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-01-232024-12-17 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-01-232024-12-17 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-01-152024-12-17 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-12-17 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-01-222024-12-17 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2025-01-152024-12-17 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-01-202024-12-17 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-01-162023-02-08 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2023-03-222023-02-08 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREK0325Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-03-102023-02-08 · FIREK0761Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2023-03-1003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-16 | Fine | $22,081 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BURRUS, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- CAMPBELL, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- ETHEREDGE, WESLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- HAMPEL, MELICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- HOFFMAN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- LAFLEUR, CYNTHIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- LAZAR, JERALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- MACIAS, JEANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- MEIER, CONNORIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- POOL, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- SCHUMER, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- STRECKER, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- TRAN, DANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/15/2025
- CARTER, ANDREAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2025
- DAVIS, BRENDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2025
- DEHASS, BRENDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2025
- FUNK, JONATHANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2025
- GIRRENS, JONIIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.92per resident day
RN hours0.62per resident day
Weekend nurse hours3.59per resident day
Staff turnover65.8%CMS reported field
06 / LOCAL RECORDS
Open the Kansas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.