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Villa Maria

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About Villa Maria

General Information

Legal Business NameVilla Maria Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 1, 2002 (14 years)
Capacity64
Residents53
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Villa Maria

Villa Maria
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 3, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
CManyPotential for Minimal HarmComplaint+InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionMake sure that each residents' abilities in activities of daily living do not decline, unless unavoidable.

June 1, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

May 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionPortable fire extinguishers.
FManyPotential for HarmFire Safety InspectionProperly maintained smoke detectors.
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.

February 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintLet residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.

May 9, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
CManyPotential for Minimal HarmHealth InspectionMaintain comfortable sound levels.
DFewPotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Villa Maria require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 15min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
30min
50min
ReportedExpected
RN
3hr 55min
3hr 45min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

92.3%
92.6%
96.3%
96.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Seasonal Influenza Vaccine
88.5%
86.5%
91.3%
93.5%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
40.2%
Q1 2015Q2 2015Q3 2015KS
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
20.4%
14.0%
18.2%
19.9%
Q1 2015Q2 2015Q3 2015KS
Received an Antipsychotic Medication
19.6%
33.3%
23.1%
17.5%
Q1 2015Q2 2015Q3 2015KS
Need for Help with ADLs has Increased
5.5%
9.7%
0.0%
11.0%
Q1 2015Q2 2015Q3 2015KS
Self Report Moderate to Severe Pain
13.7%
12.0%
13.3%
7.4%
Q1 2015Q2 2015Q3 2015KS
Lose Too Much Weight
5.9%
5.7%
6.2%
5.3%
Q1 2015Q2 2015Q3 2015KS
High Risk Residents With Pressure Ulcers
0.0%
0.0%
2.4%
7.1%
Q1 2015Q2 2015Q3 2015KS
Have Depressive Symptoms
7.8%
10.0%
8.9%
6.6%
Q1 2015Q2 2015Q3 2015KS
With a Urinary Tract Infection
5.8%
9.6%
8.7%
5.0%
Q1 2015Q2 2015Q3 2015KS
Experiencing One or More Falls with Major Injury
1.7%
2.3%
2.0%
3.0%
Q1 2015Q2 2015Q3 2015KS
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.3%
Q1 2015Q2 2015Q3 2015KS
Were Physically Restrained

Quality Measures for Short Stay Residents

69.7%
74.1%
57.1%
77.6%
Q1 2015Q2 2015Q3 2015KS
Assessed and Appropriately Given the Pneumococcal Vaccine
76.7%
71.9%
71.9%
77.9%
Q1 2015Q2 2015Q3 2015KS
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
22.7%
21.2%
Q1 2015Q2 2015Q3 2015KS
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
0.0%
-
-
2.7%
Q1 2015Q2 2015Q3 2015KS
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
2.9%
0.0%
1.5%
Q1 2015Q2 2015Q3 2015KS
With Pressure Ulcers That Are New or Worsened