Villa Maria

Name: Villa Maria
Address: 116 S CENTRAL AVE, Mulvane, KS, 67110, US
Telephone: 3167771129

116 S Central Ave, Mulvane, KS 67110 · Sumner County · 64 certified beds · avg 57 residents/day · certified since Aug 1, 2002

5/5

Health inspection rating (on-site)

Serious findings on record

$22,081

Fines, last 3 years

4.39

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (18)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 30, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 8, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Feb 8, 2023	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 8, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 20, 2021	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 20, 2021	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Apr 20, 2021	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 20, 2021	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 20, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Year	Citations	Worst severity that year
2021	10	F
2023	7	D
2025	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $22,081.

Date	Type	Amount / length
Jan 16, 2025	Fine	$22,081

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.39	4.58	3.95	bottom 47% in Kansas; top 26% in the U.S.
Registered Nurse hours	0.69	0.81	0.69	bottom 47% in Kansas; top 37% in the U.S.
Weekend total nurse staffing	4.02	4.05	3.50	top 47% in Kansas; top 22% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.49	0.48	bottom 40% in Kansas; top 49% in the U.S.
Total nursing staff turnover (%)	65.8	48.1	45.8	bottom 12% in Kansas; bottom 9% in the U.S.
RN turnover (%)	76.9	42.0	42.9	bottom 12% in Kansas; bottom 7% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.92, RN 0.62, weekend 3.59. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Aria Dental Care PC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
Arthur J Gallagher Risk Management Services INC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2025
Auburn Pharmacy INC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2025
Bank of Ny Mellon	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2025
Bretton, Angelica	Individual	Operational/Managerial Control	NOT APPLICABLE	05/15/2025
Bretton, Angelica	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2025
Burrus, Michael	Individual	Corporate Director	NOT APPLICABLE	05/15/2025
Campbell, Brian	Individual	Corporate Director	NOT APPLICABLE	05/15/2025
Carter, Andrea	Individual	Corporate Officer	NOT APPLICABLE	05/15/2025
Carter, Andrea	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Catholic Care Center INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2025
Caudle, Kendall	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Davis, Brenda	Individual	Corporate Officer	NOT APPLICABLE	05/15/2025
Davis, Brenda	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Dehass, Brenda	Individual	Corporate Officer	NOT APPLICABLE	05/15/2025
Dehass, Brenda	Individual	ADP of the SNF	NOT APPLICABLE	05/15/2025
Dettwiller RCM Consulting, LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2025
Etheredge, Wesley	Individual	Corporate Director	NOT APPLICABLE	05/15/2025
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2010
Funk, Jonathan	Individual	Corporate Officer	NOT APPLICABLE	05/15/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Derby Health & Rehabilitation, LLC	5.0 mi	Derby, KS	★★★★★	5/5
Westview of Derby Rehabilitation & Health Care Cen	5.1 mi	Derby, KS	★★☆☆☆	1/5
Advena Living at Fountainview	8.6 mi	Rose Hill, KS	★★★☆☆	3/5
Diversicare of Haysville	8.8 mi	Haysville, KS	★☆☆☆☆	1/5
Caritas Center, INC	12.7 mi	Wichita, KS	★★★★★	5/5
Medicalodges Wichita	12.9 mi	Wichita, KS	★★★☆☆	3/5
Orchard Gardens	13.0 mi	Wichita, KS	★☆☆☆☆	1/5
Lincoln Care and Rehab	13.8 mi	Wichita, KS	★☆☆☆☆	1/5
Mount St Mary	13.9 mi	Wichita, KS	★★★★★	4/5
Homestead Health Center	14.0 mi	Wichita, KS	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Mulvane →

Facility data as of CMS processing date 2026-08-01. CCN 175456.

The Care File

Visit checklist — Villa Maria

116 S Central Ave, Mulvane, KS 67110 · 3167771129

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $22,081

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 175456 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)