Villa Maria West Skilled Nursing Facility

Name: Villa Maria West Skilled Nursing Facility
Address: 8850 NW 122 ST, Hialeah Gardens, FL, 33018, US
Telephone: 3053517181

8850 NW 122 St, Hialeah Gardens, FL 33018 · Miami-Dade County · 27 certified beds · avg 24 residents/day · certified since Feb 9, 2009

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.78

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · 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 (10)

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
Sep 11, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Sep 11, 2025	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 15, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
May 15, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 15, 2024	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.
May 15, 2024	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.
May 15, 2024	D · Potential for harm, one-off	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.
Dec 29, 2022	E · Potential for harm, repeated	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 29, 2022	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Dec 29, 2022	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

Year	Citations	Worst severity that year
2022	3	E
2024	5	D
2025	2	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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	Florida avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.78	4.03	3.95	top 4% in Florida; top 5% in the U.S.
Registered Nurse hours	2.16	0.76	0.69	top 1% in Florida; top 1% in the U.S.
Weekend total nurse staffing	5.06	3.68	3.50	top 4% in Florida; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.42	0.53	0.48	top 2% in Florida; top 2% in the U.S.
Total nursing staff turnover (%)	25.0	41.4	45.8	top 13% in Florida; top 7% in the U.S.
RN turnover (%)	38.5	46.0	42.9	top 35% in Florida; top 44% 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 5.23, RN 1.96, weekend 4.58. Staffing rating: 5/5.

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: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Archdiocese of Miami INC	Organization	5% or Greater Indirect Ownership Interest	100%	05/01/2009
Villa Maria Nursing & Rehabilitation Center	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2009
Catholic Health Services INC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2009
Contreras, Jose	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Contreras, Jose	Individual	ADP of the SNF	NOT APPLICABLE	07/16/2025
Frick, Mary	Individual	Corporate Officer	NOT APPLICABLE	04/01/2024
Johnson, Nathaniel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2010
Johnson, Nathaniel	Individual	ADP of the SNF	NOT APPLICABLE	07/16/2025
Wilson, Laura	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024

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 does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"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	Flags
Glades West Rehabilitation and Nursing C	2.7 mi	Pembroke Pines, FL	★★★★★	4/5
Nspire Healthcare Miami Lakes	4.6 mi	Hialeah, FL	★★★☆☆	3/5
Palmetto Care Center and Rehab	5.5 mi	Hialeah, FL	★★★★★	4/5
Waterford Nursing and Rehabilitation Center	6.4 mi	Hialeah Gardens, FL	★★★★☆	3/5
Susanna Wesley Health Center	6.8 mi	Hialeah, FL	★★★★☆	3/5
Memorial Manor	8.9 mi	Pembroke Pines, FL	★★★★★	4/5
Terrace of Hialeah, the	9.2 mi	Hialeah, FL	★★★★☆	3/5
Alexander "sandy" Nininger State Veterans Nursing	9.5 mi	Pembroke Pines, FL	★★★☆☆	2/5
Hialeah Shores Nursing and Rehab Center	10.6 mi	Miami, FL	★★★★★	5/5
Miami Springs Nursing and Rehabilitation Center	10.8 mi	Miami Springs, FL	★★★☆☆	3/5
Hampton Court Nursing and Rehabilitation Center	11.6 mi	North Miami Beach, FL	★★★★★	4/5
Gardens Nursing and Rehab Center	11.9 mi	Miami, FL	★★☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 106080.

The Care File

Visit checklist — Villa Maria West Skilled Nursing Facility

8850 NW 122 St, Hialeah Gardens, FL 33018 · 3053517181

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "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 106080 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)