Villa Maria
116 S CENTRAL AVE, MULVANE, KS 67110 · CCN 175456
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 55.2
- Phone
- 3167771129
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-17 | 1 | 10.1 | 9.5 | -9.1 better |
| 2 | 2023-02-08 | 7 | 9.9 | 9.8 | -2.9 better |
| 3 | 2021-04-20 | 10 | 7.2 | 9.3 | +2.8 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.92 | 75.0% |
| RN staffing (reported) | 0.67 | 83.3% |
| Total nurse staffing (adjusted) | 4.37 | — |
Fines & penalties
- Total fines
- $22,081
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (18)
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-30 · Health · corrected 2025-08-19
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0700Try 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.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-08 · Health · corrected 2023-03-22
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- DF0758Implement 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.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- FF0814Dispose of garbage and refuse properly.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2021-04-20 · Health · corrected 2021-05-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ASC HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1984-01-01 |
| VIA CHRISTI VILLAGES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-02-15 |
| SMITH, SIDNEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-11-10 |
| CILLESSEN, KATHY | Individual | CORPORATE DIRECTOR | — | 2014-10-01 |
| HOUSER, CYNTHIA | Individual | CORPORATE DIRECTOR | — | 2006-10-01 |
| HUFFORD, DAVID | Individual | CORPORATE DIRECTOR | — | 2010-10-01 |
| MAGANA, CHRISTOPHER | Individual | CORPORATE DIRECTOR | — | 2008-10-01 |
| RENZ, JAN | Individual | CORPORATE DIRECTOR | — | 2012-10-01 |
| SCHUMER, MARY | Individual | CORPORATE DIRECTOR | — | 2012-10-01 |
| WETTA, THERESE | Individual | CORPORATE DIRECTOR | — | 2014-07-01 |
| MORGAN, CHARLES | Individual | CORPORATE OFFICER | — | 2010-10-01 |
| OBLINGER, WARREN | Individual | CORPORATE OFFICER | — | 2014-10-01 |
| SMITH, SIDNEY | Individual | CORPORATE OFFICER | — | 2014-11-10 |
| SORENSEN, MELINDA | Individual | CORPORATE OFFICER | — | 2010-06-01 |
| STEADMAN, KYLE | Individual | CORPORATE OFFICER | — | 2008-10-01 |
| JOHNSON, JACKIE | Individual | W-2 MANAGING EMPLOYEE | — | 2003-09-15 |
| ASC HEALTH SYSTEM | Organization | 5% OR GREATER SECURITY INTEREST | — | 1984-01-01 |
Other facilities in MULVANE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.