PlainNursing
CMS Nursing Home Compare · August 2026

Villa Maria

116 S Central Ave, Mulvane, KS 67110

Villa Maria, a 64-bed non profit - corporation nursing facility in Mulvane, KS, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #66 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3167771129

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5 / 5
Much above average · CMS overall · nat'l 3.0
#66 of 294
In-state rank among rated KS homes
3.92
About average · nurse hrs/day · nat'l 3.86
18
Inspection findings

The verdict

Villa Maria, a 64-bed non profit - corporation nursing facility in Mulvane, KS, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #66 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

5 / 5
CMS overall · national 3.0
#66 of 294
In-state rank among rated KS homes
3.92
Nurse hrs/resident-day · national 3.86
18
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 296 KS nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

3/5

Facility Information

Provider Number
175456
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
64
Residents
57
In Hospital
No
County
Sumner
Last Inspection
Dec 17, 2024

Staffing Data

How the 3.92 total nursing hours per resident-day are staffed:

RN Hours
0.62 (nat'l avg: 0.69)
LPN Hours
0.50
CNA Hours
2.80
Total Nursing Hours
3.92 (nat'l avg: 3.86)
PT Hours
0.10
Nursing Turnover
65.8%
RN Turnover
76.9%

What the CMS Record Reveals About Villa Maria

According to CMS Nursing Home Compare, Villa Maria ranks #66 of 294 rated nursing homes in KS on overall stars (tie-broken by health+staffing+quality, then fewer fines). Villa Maria operates 64 certified beds in Mulvane, KS with approximately 57 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 3★ · quality 4★).

The inspection file contains 18 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $22K levied against this facility. Reported nurse staffing runs 3.92 total hours per resident day (national average 3.86); RN hours specifically are 0.62 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Villa Maria falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 65.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (18 most recent)

D - Isolated - Minimal harm Jul 30, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 19, 2025

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Feb 8, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 22, 2023

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0758

Implement 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.

Category: Pharmacy Service Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 26, 2021

D - Isolated - Minimal harm Apr 20, 2021 Tag: 0661

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 26, 2021

F - Widespread - Minimal harm Apr 20, 2021 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 26, 2021

F - Widespread - Minimal harm Apr 20, 2021 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: May 26, 2021

F - Widespread - Minimal harm Apr 20, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 26, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 28.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 84.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History 1 penalties totaling $22K

Date Type Amount
Jan 16, 2025 Fine $22K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Villa Maria, both outside KS so the neighborhoods are not the same-state geography list below.

What the CMS records show for Villa Maria

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The KS registry aggregates state averages and the highest-rated homes in this cohort. View KS registry
  • Peer homes near 64 beds show how CMS stars vary at a similar scale in KS. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Villa Maria?
Villa Maria has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (4★).
Where does Villa Maria rank among nursing homes in KS?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Villa Maria ranks 66th among 294 rated nursing homes in KS (#66 of 294). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Villa Maria?
Villa Maria reports 3.92 total nursing hours per resident day (national average: 3.86). RN hours are 0.62 per resident day (national average: 0.69). Nursing staff turnover is 65.8%.
How many beds does Villa Maria have?
Villa Maria has 64 certified beds with approximately 57 residents. The facility is located at 116 S Central Ave, Mulvane, KS 67110.
Does Villa Maria have any deficiencies on record?
Yes, Villa Maria has 18 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Villa Maria received any fines or penalties?
Yes, Villa Maria has received 1 penalties totaling $22K.
Who owns Villa Maria?
Villa Maria is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Villa Maria last inspected?
The most recent health inspection for Villa Maria was on Dec 17, 2024. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Villa Maria?
Villa Maria is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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