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VILLA MARIA WEST SKILLED NURSING FACILITY

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VILLA MARIA WEST SKILLED NURSING FACILITY is a non profit - church related facility in HIALEAH GARDENS, FL with 27 certified beds and a 5-star overall CMS rating. The facility has 10 deficiency records on file.

8850 NW 122 ST, HIALEAH GARDENS, FL 33018

Phone: 3053517181

Overall Rating

5/5

Health Inspection

4/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

N/A

Facility Information

Provider Number
106080
Ownership
Non profit - Church related
Provider Type
Medicare
Beds
27
Residents
24
In Hospital
No
County
Miami-Dade
Last Inspection
Sep 11, 2025

Staffing Data

RN Hours
1.80 (nat'l avg: 0.68)
LPN Hours
1.08
CNA Hours
2.54
Total Nursing Hours
5.42 (nat'l avg: 3.89)
PT Hours
0.23
Nursing Turnover
12.5%
RN Turnover
21.4%

What the CMS Record Reveals About VILLA MARIA WEST SKILLED NURSING FACILITY

VILLA MARIA WEST SKILLED NURSING FACILITY operates 27 certified beds in HIALEAH GARDENS, FL with approximately 24 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (5★), and quality measures (5★). 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.

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.42 total nursing hours per resident day (national average 3.89), with RN coverage at 1.80 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Church related" ownership and operating as a "Medicare" provider, VILLA MARIA WEST SKILLED NURSING FACILITY falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 12.5%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Oct 11, 2025

D — Isolated - Minimal harm Sep 11, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 11, 2025

D — Isolated - Minimal harm May 15, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 15, 2024

D — Isolated - Minimal harm May 15, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 15, 2024

D — Isolated - Minimal harm May 15, 2024 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: Jun 15, 2024

D — Isolated - Minimal harm May 15, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2024

D — Isolated - Minimal harm May 15, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2024

E — Pattern - Minimal harm Dec 29, 2022 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 26, 2023

D — Isolated - Minimal harm Dec 29, 2022 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 26, 2023

E — Pattern - Minimal harm Dec 29, 2022 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 26, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay N/A No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay N/A Yes
Percentage of long-stay residents with a urinary tract infection Long Stay N/A Yes
Percentage of long-stay residents who have depressive symptoms Long Stay N/A No
Percentage of long-stay residents who were physically restrained Long Stay N/A No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay N/A Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay N/A No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay N/A No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 96.1% No
Percentage of long-stay residents with pressure ulcers Long Stay N/A Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay N/A No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for VILLA MARIA WEST SKILLED NURSING FACILITY?
VILLA MARIA WEST SKILLED NURSING FACILITY has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at VILLA MARIA WEST SKILLED NURSING FACILITY?
VILLA MARIA WEST SKILLED NURSING FACILITY reports 5.42 total nursing hours per resident day (national average: 3.89). RN hours are 1.80 per resident day (national average: 0.68). Nursing staff turnover is 12.5%.
How many beds does VILLA MARIA WEST SKILLED NURSING FACILITY have?
VILLA MARIA WEST SKILLED NURSING FACILITY has 27 certified beds with approximately 24 residents. The facility is located at 8850 NW 122 ST, HIALEAH GARDENS, FL 33018.
Does VILLA MARIA WEST SKILLED NURSING FACILITY have any deficiencies on record?
Yes, VILLA MARIA WEST SKILLED NURSING FACILITY has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has VILLA MARIA WEST SKILLED NURSING FACILITY received any fines or penalties?
No, VILLA MARIA WEST SKILLED NURSING FACILITY has no fines or penalties on record.
Who owns VILLA MARIA WEST SKILLED NURSING FACILITY?
VILLA MARIA WEST SKILLED NURSING FACILITY is classified as "Non profit - Church related" ownership. The facility type is "Medicare".
When was VILLA MARIA WEST SKILLED NURSING FACILITY last inspected?
The most recent health inspection for VILLA MARIA WEST SKILLED NURSING FACILITY was on Sep 11, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for VILLA MARIA WEST SKILLED NURSING FACILITY?
VILLA MARIA WEST SKILLED NURSING FACILITY 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial