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VILLA ROSA NURSING AND REHABILITATION, LLC

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VILLA ROSA NURSING AND REHABILITATION, LLC is a for profit - limited liability company facility in MITCHELLVILLE, MD with 107 certified beds and a 2-star overall CMS rating. The facility has 41 deficiency records on file.

3800 LOTTSFORD VISTA ROAD, MITCHELLVILLE, MD 20721

Phone: 3014594700

Overall Rating

2/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
215350
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
107
Residents
77
In Hospital
No
County
Prince Georges
Last Inspection
May 31, 2024

Staffing Data

RN Hours
0.68 (nat'l avg: 0.68)
LPN Hours
0.90
CNA Hours
1.83
Total Nursing Hours
3.40 (nat'l avg: 3.89)
PT Hours
0.06
Nursing Turnover
49.4%
RN Turnover
64.7%

What the CMS Record Reveals About VILLA ROSA NURSING AND REHABILITATION, LLC

VILLA ROSA NURSING AND REHABILITATION, LLC operates 107 certified beds in MITCHELLVILLE, MD with approximately 77 residents currently in care, and carries a CMS overall rating of 2 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 (2★), staffing levels (2★), and quality measures (3★). 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 41 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 3.40 total nursing hours per resident day (national average 3.89), with RN coverage at 0.68 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, VILLA ROSA NURSING AND REHABILITATION, LLC 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 49.4%, 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 (41 most recent)

D — Isolated - Minimal harm May 31, 2024 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: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 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: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 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: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 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: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 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: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 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: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 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: Jul 1, 2024

E — Pattern - Minimal harm May 31, 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: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm May 31, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

D — Isolated - Minimal harm May 31, 2024 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2024

E — Pattern - Minimal harm Dec 22, 2017 Tag: 0923

Have enough outside ventilation via a window or mechanical ventilation, or both.

Category: Environmental Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 22, 2018

C — Widespread - No harm Dec 22, 2017 Tag: 0846

Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.

Category: Administration Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 22, 2018

E — Pattern - Minimal harm Dec 22, 2017 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jan 22, 2018

E — Pattern - Minimal harm Dec 22, 2017 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: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 22, 2018

E — Pattern - Minimal harm Dec 22, 2017 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 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: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 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: Jan 22, 2018

D — Isolated - Minimal harm Dec 22, 2017 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 22, 2018

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 31.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 35.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 73.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 43.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 4.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 75.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 6.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for VILLA ROSA NURSING AND REHABILITATION, LLC?
VILLA ROSA NURSING AND REHABILITATION, LLC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at VILLA ROSA NURSING AND REHABILITATION, LLC?
VILLA ROSA NURSING AND REHABILITATION, LLC reports 3.40 total nursing hours per resident day (national average: 3.89). RN hours are 0.68 per resident day (national average: 0.68). Nursing staff turnover is 49.4%.
How many beds does VILLA ROSA NURSING AND REHABILITATION, LLC have?
VILLA ROSA NURSING AND REHABILITATION, LLC has 107 certified beds with approximately 77 residents. The facility is located at 3800 LOTTSFORD VISTA ROAD, MITCHELLVILLE, MD 20721.
Does VILLA ROSA NURSING AND REHABILITATION, LLC have any deficiencies on record?
Yes, VILLA ROSA NURSING AND REHABILITATION, LLC has 41 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has VILLA ROSA NURSING AND REHABILITATION, LLC received any fines or penalties?
No, VILLA ROSA NURSING AND REHABILITATION, LLC has no fines or penalties on record.
Who owns VILLA ROSA NURSING AND REHABILITATION, LLC?
VILLA ROSA NURSING AND REHABILITATION, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was VILLA ROSA NURSING AND REHABILITATION, LLC last inspected?
The most recent health inspection for VILLA ROSA NURSING AND REHABILITATION, LLC was on May 31, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for VILLA ROSA NURSING AND REHABILITATION, LLC?
VILLA ROSA NURSING AND REHABILITATION, LLC 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