nursing home in Mulvane, KS
Villa Maria
116 S Central Ave, Mulvane, KS 67110 · (316) 777-1129
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Villa Maria at a glance
Villa Maria is a 64-bed non-profit nursing home in Mulvane, Kansas (Sumner County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Kansas average of 3.1.
Residents receive about 3.9 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.1 hours.
Its most recent standard health inspection (December 17, 2024) found 0 health citations. The Kansas average is 9.5.
Federal regulators fined it 1 time in the past three years, totaling $22,081.
Nursing staff turnover is 65.8% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 64
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 1, 2002
- Resident/family council
- Resident
- County
- Sumner County
- CMS Certification Number
- 175456
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.1 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.92 hrs | 4.07 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.62 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.80 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.59 hrs | 3.60 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 65.8% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 76.9% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 8 | 83.4 | 80.6 | Better |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,081 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 64 | 61 | 107 | |
| Average residents per day | 57 | 51 | 86 | |
| Occupancy | 88.9% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.7% | 4.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.5% | 4.4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.5% | 18.1% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.8% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.2% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.2% | 23.2% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 24% | 22.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 92.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.9% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 73.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 84.9% | 76.1% | 82% | Average |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 33 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 19, 2025 |
| December 17, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 14, 2025 |
| December 17, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 15, 2025 |
| December 17, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected January 23, 2025 |
| December 17, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 20, 2025 |
| December 17, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 22, 2025 |
| December 17, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected January 23, 2025 |
| December 17, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected January 16, 2025 |
| December 17, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | E Potential harm, pattern | Corrected January 15, 2025 |
| February 8, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Tag E0007 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | E Potential harm, pattern | Corrected March 10, 2023 |
| February 8, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 10, 2023 |
| February 8, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected March 22, 2023 |
| February 8, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 22, 2023 |
| April 20, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected July 29, 2021 |
| April 20, 2021 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected July 29, 2021 |
| April 20, 2021 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected May 26, 2021 |
| April 20, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 26, 2021 |
| April 20, 2021 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 26, 2021 |
| April 20, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 26, 2021 |
| April 20, 2021 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected May 26, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $22,081 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 16, 2025 | Fine | $22,081 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARIA DENTAL CARE PC Organization | adp of the snf | NOT APPLICABLE | 01/01/2010 |
| ARTHUR J GALLAGHER RISK MANAGEMENT SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| AUBURN PHARMACY INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| BANK OF NY MELLON Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| BRETTON, ANGELICA Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| CARTER, ANDREA Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| CAUDLE, KENDALL Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| DAVIS, BRENDA Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| DEHASS, BRENDA Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| DETTWILLER RCM CONSULTING, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| FORVIS MAZARS LLP Organization | adp of the snf | NOT APPLICABLE | 01/01/2010 |
| FUNK, JONATHAN Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| GIRRENS, JONI Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| GUTHRIE, GEORGE Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| HEALTH TECHNOLOGIES, INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HIEBERT, DEVON Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| HINSHAW, MICAH Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| IPC HEALTHCARE INC Organization | adp of the snf | NOT APPLICABLE | 01/28/2026 |
| JADYN RYA SAUNDERS Organization | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| KANSAS STATE BANK Organization | adp of the snf | NOT APPLICABLE | 07/12/2017 |
| LAFLEUR, CYNTHIA Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| MCCUE, TAMARA Individual | adp of the snf | NOT APPLICABLE | 05/01/2020 |
| MEIER-MCFERREN, SHAWN Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| NATIONWIDE MUTUAL INSURANCE COMPANY Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| QUALITY REHAB MANAGEMENT Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| SANDERS, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| TERESA A. UNRUH Organization | adp of the snf | NOT APPLICABLE | 01/01/1990 |
| VEGA, DANIELLE Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| WOODROW, FELICIA Individual | adp of the snf | NOT APPLICABLE | 05/15/2025 |
| BURRUS, MICHAEL Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| CAMPBELL, BRIAN Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| ETHEREDGE, WESLEY Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| HAMPEL, MELICIA Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| HOFFMAN, MARK Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| LAFLEUR, CYNTHIA Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| LAZAR, JERALD Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| MACIAS, JEAN Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| MEIER, CONNOR Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| POOL, SUSAN Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
| SCHUMER, MARY Individual | corporate director | NOT APPLICABLE | 05/15/2025 |
Showing 40 of 60 records.
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Frequently asked questions
What is Villa Maria's rating?
Villa Maria has 5 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Villa Maria receive?
Its most recent standard health inspection found 0 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Villa Maria accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Villa Maria?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Villa Maria and how do I contact it?
Villa Maria is at 116 S Central Ave, Mulvane, KS 67110. Phone: (316) 777-1129.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.