Villa Maria

Nursing Home · Mulvane, KS

CMS overall rating 5/5 Non profit - Corporation

CMS certification number175456

Contact & location

116 S Central Ave
Mulvane, KS 67110
Sumner County
Phone
(316) 777-1129
ZIP code
67110 – all care providers

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Facility details

Certified beds
64
Residents per day
56.9 (89% occupied)
Ownership
Non profit - Corporation
Legal name
Villa Maria INC
Medicare certified since
August 1, 2002
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 5/5
State avg 3.1
Health inspections★★★★★ 5/5
State avg 2.9
Staffing★★★★★ 3/5
State avg 3.5
Quality measures★★★★★ 4/5
State avg 3.2
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.92 (state 4.07 · U.S. 3.86)
Registered nurses (RN)
0.62 (state 0.71 · U.S. 0.69)
Licensed practical nurses
0.50 (state 0.65 · U.S. 0.86)
Nurse aides
2.80 (state 2.70 · U.S. 2.32)
Weekend total
3.59 (state 3.60 · U.S. 3.42)
Nursing staff turnover
65.8 (state 48.1 · U.S. 45.8)%
RN turnover
76.9 (state 42.0 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 17, 2024
Health deficiencies (last cycle)
0.0 (state 9.5 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
18 health · 33 fire safety
DateCitationSeverityStatus
2025-07-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-19
2023-02-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2023-02-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-03-22
2021-04-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26
2021-04-20 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2021-05-26

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $22,081 in fines.

DateTypeAmount
2025-01-16Fine$22,081

Ownership & management

NameRoleSince
Aria Dental Care PC (organization)Administrator · NOT APPLICABLE
Arthur J Gallagher Risk Management Services INC (organization)Administrator · NOT APPLICABLE
Auburn Pharmacy INC (organization)Administrator · NOT APPLICABLE
Bank of Ny Mellon (organization)Administrator · NOT APPLICABLE
Bretton, Angelica (individual)Administrator · NOT APPLICABLE
Carter, Andrea (individual)Administrator · NOT APPLICABLE
Caudle, Kendall (individual)Administrator · NOT APPLICABLE
Davis, Brenda (individual)Administrator · NOT APPLICABLE
Dehass, Brenda (individual)Administrator · NOT APPLICABLE
Dettwiller RCM Consulting, LLC (organization)Administrator · NOT APPLICABLE
Forvis Mazars LLP (organization)Administrator · NOT APPLICABLE
Funk, Jonathan (individual)Administrator · NOT APPLICABLE
Girrens, Joni (individual)Administrator · NOT APPLICABLE
Guthrie, George (individual)Administrator · NOT APPLICABLE
Health Technologies, INC (organization)Administrator · NOT APPLICABLE
Hiebert, Devon (individual)Administrator · NOT APPLICABLE
Hinshaw, Micah (individual)Administrator · NOT APPLICABLE
Ipc Healthcare INC (organization)Administrator · NOT APPLICABLE
Jadyn Rya Saunders (organization)Administrator · NOT APPLICABLE
Kansas State Bank (organization)Administrator · NOT APPLICABLE
Lafleur, Cynthia (individual)Administrator · NOT APPLICABLE
McCue, Tamara (individual)Administrator · NOT APPLICABLE
Meier-McFerren, Shawn (individual)Administrator · NOT APPLICABLE
Nationwide Mutual Insurance Company (organization)Administrator · NOT APPLICABLE
Quality Rehab Management (organization)Administrator · NOT APPLICABLE
Sanders, Jennifer (individual)Administrator · NOT APPLICABLE
Teresa A. Unruh (organization)Administrator · NOT APPLICABLE
Vega, Danielle (individual)Administrator · NOT APPLICABLE
Woodrow, Felicia (individual)Administrator · NOT APPLICABLE
Burrus, Michael (individual)Corporate Director · NOT APPLICABLE
Campbell, Brian (individual)Corporate Director · NOT APPLICABLE
Etheredge, Wesley (individual)Corporate Director · NOT APPLICABLE
Hampel, Melicia (individual)Corporate Director · NOT APPLICABLE
Hoffman, Mark (individual)Corporate Director · NOT APPLICABLE
Lafleur, Cynthia (individual)Corporate Director · NOT APPLICABLE
Lazar, Jerald (individual)Corporate Director · NOT APPLICABLE
Macias, Jean (individual)Corporate Director · NOT APPLICABLE
Meier, Connor (individual)Corporate Director · NOT APPLICABLE
Pool, Susan (individual)Corporate Director · NOT APPLICABLE
Schumer, Mary (individual)Corporate Director · NOT APPLICABLE
Strecker, Kevin (individual)Corporate Director · NOT APPLICABLE
Tran, Dan (individual)Corporate Director · NOT APPLICABLE
Carter, Andrea (individual)Corporate Officer · NOT APPLICABLE
Davis, Brenda (individual)Corporate Officer · NOT APPLICABLE
Dehass, Brenda (individual)Corporate Officer · NOT APPLICABLE
Funk, Jonathan (individual)Corporate Officer · NOT APPLICABLE
Girrens, Joni (individual)Corporate Officer · NOT APPLICABLE
Guthrie, George (individual)Corporate Officer · NOT APPLICABLE
Hiebert, Devon (individual)Corporate Officer · NOT APPLICABLE
Hinshaw, Micah (individual)Corporate Officer · NOT APPLICABLE
Lafleur, Cynthia (individual)Corporate Officer · NOT APPLICABLE
Meier-McFerren, Shawn (individual)Corporate Officer · NOT APPLICABLE
Oblinger, Warren (individual)Corporate Officer · NOT APPLICABLE
Sanders, Jennifer (individual)Corporate Officer · NOT APPLICABLE
Vega, Danielle (individual)Corporate Officer · NOT APPLICABLE
York, Patrick (individual)Corporate Officer · NOT APPLICABLE
Bretton, Angelica (individual)Operational/managerial Control · NOT APPLICABLE
Catholic Care Center INC (organization)Operational/managerial Control · NOT APPLICABLE
Ipc Healthcare INC (organization)Operational/managerial Control · NOT APPLICABLE
McCue, Tamara (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Villa Maria?

Villa Maria has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.

How many beds does Villa Maria have?

It has 64 certified beds and cares for about 57 residents per day.

Has Villa Maria been fined?

Yes. CMS lists 1 penalty totaling $22,081 in the last three years.

What is the phone number of Villa Maria?

(316) 777-1129. The facility is located at 116 S Central Ave, Mulvane, KS 67110.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.