Nursing HomeInspections

Villa Maria West Skilled Nursing Facility

Nursing home in Hialeah Gardens, FL

Medicare-certified5★ overall (CMS)

Call (305) 351-7181Send a messageMap ↗

Public-record details

Address
8850 Nw 122 St, Hialeah Gardens, FL 33018
Phone
(305) 351-7181
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
106080
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
5 of 5
Certified beds
27
Average residents per day
24
Ownership
Nonprofit, church related
Legal business name
Villa Maria Nursing & Rehabilitation Center
Certified for
Medicare
First approved by Medicare/Medicaid
Feb 9, 2009
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 106080. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 29, 2022 to Sep 11, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 11, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 11, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		D
Potential for more than minimal harm, isolated
May 15, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2024Provide 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		D
Potential for more than minimal harm, isolated
May 15, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 15, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Dec 29, 2022Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 29, 2022Provide activities to meet all resident's needs.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Dec 29, 2022Ensure 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.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
5.23 hours
Registered nurse (RN) time per resident per day
1.96 hours
Nurse aide time per resident per day
2.47 hours
Total nurse staffing on weekends
4.58 hours
Nursing staff turnover (yearly)
25%
RN turnover (yearly)
39%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Hialeah Gardens

Waterford Nursing and Rehabilitation Center8333 W Okeechobee Road · Hialeah Gardens, FL 33016 · (305) 556-9900 · For-profit13 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)

All 2 in Hialeah Gardens →