Nursing HomeInspections

Villa Maria

Nursing home in Mulvane, KS

Medicare & Medicaid certified5★ overall (CMS)

Call (316) 777-1129Send a messageMap ↗

Public-record details

Address
116 S Central Ave, Mulvane, KS 67110
Phone
(316) 777-1129
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
175456
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
64
Average residents per day
57
Ownership
Nonprofit, corporation
Legal business name
Villa Maria INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 175456. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 17, 2024. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 20, 2021 to Jul 30, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 8, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 8, 2023Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 8, 2023Develop 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		D
Potential for more than minimal harm, isolated
Feb 8, 2023Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 8, 2023Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 8, 2023Try 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 8, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 20, 2021Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 20, 2021Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 20, 2021Provide 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
Apr 20, 2021Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

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 1 fine totalling $22,081 in the last three years.

Jan 16, 2025Fine: $22,081

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
3.92 hours
Registered nurse (RN) time per resident per day
0.62 hours
Nurse aide time per resident per day
2.80 hours
Total nurse staffing on weekends
3.59 hours
Nursing staff turnover (yearly)
66%
RN turnover (yearly)
77%
Administrators who left in the past year
1

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.