Nursing homeActive

Villa Maria

116 S Central Ave, Mulvane, KS 67110316777112964 certified beds · 57 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2021
Deficiencies
18
0180
Penalties · 3 yrs
$22,081
1 fine
Last survey
2025-07-30
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-30Complaint010CMS-2567 (Care Compare)
2024-12-17Standard000CMS-2567 (Care Compare)
2023-02-08Standard070CMS-2567 (Care Compare)
2021-04-20Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-30Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-19Record 175456-20250730-F689
2023-02-08Standard survey · 7 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F550
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F582
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F692
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F700
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-22Record 175456-20230208-F755
2021-04-20Standard survey · 10 deficienciesOfficial report
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F661
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F814
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2021-05-26Record 175456-20210420-F880

Penalties & enforcement

DateActionAmountSource
2025-01-16Civil money penalty$22,081CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.62
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day3.92
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.59
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover66%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover77%
Facility
Kansas
National
Kansas 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityKansasNational
Percentage of long-stay residents with pressure ulcers
lower is better
7.5%4.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%4.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
9.5%18.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.9%2.9%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
28.8%17.9%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.7%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
15.2%23.2%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Bretton, Angelica
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Catholic Care Center Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ipc Healthcare Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mccue, Tamara
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Aria Dental Care PC
Organization
ADP OF THE SNFNOT APPLICABLE
Arthur J Gallagher Risk Management Services Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Auburn Pharmacy Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Bank Of Ny Mellon
Organization
ADP OF THE SNFNOT APPLICABLE
Bretton, Angelica
Individual
ADP OF THE SNFNOT APPLICABLE
Burrus, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Campbell, Brian
Individual
CORPORATE DIRECTORNOT APPLICABLE
Carter, Andrea
Individual
CORPORATE OFFICERNOT APPLICABLE
Carter, Andrea
Individual
ADP OF THE SNFNOT APPLICABLE
Caudle, Kendall
Individual
ADP OF THE SNFNOT APPLICABLE
Davis, Brenda
Individual
ADP OF THE SNFNOT APPLICABLE
Davis, Brenda
Individual
CORPORATE OFFICERNOT APPLICABLE
Dehass, Brenda
Individual
ADP OF THE SNFNOT APPLICABLE
Dehass, Brenda
Individual
CORPORATE OFFICERNOT APPLICABLE
Dettwiller Rcm Consulting, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Etheredge, Wesley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Funk, Jonathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Funk, Jonathan
Individual
ADP OF THE SNFNOT APPLICABLE
Girrens, Joni
Individual
ADP OF THE SNFNOT APPLICABLE
Girrens, Joni
Individual
CORPORATE OFFICERNOT APPLICABLE
Guthrie, George
Individual
ADP OF THE SNFNOT APPLICABLE
Guthrie, George
Individual
CORPORATE OFFICERNOT APPLICABLE
Hampel, Melicia
Individual
CORPORATE DIRECTORNOT APPLICABLE
Health Technologies, Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Hiebert, Devon
Individual
ADP OF THE SNFNOT APPLICABLE
Hiebert, Devon
Individual
CORPORATE OFFICERNOT APPLICABLE
Hinshaw, Micah
Individual
CORPORATE OFFICERNOT APPLICABLE
Hinshaw, Micah
Individual
ADP OF THE SNFNOT APPLICABLE
Hoffman, Mark
Individual
CORPORATE DIRECTORNOT APPLICABLE
Ipc Healthcare Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Jadyn Rya Saunders
Organization
ADP OF THE SNFNOT APPLICABLE
Kansas State Bank
Organization
ADP OF THE SNFNOT APPLICABLE
Lafleur, Cynthia
Individual
ADP OF THE SNFNOT APPLICABLE
Lafleur, Cynthia
Individual
CORPORATE OFFICERNOT APPLICABLE
Lafleur, Cynthia
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lazar, Jerald
Individual
CORPORATE DIRECTORNOT APPLICABLE
Macias, Jean
Individual
CORPORATE DIRECTORNOT APPLICABLE
Mccue, Tamara
Individual
ADP OF THE SNFNOT APPLICABLE
Meier, Connor
Individual
CORPORATE DIRECTORNOT APPLICABLE
Meier-Mcferren, Shawn
Individual
CORPORATE OFFICERNOT APPLICABLE
Meier-Mcferren, Shawn
Individual
ADP OF THE SNFNOT APPLICABLE
Nationwide Mutual Insurance Company
Organization
ADP OF THE SNFNOT APPLICABLE
Oblinger, Warren
Individual
CORPORATE OFFICERNOT APPLICABLE
Pool, Susan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Quality Rehab Management
Organization
ADP OF THE SNFNOT APPLICABLE
Sanders, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Sanders, Jennifer
Individual
CORPORATE OFFICERNOT APPLICABLE
Schumer, Mary
Individual
CORPORATE DIRECTORNOT APPLICABLE
Strecker, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Teresa A. Unruh
Organization
ADP OF THE SNFNOT APPLICABLE
Tran, Dan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Vega, Danielle
Individual
ADP OF THE SNFNOT APPLICABLE
Vega, Danielle
Individual
CORPORATE OFFICERNOT APPLICABLE
Woodrow, Felicia
Individual
ADP OF THE SNFNOT APPLICABLE
York, Patrick
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.

No county cost figures on file for Sumner.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Derby Health & Rehabilitation, LLC
Derby
5.0 mi2026-03-110100
Westview Of Derby Rehabilitation & Health Care Cen
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5.1 mi2025-09-160214
Advena Living At Fountainview
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8.6 mi2025-01-23071
Diversicare Of Haysville
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01