Villa Maria

116 S CENTRAL AVE
MULVANE, KS, 67110
3167771129
CCN: 175456
5
Overall
5
Health
3
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
ASC HEALTH SYSTEM5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ASC HEALTH SYSTEM5% OR GREATER SECURITY INTERESTNOT APPLICABLE
WETTA, THERESECORPORATE DIRECTORNOT APPLICABLE
CILLESSEN, KATHYCORPORATE DIRECTORNOT APPLICABLE
HOUSER, CYNTHIACORPORATE DIRECTORNOT APPLICABLE
HUFFORD, DAVIDCORPORATE DIRECTORNOT APPLICABLE
MAGANA, CHRISTOPHERCORPORATE DIRECTORNOT APPLICABLE
RENZ, JANCORPORATE DIRECTORNOT APPLICABLE
SCHUMER, MARYCORPORATE DIRECTORNOT APPLICABLE
SORENSEN, MELINDACORPORATE OFFICERNOT APPLICABLE
MORGAN, CHARLESCORPORATE OFFICERNOT APPLICABLE
OBLINGER, WARRENCORPORATE OFFICERNOT APPLICABLE
SMITH, SIDNEYCORPORATE OFFICERNOT APPLICABLE
STEADMAN, KYLECORPORATE OFFICERNOT APPLICABLE
VIA CHRISTI VILLAGES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SMITH, SIDNEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOHNSON, JACKIEW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-01-16Fine$22K
Health Deficiencies (18)
2025-07-30 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-02-08 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F700 · Quality of Life and Care Deficiencies
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.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2021-04-20 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
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.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.92
3.68
RN Hrs/Resident/Day
0.67
0.54
LPN Hrs/Resident/Day
0.65
0.81
CNA Hrs/Resident/Day
2.61
2.33
PT Hrs/Resident/Day
0.06
0.12
Data as of 2026-03-01