Villa Maria
116 S CENTRAL AVE
MULVANE, KS, 67110
3167771129
CCN: 175456
5
Overall5
Health3
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| ASC HEALTH SYSTEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ASC HEALTH SYSTEM | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| WETTA, THERESE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CILLESSEN, KATHY | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOUSER, CYNTHIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| HUFFORD, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| MAGANA, CHRISTOPHER | CORPORATE DIRECTOR | NOT APPLICABLE |
| RENZ, JAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCHUMER, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| SORENSEN, MELINDA | CORPORATE OFFICER | NOT APPLICABLE |
| MORGAN, CHARLES | CORPORATE OFFICER | NOT APPLICABLE |
| OBLINGER, WARREN | CORPORATE OFFICER | NOT APPLICABLE |
| SMITH, SIDNEY | CORPORATE OFFICER | NOT APPLICABLE |
| STEADMAN, KYLE | CORPORATE OFFICER | NOT APPLICABLE |
| VIA CHRISTI VILLAGES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SMITH, SIDNEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JOHNSON, JACKIE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2025-01-16 | Fine | $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/Day3.68
3.92
RN Hrs/Resident/Day0.54
0.67
LPN Hrs/Resident/Day0.81
0.65
CNA Hrs/Resident/Day2.33
2.61
PT Hrs/Resident/Day0.12
0.06
Data as of 2026-03-01