VILLA MARIA WEST SKILLED NURSING FACILITY

8850 NW 122 ST
HIALEAH GARDENS, FL, 33018
3053517181
CCN: 106080
5
Overall
4
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
REHABILITATION CENTER AT HOLLY
1128b5
Excluded 2018-11-20
Ownership
NameRole%
VILLA MARIA NURSING & REHABILITATION CENTER5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ARCHDIOCESE OF MIAMI INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
FRICK, MARYCORPORATE OFFICERNOT APPLICABLE
WILSON, LAURACORPORATE OFFICERNOT APPLICABLE
CONTRERAS, JOSEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CATHOLIC HEALTH SERVICES INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
JOHNSON, NATHANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (10)
2025-09-11 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2024-05-15 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2022-12-29 · Health
E
F803 · Nutrition and Dietary Deficiencies
Ensure 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.
D
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.42
3.68
RN Hrs/Resident/Day
1.80
0.54
LPN Hrs/Resident/Day
1.08
0.81
CNA Hrs/Resident/Day
2.54
2.33
PT Hrs/Resident/Day
0.23
0.12
Data as of 2026-03-01