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Villa Maria
116 S CENTRAL AVE
Mulvane, KS 67110
(316) 777-1129
General
Ratings
Deficiencies
Resident Stats
Staff Stats
| Certified Beds: | 64 |
| Number of Residents: | 60 |
| Percent of Occupied Beds: | 94% |
| Sprinkler Status: | Fully Sprinklered |
| Program Participation: | Medicare and Medicaid |
| Type of Ownership: | Non profit - Corporation |
| Located Within a Hospital? | No |
| Multi Nursing Home Ownership? | Yes |
| Resident and Family Councils? | Resident |
| Continuing Care Retirement Community? | No |
| Quality Indicator Survey? | Yes |
| Special Focus Facility? | No |
| Overall: |  |
| Health Inspection: | |
| Nurse Staffing: |  |
| Quality Measures: | |
| RN Only: | |
| Date | Type | Category | Deficiency | Scope | Level of Harm | Date of Correction |
| 20071120 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20071207 |
| 20080208 | Health | Administration Deficiencies | Keep accurate and appropriate medical records. | Pattern | Minimal harm or potential for actual harm | 20080307 |
| 20080208 | Health | Quality Care Deficiencies | Give professional services that meet a professional standard of quality. | Pattern | Minimal harm or potential for actual harm | 20080307 |
| 20080208 | Health | Quality Care Deficiencies | Give each resident care and services to get or keep the highest quality of life possible. | Pattern | Minimal harm or potential for actual harm | 20080307 |
| 20090310 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Immediate jeopardy to resident health or safety | 20090316 |
| 20100121 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100122 |
| 20100504 | Health | Environmental Deficiencies | Make sure that the nursing home area is free of dangers that cause accidents. | Isolated | Actual harm | 20100504 |
| 20100811 | Health | Mistreatment Deficiencies | 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm | 20100826 |
| 20101124 | Health | Nutrition and Dietary Deficiencies | Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm | 20101124 |
| Value | Notes | |
| Percent of long-stay residents given influenza vaccination during the flu season: | 99 | |
| Percent of long-stay residents who were assessed and given pneumococcal vaccination: | 99 | |
| Percent of long-stay residents whose need for help with daily activities has increased: | 30 | |
| Percent of long-stay residents who have moderate to severe pain: | 2 | |
| Percent of high-risk long-stay residents who have pressure sores: | 12 | |
| Percent of low-risk long-stay residents who have pressure sores: | 5 | |
| Percent of long-stay residents who were physically restrained: | 0 | |
| Percent of long-stay residents who are more depressed or anxious: | 23 | |
| Percent of low-risk long-stay residents who lose control of their bowels or bladder: | 43 | |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder: | 2 | |
| Percent of long-stay residents who spend most of their time in bed or in a chair: | 3 | |
| Percent of long-stay residents whose ability to move about in and around their room got worse: | 24 | |
| Percent of long-stay residents who had a urinary tract infection: | 12 | |
| Percent of long-stay residents who lose too much weight: | 4 | |
| Percent of short-stay residents given influenza vaccination during the flu season: | 90 | |
| Percent of short-stay residents who were assessed and given pneumococcal vaccination: | 91 | |
| Percent of short-stay residents who have delirium: | 0 | |
| Percent of short-stay residents who had moderate to severe pain: | 5 | |
| Percent of short-stay residents who have pressure sores: | 3 | |
| # of Residents: | 60 |
| # RN Hours per Resident: | 0.48 |
| # LPN Hours per Resident: | 0.75 |
| # CNA Hours per Resident: | 2.63 |
| Total Staff Hours per Resident: | 1.23 |
