A+
96/100

VILLA MARIA WEST SKILLED NURSING FACILITY Inspection Report, Violations & Safety Grade (HIALEAH GARDENS, Florida)

8850 NW 122 ST, HIALEAH GARDENS, Florida 33018

Phone: 3053517181

CMS Overall:5/5

Overview & Bed Count

Certified Beds
27
Avg Residents/Day
24.2
Ownership
Non profit - Church related
Provider Type
Medicare
County
Miami-Dade
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health4/5
Staffing5/5
QualityN/A

Nurse Staffing Check

MetricThis FacilityFlorida AvgDifference
RN Hours per Resident per Day1.750.73+1.02
Total Nurse Hours per Resident per Day5.283.86+1.42
CMS Staffing Rating5/53.3/5-
Nursing Staff Turnover22.6%41.5%-

Health Citation History

10 health citations on record

DateCategoryDescriptionSeverity
2025-09-11Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2025-09-11Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2024-05-15Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2024-05-15Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2024-05-15Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-05-15Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-12-29Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2022-12-29Nutrition and Dietary DeficienciesEnsure 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.E – Moderate Harm Potential
2022-12-29Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential

Fire Safety Citation History

1 fire safety citation on record

DateCategoryDescriptionSeverity
2024-05-15Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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