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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 60th out of 141 homes in Kansas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▼ 7% State avg: 43m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▼ 3% State avg: 40m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 36m per day | ▼ 3% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 31m per day | ■ Avg State avg: 3h 35m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▲ 100% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 30% State avg: 30m per day · National avg: 28m per day |
Lower than the Kansas average: 79.5%Villa Maria, Inc is administrated by Teresa Ballard.
In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | KS Average | vs. KS Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 17 | 100 | This facility has 83% fewer total deficiencies than a typical Kansas nursing home (17 vs. KS avg 100).↓ 83% better |
|
Deficiencies per year
Average deficiencies per year since 2014.
| 1.4 | 8.3 | This facility has 83% fewer deficiencies per year than a typical Kansas nursing home (1.4 vs. KS avg 8.3).↓ 83% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 27, 2025, found that all previously cited deficiencies had been corrected. Prior inspections showed some deficiencies related mainly to resident care issues such as failure to perform required functional capacity screenings, medication administration errors, and incomplete documentation of assistive devices. Earlier reports also noted facility maintenance and infection control concerns, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Complaint investigations included one substantiated case involving resident elopement linked to care and safety lapses, while most other complaints were unsubstantiated. The facility appears to have addressed prior deficiencies effectively, showing improvement by resolving cited issues in the most recent revisit.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsKansas average 4.5
Last Health inspection on Jul 2025
Kansas average 26.9
Kansas average 6.07
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 18 citations resulted from standard inspections; 1 of 18 resulted from complaint investigations; and 7 of 18 came from combined inspections (standard and complaint).
100% better than Kansas averageKansas average: 0.9
100% better than Kansas averageKansas average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
189% better than Kansas average
0% compared with Kansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
92 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 192 | 0 | 192 | 11,496 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 16 | 0 | 16 | 2,248 | 91 | 99% | 10.3 |
| Medication Aide/Technician | 51 | 0 | 51 | 2,195 | 92 | 100% | 8.5 |
| Registered Nurse | 20 | 0 | 20 | 2,042 | 92 | 100% | 10.7 |
| Dietitian | 2 | 0 | 2 | 969 | 70 | 76% | 8.3 |
| Nurse Practitioner | 2 | 0 | 2 | 568 | 63 | 68% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 503 | 61 | 66% | 8.2 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 468 | 66 | 72% | 7.1 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 353 | 58 | 63% | 6.1 |
| Qualified Social Worker | 1 | 0 | 1 | 309 | 52 | 57% | 5.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 303 | 64 | 70% | 4.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 114 | 31 | 34% | 3.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 96 | 12 | 13% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 64 | 8 | 9% | 8 |
| Medical Director | 0 | 1 | 1 | 60 | 15 | 16% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 32 | 8 | 9% | 4 |
| Physical Therapy Aide | 1 | 0 | 1 | 14 | 4 | 4% | 3.4 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
23% lower than Kansas averageKansas average: $44K
59% fewer fines than Kansas averageKansas average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kansas averageKansas average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 16, 2025 · $34K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 16, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
13% worse than Kansas averageKansas average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.0
11% worse than Kansas averageKansas average: 20.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.2%
10% better than Kansas averageKansas average: 19.0%
Percent of long-stay residents whose ability to move independently worsened
23.4%
21% worse than Kansas averageKansas average: 19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
19% worse than Kansas averageKansas average: 23.8%
Percent of long-stay residents experiencing one or more falls with major injury
8.3%
90% worse than Kansas averageKansas average: 4.4%
Percent of long-stay high risk residents with pressure ulcers
4.9%
5% worse than Kansas averageKansas average: 4.6%
Percent of long-stay residents with a urinary tract infection
2.3%
27% better than Kansas averageKansas average: 3.1%
Percent of long-stay residents who lose too much weight
5.6%
9% worse than Kansas averageKansas average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Kansas averageKansas average: 5.2%
Percent of long-stay residents who received an antipsychotic medication
10.6%
37% better than Kansas averageKansas average: 16.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Kansas averageKansas average: 91.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Kansas averageKansas average: 95.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.91
In line with Kansas averageKansas average: 1.84
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.52
30% better than Kansas averageKansas average: 2.16
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
30% better than Kansas averageKansas average: 75.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kansas averageKansas average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
36% better than Kansas averageKansas average: 73.5%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.3%
In line with Kansas averageKansas average: 23.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
2.8%
76% better than Kansas averageKansas average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
155% worse than Kansas averageKansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.7%
In line with Kansas averageKansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.6%
28% better than Kansas averageKansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Villa Maria, Inc based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 144Payroll — State benchmarkedThis home is ranked 51st out of 144 homes in Kansas. Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Mulvane's city center to Villa Maria, Inc's address, calculated via Google Maps.
Add your location
Villa Maria, Inc is located in MULVANE, Kansas.
Here are the financial assistance programs available to residents in Kansas.
The information below is reported by the Kansas Department for Aging and Disability Services.
| Lexington Park Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Topeka (West Southwest 2) | 60 | 83.9% | +6% | 4.49 | -50% | -3% | $0 | 8 | 2.7 | - | 79 | A+ | 60 | Floyd Eaton | $10.9M | $4.3M | 39.7% | 175154 | ||||
| Villa Maria, Inc |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Mulvane | 44 | 70.5% | -11% | 4.69 | -34% | +1% | $0 | 18 | 6.0 | - | 31 | - | 49 | Asc Health System | $10.0M | $4.9M | 48.8% | 175456 |
Villa Maria, Inc has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Villa Maria, Inc's occupancy is 70%.
Teresa Ballard is the administrator of Villa Maria, Inc.
Villa Maria, Inc has 44 beds.
Yes — there are 2 photos of Villa Maria, Inc in the photo gallery on this page.
Villa Maria, Inc is located at 633 E MAIN STREET.
(316) 777-9917 will put you in contact with the team at Villa Maria, Inc.
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