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Villa Maria West Skilled Nursing Facility

8850 Nw 122 St., Hialeah Gardens, FL 33018 · Miami-Dade County · (305) 351-7181

27 certified beds, about 24 residents a day · Non profit - Church related · Medicare since 2009

CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106080 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 2 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 10 health citations since December 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.23 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.96 of those hours.

25.0% of nursing staff left within the year CMS measured (Florida average 41.4%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
0F
Potential for minimal harm
0A
0B
0C
September 11, 2025Standard inspection · 2 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2025
    Inspectors wroteThe facility failed to develop a baseline care plan that included respiratory care for Resident #49, as evidenced by: Resident #49, was admitted on [DATE] and receiving multiple respiratory treatments, did not have a baseline care plan developed until six days after admission.
  2. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2025
    Inspectors wroteBased on observations, staff interviews, and records review, the facility failed to implement effective corrective actions to address previously identified deficiencies. This is evidenced by the repeated citation of F655 - Development of a Baseline Care Plan. Despite prior citations and the opportunity for corrective action, the facility did not demonstrate sustained compliance. At the time of the survey, 22 residents were residing in the facility.
May 15, 2024Standard inspection · 5 citations
  1. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to develop a baseline care plan for oxygen use for one (Resident #78) out of one sampled resident reviewed for oxygen therapy.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to follow the urinary catheter care plan for one out of one (Resident #79) sampled resident reviewed for catheter care.
  3. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to follow the facility's policy and procedure for catheter care for one out of one resident (Resident #79) reviewed for urinary catheter care.
  4. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure oxygen therapy was accurately administered as ordered by the physician for one (Resident #78) out of one resident reviewed for the use of oxygen.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 15, 2024
    Inspectors wroteBased on observation, record review and interview the facility failed to follow infection control standards and procedures during blood glucose monitoring for one (Resident # 228) out of one resident reviewed. As evidenced by Licensed Practical Nurse (Staff A) taking the entire blood glucose monitoring machine in the kit along with all the supplies enclosed into the resident's room to perform blood glucose monitoring.
December 29, 2022Standard inspection · 3 citations
  1. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 26, 2023
    Inspectors wroteBased on records review, observation and interview, the facility failed to offer and provide group activities to residents, with the potential to affect all residents in the facility, including Resident #175. The census at the time of the survey was 17 residents.
  2. E
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 26, 2023
    Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to follow the approved menu to ensure that the nutritional needs of 17 of 17 facility residents (Includes sampled Resident #4, Resident #30, Resident #36, Resident #75, Resident #76, Resident #77, and Resident #78) were being met.
  3. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2023
    Inspectors wroteBased on record review, observation and interview, the facility failed to act on a resident's request for psychiatry consultation for 1 (Resident # 176) of 1 resident reviewed for Behavioral Health.

Fire safety inspections

1 fire safety citation on file: 1 on May 15, 2024.

Every fire safety citation1 citation
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 15, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)5.233.823.86
Registered nurses1.960.730.69
All nursing staff on weekends4.583.493.42
Nurse aides2.47
Licensed practical nurses0.81
Nursing staff turnover (share who left in a year)25.0%41.4%45.8%
Registered nurse turnover38.5%46.0%42.9%
Administrators who leftnot reported

CMS expects 3.47 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.49 on weekdays and 4.58 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.41 in April to June 2025 to 5.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.231.965.494.58 0.0%0 of 9024
Oct to Dec 20255.562.055.854.82 0.0%0 of 9223
Jul to Sep 20255.421.805.684.74 0.0%0 of 9224
Apr to Jun 20255.411.915.664.77 0.0%0 of 9125
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.51.6

Owners and operators

Legal business name: VILLA MARIA NURSING & REHABILITATION CENTER.

NameRoleTypeShareSince
Villa Maria Nursing & Rehabilitation Center5% or greater direct ownership interestOrganization100%05/01/2009
Archdiocese of Miami Inc5% or greater indirect ownership interestOrganization100%05/01/2009
Frick, MaryCorporate officerIndividual04/01/2024
Wilson, LauraCorporate officerIndividual01/01/2024
Catholic Health Services IncOperational/managerial controlOrganization05/01/2009
Contreras, JoseOperational/managerial controlIndividual01/01/2024
Johnson, NathanielOperational/managerial controlIndividual01/01/2010
Contreras, JoseAdp of the SNFIndividual07/16/2025
Johnson, NathanielAdp of the SNFIndividual07/16/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on May 15, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
  3. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 11, 2025: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 15, 2024: "Provide and implement an infection prevention and control program."

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Common questions

What is Villa Maria West Skilled Nursing Facility's Medicare star rating?
CMS rates Villa Maria West Skilled Nursing Facility 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Villa Maria West Skilled Nursing Facility get at its last inspection?
2 health deficiencies at the standard inspection on September 11, 2025. The Florida average is 7.1.
Has Villa Maria West Skilled Nursing Facility been fined?
CMS lists no fines in the last three years.
Does Villa Maria West Skilled Nursing Facility accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Villa Maria West Skilled Nursing Facility?
CMS lists 9 owners and managers. Legal business name: VILLA MARIA NURSING & REHABILITATION CENTER.

Sources

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