Villa Maria West Skilled Nursing Facility — nursing home in Hialeah Gardens, FL

Facility type: Skilled nursing facility · Medicare only
CMS provider type: Medicare
Certified beds: 27 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 24.2 CMS, MDS-derived
CMS Certification Number: 106080
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 9, 2009
Ownership type: Non profit - Church related
Operator (legal business name): Villa Maria Nursing & Rehabilitation Center
CMS chain: Not part of a CMS-reported chain
Phone: (305) 351-7181
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 11, 2025

Citations

11

10 health · 1 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measuresNot ratedfn 2

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 106080
Program: Medicare
Medicare (SNF): Certified
Medicaid (NF): No
Certified beds: 27
First approved: Feb 9, 2009
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Florida.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 11, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 11, 2025	Health	Health Standard	2	Potential harm	—	Open →
May 15, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
May 15, 2024	Health	Health Standard	5	Potential harm	—	Open →
Dec 29, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 29, 2022	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E2	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Sep 11, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 11, 2025
Sep 11, 2025	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Oct 11, 2025
May 15, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 15, 2024
May 15, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
May 15, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
May 15, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
May 15, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 15, 2024
May 15, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 15, 2024
Dec 29, 2022	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 26, 2023
Dec 29, 2022	F-0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 26, 2023
Dec 29, 2022	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 26, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.3

Health inspectionsstate 2.9

Staffingstate 3.3

Quality measuresNot ratedstate 4.3

Long-stay QMNot rated

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.28

State avg 3.86US avg 3.90

Registered nurse (RN)1.75

State avg 0.73US avg 0.69

Licensed practical nurse0.93

State avg 0.80US avg 0.86

Nurse aide2.60

State avg 2.33US avg 2.35

Weekend total nurse4.79

State avg 3.51US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.67 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover22.6%

State avg 41.5%US avg 45.3%

Registered nurse turnover38.5%

State avg 46.1%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 11, 2025
Cycle 1 health score: 8
Total weighted score: 11

Operating entity

Villa Maria Nursing & Rehabilitation Center

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

3

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Villa Maria Nursing & Rehabilitation Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2009
Archdiocese of Miami Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2009

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Villa Maria Nursing & Rehabilitation Center	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2009
Archdiocese of Miami Inc	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2009
Catholic Health Services Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2009
Jose Contreras	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2024
Nathaniel Johnson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2010
Mary Frick	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2024
Laura Wilson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Jose Contreras	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 16, 2025
Nathaniel Johnson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 16, 2025

Other facilities operated by Villa Maria Nursing & Rehabilitation Center

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Villa Maria Nursing Center 1050 NE 125th Street, North Miami, FL 33161 CCN 105232	212		Sep 5, 2025	346 IJ	$161k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 8850 NW 122 St, Hialeah Gardens, FL 33018
ZIP: 33018
County: Miami-Dade County FIPS 12086
State: Florida
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Glades West Rehabilitation and Nursing C 15955 Bass Creek Road, Pembroke Pines, FL 33027 CCN 106106	4.3 km	120	Dec 18, 2025	6	—
Nspire Healthcare Miami Lakes 5725 NW 186 Street, Hialeah, FL 33015 CCN 105709	7.4 km	120	Mar 12, 2026	261 harm	—
Palmetto Care Center and Rehab 6750 West 22nd Court, Hialeah, FL 33016 CCN 105575	8.9 km	90	Feb 26, 2026	12	—
Waterford Nursing and Rehabilitation Center 8333 W Okeechobee Road, Hialeah Gardens, FL 33016 CCN 105554	10.3 km	214	Mar 5, 2026	21	—
Susanna Wesley Health Center 5300 W 16th Avenue, Hialeah, FL 33012 CCN 105498	11 km	120	Jul 10, 2026	216 open	—
Memorial Manor 777 South Douglas Road, Pembroke Pines, FL 33025 CCN 105668	14.3 km	120	Apr 23, 2026	17	—
The Terrace of Hialeah 190 W 28th Street, Hialeah, FL 33010 CCN 105803	14.8 km	276	Dec 5, 2025	27	—
Alexander "Sandy" Nininger State Veterans Nursing 8401 W Cypress Dr, Pembroke Pines, FL 33025 CCN 106038	15.3 km	120	May 21, 2026	391 harm	$39k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	106080	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	106080	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 106080

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction