Villa Maria West Skilled Nursing Facility
8850 Nw 122 St, Hialeah Gardens, FL 33018
Villa Maria West Skilled Nursing Facility is a nursing home in Hialeah Gardens, Florida. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- not rated by CMS CMS quality measures star rating
Facts from CMS
- Phone
- (305) 351-7181
- Last standard health inspection
- September 11, 2025 (1 year ago)
- Certified beds
- 27
- Residents per day, on average
- 24.2
- Ownership type
- Non profit - Church related
- Legal business name
- Villa Maria Nursing & Rehabilitation Center
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the Florida average (10 vs 20).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to not rated by CMS.
2 citations
Health inspection on September 11, 2025
CMS lists this as a standard inspection.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on October 11, 2025.
CMS has cited this home for F0655 2 times since 2024.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on October 11, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of April 30, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.5 to 4.8 hours per resident per day.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5. CMS changed how it scores this rating for many homes at once.
5 citations
Health inspection on May 15, 2024
CMS lists this as a standard inspection.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on June 15, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 15, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 15, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 15, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 15, 2024.
1 citation
Fire safety inspection on May 15, 2024
CMS lists this as a standard inspection.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 15, 2024.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 5 of 5 to not rated by CMS.
3 citations
Health inspection on December 29, 2022
CMS lists this as a standard inspection.
Citation F0679. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on January 26, 2023.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 26, 2023.
Citation F0740. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on January 26, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- VILLA MARIA NURSING & REHABILITATION CENTER5% or greater direct ownership interest · 100% · since 05/01/2009
- ARCHDIOCESE OF MIAMI INC5% or greater indirect ownership interest · 100% · since 05/01/2009
- CATHOLIC HEALTH SERVICES INCOperational/managerial control · not applicable · since 05/01/2009
- CONTRERAS, JOSEOperational/managerial control · not applicable · since 01/01/2024
- JOHNSON, NATHANIELOperational/managerial control · not applicable · since 01/01/2010
Questions
When was Villa Maria West Skilled Nursing Facility last inspected?
CMS lists September 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Villa Maria West Skilled Nursing Facility have?
CMS lists 10 health citations since December 29, 2022. CMS also calls these deficiencies.
Has Villa Maria West Skilled Nursing Facility been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Villa Maria West Skilled Nursing Facility?
Its CMS overall star rating is 5 of 5.
Is Villa Maria West Skilled Nursing Facility a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.