Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-31| Ownership | Non profit - Corporation | Certified beds | 212 |
|---|---|---|---|
| Estimated occupancy | 87.0% | Latest inspection | 2025-07-31 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 204.8 points | 24.0 points | 38.5 points |
| Total nurse staffing | 3.77 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 0.56 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 23.6% | 28.1% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-31Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-08-31Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-08-31Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Deficient, Provider has date of correction 2025-08-31Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-08-31Immediate-jeopardy citations: 1
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2024-04-21Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2024-04-21Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-04-21Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-21Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-04-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-04-21Immediate-jeopardy citations: 0
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-01Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-01-01Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-01-01Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-01-01Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2023-01-01Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Deficient, Provider has date of correction 2023-01-01Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies · Deficient, Provider has date of correction 2023-01-01Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconWhat caused the immediate-jeopardy citation from 2025-09-05, and how was it corrected?
Suggested because of: latest immediate jeopardyHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.40977 |
| Lpn hours | 0.79549 |
| Rn hours | 0.56429 |
| Reported total hours | 3.76955 |
| Weekend total hours | 3.51814 |
| Weekend rn hours | 0.4048 |
| Adjusted total hours | 4.00093 |
| Total turnover percent | 23.6 |
| Rn turnover percent | 26.3 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-09-05 | Fine | $42,650.00 |
| 2024-03-15 | Fine | $118,460.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
3
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
| Name | Role | Share |
|---|---|---|
| VILLA MARIA NURSING & REHABILITATION CENTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ARCHDIOCESE OF MIAMI INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| FRICK, MARY | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, NATHANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MOGHADDAM, HAMIDREZA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILSON, LAURA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JOHNSON, NATHANIEL | ADP OF THE SNF | NOT APPLICABLE |
| MOGHADDAM, HAMIDREZA | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology