Tag 0655 · Severity D
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 · Deficient, Provider has date of correction 2025-10-11At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Church related | Certified beds | 27 |
|---|---|---|---|
| Estimated occupancy | 88.5% | Latest inspection | 2025-09-11 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 5 of 5
Health-inspection score
Facility: 11.0 points
Total nurse staffing
Facility: 5.23 hours/day
RN staffing
Facility: 1.96 hours/day
Staff turnover
Facility: 25.0%
Latest health deficiencies
Facility: 2 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 5 of 5 | 5 of 5 | 3 of 5 |
| Health-inspection score | 11.0 points | 24.0 points | 38.5 points |
| Total nurse staffing | 5.23 hours/day | 3.73 hours/day | 3.63 hours/day |
| RN staffing | 1.96 hours/day | 1.20 hours/day | 0.62 hours/day |
| Staff turnover | 25.0% | 28.1% | 41.8% |
| Latest health deficiencies | 2 deficiencies | 4 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-09-11
2 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0867 · Severity D
Set 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 2025-10-112024-05-15
5 deficiencies
Highest severity: D
Immediate-jeopardy citations: 0
Tag 0655 · Severity D
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 · Deficient, Provider has date of correction 2024-06-15Tag 0656 · Severity D
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 · Deficient, Provider has date of correction 2024-06-15Tag 0690 · Severity 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-15Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-06-15Tag 0880 · Severity D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2024-06-152022-12-29
3 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-26Tag 0803 · Severity 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.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-01-26Tag 0740 · Severity D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-01-26Staffing composition
2.47 hours/dayNurse aide
0.81 hours/dayLPN
1.96 hours/dayRN
- Total staffing
- 5.23 hours/day
- County median
- 3.73 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 4.58 hours/day
- Staff turnover
- 25.0%
- RN turnover
- 38.5%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 2.6 per 1,000 days20250101-20251231
Emergency-department visits
Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 0.4 per 1,000 days20250101-20251231
Falls with major injury
Not reported: cms footnoteunavailableFlorida: 2.2% · County: 0.8%2025Q2-2026Q1
Pressure ulcers
Not reported: cms footnoteunavailableFlorida: 4.2% · County: 4.2%2025Q2-2026Q1
Urinary tract infections
Not reported: cms footnoteunavailableFlorida: 0.0% · County: 0.0%2025Q2-2026Q1
Antipsychotic medication use
Not reported: cms footnoteunavailableFlorida: 7.0% · County: 7.8%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
How will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Miami-Dade County
- Certified beds
- 27
- Average daily residents
- 23.9
- Ownership
- Non profit - Church related
- Provider type
- Medicare
- In hospital
- No
- Date certified
- 2009-02-09
- CCN
- 106080
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.46846 |
| Lpn hours | 0.80587 |
| Rn hours | 1.95693 |
| Reported total hours | 5.23125 |
| Weekend total hours | 4.58007 |
| Weekend rn hours | 1.42315 |
| Adjusted total hours | 5.78141 |
| Total turnover percent | 25 |
| Rn turnover percent | 38.5 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$0.00Total fines
0Number of fines
0Payment denials
No matching penalties in the supplied CMS records.
Totals reflect the supplied CMS records, not a lifetime total.
Citations
2Health citations
1Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
0
Ownership & Operators
| 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 |
| WILSON, LAURA | CORPORATE OFFICER | NOT APPLICABLE |
| CATHOLIC HEALTH SERVICES INC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONTRERAS, JOSE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JOHNSON, NATHANIEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONTRERAS, JOSE | ADP OF THE SNF | NOT APPLICABLE |
| JOHNSON, NATHANIEL | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology