This facility was first approved to provide Medicare and Medicaid services on 01/01/1967. It does not belong to a continuing care retirement community. The affiliated entity name is Trinity Health. This facility has a Resident and Family Council.
The overall rating is 2 stars, with a health inspection rating of 2 stars, a quality measures rating of 4 stars, a long-stay QM rating of 4 stars, a short-stay QM rating of 4 stars, and a staffing rating of 4 stars.
The reported total nurse staffing hours per resident per day is 4 hours and 38 minutes, nurse aide staffing hours is 2 hours and 36 minutes, LPN staffing hours is 1 hours and 13 minutes, RN staffing hours is 49 minutes, and licensed staffing hours is 2 hours and 2 minutes. On weekends, total nurse staff hours per resident per day is 3 hours and 55 minutes, and registered nurse hours per resident per day is 19 minutes. Physical therapist staffing hours per resident per day are 6 minutes.
The facility has reported 4 facility-related incidents, 0 substantiated complaints, 0 citations from infection control inspections, and 0 fines, with the total amount of fines in dollars being $0. The number of payment denials is 0, and the total number of penalties is 0.
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| Overall Rating | |
| Health Inspection Rating | |
| QM Rating | |
| Long-Stay QM Rating | |
| Short-Stay QM Rating | |
| Staffing Rating |
| Number of Certified Beds | 160 |
| Average Number of Residents per Day | 104.1 |
| Legal Business Name | Villa Mary Immaculate |
| Affiliated Entity Name | Trinity Health |
| Ownership Type | Non profit – Corporation |
| Provider Type | Medicare and Medicaid |
| Provider Resides in Hospital | N |
| Legal Business Name | VILLA MARY IMMACULATE |
| Date First Approved to Provide Medicare and Medicaid Services | 1/1/1967 |
| Affiliated Entity Name | TRINITY HEALTH |
| Continuing Care Retirement Community | No |
| Most Recent Health Inspection More Than 2 Years Ago | No |
| Provider Changed Ownership in Last 12 Months | No |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Reported Total Nurse Staffing Hours per Resident per Day | 4 hours 38 minutes |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2 hours 36 minutes |
| Reported LPN Staffing Hours per Resident per Day | 1 hour 13 minutes |
| Reported RN Staffing Hours per Resident per Day | |
| Reported Licensed Staffing Hours per Resident per Day | 2 hours 2 minutes |
| Total number of nurse staff hours per resident per day on the weekend | 3 hours 55 minutes |
| Registered Nurse hours per resident per day on the weekend | 19 minutes |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 5 minutes 59 seconds |
| Number of Facility Reported Incidents | 4 |
| Number of Substantiated Complaints | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Provider | Bed Count | Rating | Distance (Miles) |
| St Margarets Center | 92 | 1 | 1.3 |
| Delmar Center For Rehabilitation And Nursing | 120 | 1 | 1.9 |
| Eddy Village Green At Beverwyck | 24 | 5 | 1.7 |
| Teresian House Nursing Home Co Inc | 302 | 1 | 2.9 |
| Daughters Of Sarah Nursing Center | 210 | 3 | 2.9 |
| Hudson Park Rehabilitation And Nursing Center | 169 | 1 | 2.9 |
| Shaker Place Rehabilitation And Nursing Center | 250 | 3 | 6.3 |
| Rosewood Rehabilitation And Nursing Center | 80 | 2 | 5.5 |
| Our Lady Of Mercy Life Center | 160 | 3 | 6.1 |
| Evergreen Commons Rehabilitation And Nursing Ctr | 240 | 2 | 5.9 |
Data is based on CMS Nursing homes including rehab services dataset. Processing Date: 11/1/2024.