CMS data shows Villa Maria Health And Rehab Ctr earning a D grade with a score of 54/100, placing it below most facilities in Wisconsin. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Villa Maria Health And Rehab Ctr is near the national average, with 3.77 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 5 deficiencies at Villa Maria Health And Rehab Ctr, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.77 | 3.8 | Average |
| Registered Nurses (RN) | 0.71 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.50 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.57 | 2.4 | Average |
| Weekend Total Nursing | 3.20 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Mar 24, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Dec 10, 2024 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Nov 7, 2023 · Infection Control Deficiencies
- Tag 0690 Severity DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventNov 7, 2023 · Quality of Life and Care Deficiencies
- Tag 0886 Severity FPerform COVID19 testing on residents and staff.Oct 25, 2022 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.1% | 4.5% | Better |
| Falls with major injury | 2.5% | 3.0% | Better |
| On antipsychotic medication | 26.9% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.4% | 14.0% | Worse |
| Excessive weight loss | 9.1% | 7.5% | Worse |
| New/worsened incontinence | 18.6% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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