Deficiency Index

Villa Maria Nursing Center

North Miami, Florida · CCN 105232

21 surveys since 2011, 5 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
96
Surveys
21
Harm or worse
5
Immediate jeopardy
4
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
212
Ownership
Non profit - Corporation
Chain
Independent
County
Miami-Dade
Medicare-certified since
1970

CMS ratings

Overall
2
Health inspection
1
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 32 not-for-profit facilities with 128 or more beds in Florida.

Last survey on record

Sep 5, 2025

430 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.773.72
Registered-nurse hours per resident day0.56—
Annual nurse turnover23.6%31.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$161,110 across 2 penalties
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ28.7%K—L14.3%
Actual harmG—H—I—
No harm, potential for more than minimalD1565.2%E28.7%F14.3%
No harm, potential for minimalA—B—C28.7%
CMS’s current file: 23 of the 96 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6893×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F5502×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F8352×

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  • F8672×

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

In the surveyor’s words

From the most serious findings on record at Villa Maria Nursing Center, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF921Mar 15, 2024

    Based on observation, interview and records reviewed, the facility failed to ensure a safe environment endangering the life of all occupants in the facility. The facility failed to maintain the Fire Alarm system and failed to maintain the faulty fire panel. These deficient practices places all occupants of the facility at risk for smoke inhalation, serious burns, or death in the event of fire. The facility also failed to notify the residents and their representatives of the system failures. These findings resulted in the determination of Immediate Jeopardy that started on January 5th, 2024. […]

  • Immediate jeopardy, isolatedF600Sep 5, 2025

    Based on observation, record reviews and interviews, the facility neglected to provide a secure environment for one (Resident #1) out of three sampled resident that displayed exit seeking behaviors and intent of elopement. As evidenced by cognitively impaired Resident #1 whose diagnoses include Dementia, and unsteady gait exited the facility undetected by staff on 8/04/2025 at 4:24 PM and ambulated 0.7 miles from the facility in temperatures that temperature ranged between a high of 92 degrees and a low of 80 degrees Fahrenheit according to AccuWeather, and was found by law enforcement at 4:46 PM wandering in a neighborhood that has high traffic volume and busy intersections. […]

  • Immediate jeopardy, isolatedF689Sep 5, 2025

    Based on observation, record reviews and interviews, the facility failed to provide a secure environment that with adequate supervision and an effective monitoring system; for one (Resident #1) out of three sampled residents that displayed exit seeking behaviors and intent of elopement; as evidenced by: 8/04/2025 at 4:24 PM Resident #1 who is impaired cognitively with diagnoses of Dementia and unsteady gait left the facility undetected by staff and was found at 4:46 PM on 8/04/25 by law enforcement 0.7 miles from the facility wandering in a neighborhood that has high traffic volume and cross streets this deficient practice increased the risk for the resident to be hit by an automobile that could have resulted in the likelihood of an adverse outcomes, sustained serious injury, serious harm… […]

  • No harm, potential for more than minimal, widespreadF835Mar 15, 2024

    Based on interview and record review facility failed to administer in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychological well-being of each resident. This deficiency had the potential to affect 197 residents residing in the facility, staff, and visitors at the time of survey. Cross Reference Event ID # PFKY21 The findings included: Interview with Maintenance Supervisor on 03/15/2024 at 12:33 PM. He stated that the fire alarm was undergoing routine inspections and at one point the fire alarm was not working properly. He stated it followed the normal procedures to submit all documents to the company who oversees repairs. It was repaired but the work was not completed. […]

  • No harm, potential for more than minimal, patternF684Dec 1, 2022

    Based on observation, interview and record review the facility failed to provide care and services for central venous access devices in accordance with professional standards of practice for 2 out of 2 residents with midline catheters ( Resident #167 and #458) out of a a total sample of 54 residents. Findings include: Review of the medical record documented Resident #167 was readmitted to the facility on [DATE] with the following Diagnoses: [MEDICAL RECORD OR PHYSICIAN ORDER] . During an observation on 11/28/2022 at 10:36 AM Resident #167 was observed resting in bed with a right arm midline catheter ( a special type of intravenous catheter that is placed in a major vein for administering medications) that was dated 11/16/2022 and had a 2 x 2 gauze under a transparent dressing. […]

Read 22 findings in full →The most serious and the most recent: 22 of 96 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 5, 2025Complaint4 findings · 2 harm
  • Jul 31, 2025Standard6 findings
  • Mar 15, 2024Standard6 findings · 1 harm
  • Dec 1, 2022Standard and complaint8 findings
  • Mar 12, 2021Infection control1 finding
  • Dec 18, 2020Standard10 findings · 1 harm
  • Feb 25, 2020Complaint2 findings
  • Dec 4, 2019Complaint1 finding
Show the 13 earlier surveys
  • Nov 12, 2019Complaint2 findings
  • Apr 25, 2019Standard8 findings
  • Mar 8, 2018Standard5 findings
  • Mar 16, 2017Standard4 findings
  • Jan 23, 2016Standard7 findings
  • Nov 20, 2014Standard5 findings
  • Jul 9, 2014Complaint1 finding
  • Nov 7, 2013—6 findings
  • Sep 17, 2012—1 finding
  • Aug 9, 2012—3 findings
  • Jun 5, 2012—2 findings
  • Nov 21, 2011—1 finding
  • Aug 5, 2011—13 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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