Villa Rosa Nursing and Rehabilitation, LLC
Mitchellville, Maryland · CCN 215350
33 surveys since 2010, 3 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
- 177
- Surveys
- 33
- Harm or worse
- 3
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 107
- Ownership
- For profit - Limited Liability company
- Chain
- FUNDAMENTAL HEALTHCARE
- County
- Prince Georges
- Medicare-certified since
- 2006
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
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 43 for-profit facilities of 100–127 beds in Maryland.
Last survey on record
May 1, 2026
192 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.48 | 3.55 |
| Registered-nurse hours per resident day | 0.77 | — |
| Annual nurse turnover | 32.8% | 43.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2756.3% | E1531.3% | F612.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5842×
Honor 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.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6102×
Respond appropriately to all alleged violations.
- F6282×
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
In the surveyor’s words
From the most serious findings on record at Villa Rosa Nursing and Rehabilitation, LLC, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF801May 1, 2026
Based on record review and interview it was determined the facility failed to have a qualified full-time staff person to carry out food and nutrition services in the facility. This has the potential to affect all residents in the facility. The findings include:Review of anonymous complaint # 2963054 on 4/28/26 at approximately 1:00 PM revealed concerns including but not limited to menus, scheduled meal times, and alternate food items. During an interview on 4/29/26 at 11:29 AM the Administrator revealed that Staff #11 the Food Service Manager (FSM) was not in the facility, was out on extended medical leave since 1/29/26 and the facility was utilizing their dietician. He further revealed that the dietician was in the facility once per week. […]
- No harm, potential for more than minimal, widespreadF909May 1, 2026
Based on record review and interviews it was determined the facility staff failed to conduct regular inspections of resident beds. This has the potential to affect all residents in the facility. The findings include:Review of anonymous complaint #2963504 on 4/28/26 at 1:00 PM revealed a concern regarding bed inspections. The surveyor was informed by the Administrator that the Director of Maintenance was not in the facility at that time. The facility's bed inspection logs were requested for review. On 4/29/26 at 11:29 AM, after several additional requests for the logs, the Administrator was asked if routine inspection of the beds was actually conducted. He indicated yes but we haven't kept very good records. […]
- No harm, potential for more than minimal, widespreadF921May 1, 2026
Based on observation and interview it was determined the facility staff failed to maintain a safe functional and sanitary environment. This was evident for 8 of 8 resident hallways observed on both floors of the facility. The findings include:During a tour of the facility on 5/1/26 from 2:13 PM - 3:15 PM observation in the hallways of the A, B, C and D wings on both floors of the facility revealed:Broken, damaged, sagging and missing ceiling tiles. Missing covers over ceiling access panels. Areas of the plaster/drywall ceilings that were damaged or patched but not painted or otherwise sealed. [NAME] and black stains on plaster/drywall and tile ceilings. Dirty/stained/damaged ceiling fixtures including but not limited to vents, light fixtures and speaker covers. […]
- No harm, potential for more than minimal, widespreadF726Jan 14, 2026
Based on review of staff records and facility staff interviews, it was determined the facility failed to ensure that all nursing staff had competency skill evaluations. This was evident for 5 Geriatric Nursing Assistants (GNA) (GNA #2, GNA #3, GNA #6, GNA #7, GNA#18) of 5 GNA records reviewed. The findings include:A nursing competency is a set of knowledge, skills and abilities (KSAs) needed for an individual to successfully perform various job duties. Centers for Medicare and Medicaid (CMS) guidance clarifies that competency cannot be demonstrated by documenting that staff attended a training or watched a video. […]
- No harm, potential for more than minimal, widespreadF812Jan 14, 2026
Based on observations, interviews and record reviews it was determined that the facility failed to store food in a manner that maintains professional standards of food service safety in the kitchen. This practice had the potential to affect all residents that eat food prepared by the facility's kitchen. The findings include: 1. During a tour of the Kitchen with the Dietary Manager on 1/05/2026 at 8:08 AM it was discovered to have food products that had been opened and undated, unsealed and had expired food products. During observation of the walk-in refrigerator the following items were found:A Vital Cuisine Mighty Shake with a use by date of 12/03/2025 which was removed by the Dietary Manager after finding. […]
Read 23 findings in full →The most serious and the most recent: 23 of 177 on record.
Every survey on record
FindingsAt actual harm or above
- May 1, 2026Complaint4 findings
- Jan 14, 2026Standard and complaint18 findings
- May 31, 2024Standard and complaint26 findings
- Feb 21, 2020Complaint1 finding
- Jan 10, 2020Complaint3 findings
- Apr 18, 2019Complaint6 findings
- Dec 6, 2018Complaint1 finding
- Jul 16, 2018Complaint1 finding
Show the 25 earlier surveys
- Dec 22, 2017Standard and complaint15 findings
- Oct 3, 2017Complaint1 finding
- Sep 5, 2017Complaint2 findings
- Sep 16, 2016Standard and complaint7 findings
- May 18, 2016Complaint1 finding
- Mar 28, 2016Complaint1 finding
- Nov 10, 2015Complaint6 findings
- Jul 13, 2015Standard15 findings
- Jun 11, 2015Complaint3 findings
- Feb 5, 2015Complaint3 findings
- Feb 4, 2015Complaint1 finding
- Sep 5, 2014Complaint2 findings
- Jun 30, 2014Standard and complaint7 findings
- Nov 12, 2013—1 finding
- Oct 30, 2013—6 findings
- Oct 3, 2013—4 findings
- Jun 12, 2013—14 findings
- Mar 5, 2013—4 findings · 1 harm
- Nov 20, 2012—2 findings
- Mar 14, 2012—2 findings
- Mar 12, 2012—3 findings
- Mar 1, 2012—1 finding · 1 harm
- Dec 20, 2011—6 findings
- Feb 17, 2011Standard and complaint9 findings · 1 harm
- Oct 28, 2010—1 finding
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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