Villa Vista Royale LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

56.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 41 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 54 beds and averages 45.5 residents a day — about 84% occupied, or roughly 8 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.96 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.37 hrs/resident/day on weekends vs 4.01 on weekdays — 16% thinner on weekends. RN hours go from 1.07 to 0.68 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · D2026-02-24 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview and facility policy review, the facility failed to update a resident's Pre-admission Screening and Resident Review (PASARR) with changes to the resident medical diagnosis This deficient practice affected one resident (Resident #5) of one resident reviewed for PASARR. The facility census was 46.Findings Include: Review of Resident #5's medical record revealed an admission date of 07/01/24 with diagnoses including but not limited to high blood pressure, anxiety disorder, post traumatic stress disorder (PTSD), and history of falls.Review of Resident #5's physician orders revealed an order dated 04/01/25 for the antidepressant medication, Zoloft Oral Tablet 50 milligrams (mg). Give one (1) tablet by mouth one time a day for depression, sadness, tearfulness, self-isolation related to anxiety disorder, and an order dated 09/29/25 for the antianxiety medication Vistaril Oral Capsule, 50 mg. Give 50 mg by mouth at bedtime related to insomnia and anxiety disorder.Review of Resident #5's PASARR dated 05/06/24 revealed mood disorder, panic or other severe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observation, interview, review of manufacturer operating guidelines, and facility policy review the facility failed to ensure pressure relieving interventions were appropriate based on resident weight and the location of the resident's pressure ulcer was accurately documented. This affected one resident (Resident #24) of two residents reviewed for pressure ulcers. The facility census was 46.Findings Include: Review of Resident #24's medical record revealed an admission date of 04/28/23 with diagnoses including but not limited to dysphagia, dementia, hypokalemia, depression disorder, and high blood pressure.Review of Resident #24's physician orders revealed an order dated 12/23/25 for an air mattress to the bed to prevent skin breakdown, check placement and function every shift and a treatment order dated 02/03/26 for a left buttock wound - irrigate with normal saline, pack with calcium alginate with silver ribbon, cover with foam dressing daily and as needed (PRN) if soiled or loose every day shift for wound healing.Review of Resident #24's weekly wound/skin…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review, and policy review the facility failed to assess and monitor a resident's edema while having a sling and brace in place for a humerus fracture. This affected one resident (#249) of 24 resident records reviewed for assessments. Findings include: Review of record revealed Resident #249 was admitted to the facility on [DATE] with diagnoses including left humerus fracture, hypertension (HTN) atrial fibrillation, generalize anxiety disorder, major depressive disorder, Gastrointestinal reflux disease (GERD), type 2 diabetes, heart failure, cerebrovascular disease, hyperlipidemia, anemia, mitral stenosis, lymphedema, atherosclerotic heart disease, abnormal weight loss, Transient ischemic attack (TIA), breast cancer, hypothyroid, dry eyes, cataracts, polyarthritis, hyponatremia, diverticulitis left breast lumpectomy with lymph node sampling, lumpectomy of right breast. Review of baseline care plan completed 03/25/25 revealed Resident #249 required two assist with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, restorative master log, review of the therapy log, and interview the facility failed to ensure a newly admitted resident was accurately assessed for range of motion (ROM) and failed to ensure an individualized restorative program was implemented to ensure the resident maintained range of motion. This affected one resident (#399) of three reviewed for ROM. Findings included: Medical record review revealed Resident #399 was transferred to the facility on [DATE] from another skilled nursing facility located in another state. The resident diagnoses included stiffness of unspecified joint, absence of right leg above knee, diabetes type two, hemiplegia and hemiparesis following cerebral infarction affecting right dominating side, lack of coordination, weakness, and difficulty walking. Review of Resident #399's base line care plan dated 03/01/25 revealed the resident's bilateral hands the fingers (last two) only opened 50-75%. There were no goals or interventions documented.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview and policy review, the facility failed to identify, monitor and measure targeted behaviors with the use of antipsychotic medication. This affected one resident (#14) of five residents reviewed for unnecessary medication. The facility census was 50 residents. Findings include: Review of Resident #14's medical record revealed a 08/21/23 admission with diagnoses including severe protein calorie malnutrition, magnesium deficiency, hypo-osmolality an hyponatremia, age related physical disability, pain, lack of coordination, muscle wasting and atrophy, peripheral vascular disease, Vitamin D deficiency, neuropathy, bipolar disorder, major depressive disorder, Vitamin B 12 deficiency anemia, dizziness and giddiness, gastroesophageal reflux disease, insomnia, dysphagia, anxiety disorder, hypokalemia, hypothyroidism, hypertension, orthostatic hypotension, and diverticulosis, Review of the Quarterly 01/02/25 Minimum Data Set assessment revealed the resident was independent for daily decision making with little interest or pleasure in doing things,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-03 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, interview, and policy review the facility failed to ensure laboratory testing was completed per physician order. This affected one resident (#28) of five residents reviewed for medication review. Findings included: Medical record review revealed Resident #28 was admitted to the facility on [DATE] with diagnoses including history of hypertension, grade I diastolic dysfunction, and dementia. Review of Resident #28's orders dated 03/2025 revealed on 10/28/22 the physician ordered lipid profile to be obtained every six months (April/October). Review of laboratory results dated [DATE] to 04/01/25 revealed no evidence a lipid profile was obtained per orders in October 2024. Further review of laboratory results revealed the last lipid profile was obtained on 04/05/24. The resident's cholesterol was 250 (high) (normal less than 200 milligram (mg) / deciliters (dL), triglyceride 234 high (normal less 150 mg/dl), HDL 36.0 low (higher than desirable 40 mg/dl), LDL 167 high (less than 100 if…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-04-03 · tag F0881 — failed to use antibiotics responsibly — isolated
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, policy review and staff interview the facility failed to ensure residents had appropriate indications for use of antibiotics. This affected one resident (#20) of five residents reviewed for antibiotic use. The facility census was 50. Findings include: Review of Resident #20's medical record revealed an admission date of 12/13/22 with diagnoses that included diabetes mellitus, hypertension and peripheral vascular disease. Review of Resident #20's nursing notes revealed on 11/01/24 the resident sustained a fall and was sent to the local emergency department for evaluation. Upon return to the facility on [DATE], Resident #20 was diagnosed at the emergency department with a urinary tract infection (UTI) and prescribed Cephalexin (antibiotic) 500 milligrams (mg) every six hours for five days due to a UTI. Nursing staff advised Resident #20's physician of the returning diagnosis and antibiotic order. Nursing staff also advised the physician the resident's urinalysis was negative and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-10-12 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, facility policy and procedure review and interview the facility failed to use the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 42 residents residing in the facility. Findings include: Review of the facility assessment, dated 02/02/22 revealed no evidence of RN requirements, however the assessment revealed nursing was available 24 hours a day. Review of the staffing schedule, daily posting, and timecards dated 08/29/22 to 09/25/22 revealed there was no consecutive RN coverage for eight hours as required on 09/03/2, 09/10/22, or 09/11/22. Interview on 10/05/22 at 9:23 A.M. with Human Resource (HR)/Scheduler #42 verified there was only six hours RN coverage on 09/03/22 and there was no RN coverage on 09/10/22 or 09/11/22 due to call offs and no RNs to cover the shifts. Interview on 10/05/22 at 10:57 A.M. with the Director of Nursing (DON) confirmed there was not eight hours of consecutive RN coverage on 09/03/22, 09/10/22, or 09/11/22. Review of the Staffing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-10-12 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, facility policy and procedure review and interview the facility failed to ensure Resident #31 was provided a dignified dining experience. This affected one resident (#31) of thirteen residents observed for dining. Findings include: Review of Resident #31's medical record revealed an admission date of 01/26/21 with diagnoses including arthritis, cervical spinal stenosis and dysphagia (difficulty swallowing). Review of the physician's orders revealed the resident had a current order for a puree consistency diet. Review of the annual Minimum Data Assessment (MDS) 3.0 assessment, dated 08/30/22 revealed the resident had severe cognitive impairment and required extensive assistance of one staff member with eating. On 10/11/22 at 8:22 A.M. Resident #31 was observed seated in her chair while State Tested Nursing Assistant (STNA) #44 was observed standing next to Resident #31, feeding the resident her breakfast meal. The STNA continued to stand through completion of the meal at 8:40 A.M. On 10/11/22 at 8:35 A.M. the Director of Nursing (DON) entered the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-10-12 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, shower schedule review and interview the facility failed to ensure residents were provided the opportunity to choose their shower schedule and/or failed to ensure residents were offered choices related to meals. This affected one resident (#32) of one resident reviewed for choices and one resident (#11) of one resident reviewed for dialysis. Findings include: 1. Review of Resident #32's medical record revealed an admission date of 08/27/22 with diagnoses including nondisplaced fracture of the surgical neck of the left humerus, hypertension and heart disease. Review of the physician's orders revealed an order, dated 08/27/22 to maintain sling to the left arm and may remove for hygiene. Review of the undated document titled MDS Information and Resident History revealed the resident preferred a shower and the preferred time of day was 9:00 A.M. to 10:00 A.M. Review of the resident preferences plan of care, initiated on 08/29/22 revealed interventions including make sure she gets a shower…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 44 rows in the source record cover these 28 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $22K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH