Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Villa Vista Royale Llc during CMS and state inspections, most recent first.
PASARR Not Updated for New Psychotropic Diagnoses and Medications: A resident’s PASARR was not updated when new psychotropic diagnoses and medications were added. The resident had anxiety disorder and PTSD, and later received Zoloft for depression-related symptoms and Vistaril for insomnia and anxiety. The PASARR still indicated no mood disorder, no panic or severe anxiety disorder, and no recent psychotropic medication use. SS confirmed the PASARR had not been updated to reflect the changes.
Pressure ulcer care was not properly provided for a resident with dysphagia, dementia, and other diagnoses. The resident's wound was documented as being on the coccyx, though records also referenced the left buttock, and the ADON confirmed the wound was on the coccyx. During observation, the low air loss mattress was set to 350 lbs even though the resident weighed 97 lbs; the ADON stated the setting should have been 100 lbs based on the resident's weight and the mattress manufacturer's instructions.
A resident with a history of lymphedema and a recent humerus fracture was not consistently assessed or monitored for edema in the left upper extremity while a sling and brace were in place. Although initial documentation noted swelling, subsequent nursing notes lacked ongoing assessment or documentation of the edema, and no interventions were recorded. Staff interviews confirmed that monitoring and documentation should have occurred, but facility policy requirements for complete and objective documentation were not met.
A resident with multiple medical conditions and finger contractures was not properly assessed for range of motion (ROM) on admission, and no individualized restorative program or therapy was implemented. Documentation was inaccurate, and staff confirmed the resident did not receive necessary interventions to maintain or improve ROM.
A resident with multiple chronic conditions did not receive a physician-ordered lipid profile at the required six-month interval. The last lipid panel was performed in April, despite orders for testing every April and October, and the facility's policy requiring labs to be drawn as ordered was not followed.
A resident was prescribed and administered an antibiotic for a UTI despite having a negative urinalysis and no symptoms, and did not meet McGeer's criteria for antibiotic use. Nursing staff notified the physician of the lack of symptoms and negative test results, but the antibiotic was continued as ordered, contrary to the facility's antibiotic stewardship policy.
PASARR Not Updated for New Psychotropic Diagnoses and Medications
Penalty
Summary
The facility failed to update Resident #5’s Pre-admission Screening and Resident Review (PASARR) when the resident’s medical diagnoses and psychotropic medications changed. Resident #5 was admitted with diagnoses including high blood pressure, anxiety disorder, PTSD, and a history of falls. Physician orders later included Zoloft 50 mg daily for depression, sadness, tearfulness, and self-isolation related to anxiety disorder, and Vistaril 50 mg at bedtime for insomnia and anxiety disorder. The resident’s PASARR dated 05/06/24 marked mood disorder and panic or other severe anxiety disorder as no, and also marked no to the question asking whether the individual had been prescribed psychotropic medications, including antidepressants or anti-anxiety medications, in the last six months. Social Services confirmed that Resident #5 did not have an updated PASARR to reflect the new medications and diagnoses. The facility policy stated PASARR would be completed with a significant change or with a new psychotropic medication and appropriate diagnoses.
Pressure Ulcer Care and Mattress Setting Error
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not ensured for one resident. Resident #24 was admitted with diagnoses including dysphagia, dementia, hypokalemia, depression disorder, and high blood pressure. The resident had physician orders for an air mattress to prevent skin breakdown and for treatment of a left buttock wound. Weekly wound/skin grid documentation identified a pressure ulcer to the coccyx or left buttock, and the resident weighed 97 pounds. During observation, the ADON provided wound care to the resident's pressure ulcer located on the coccyx. The low air loss mattress control unit at the foot of the bed was set to the 350-pound weight setting. The ADON confirmed the wound was on the coccyx, not the left buttock, and stated the mattress control knob should have been set to the 100-pound setting for the resident's weight. The manufacturer instructions for the Proactive low air loss mattress directed staff to determine the patient's weight and set the control knob to that weight setting, and the facility policy directed placement of at-risk residents on a pressure reducing mattress and/or chair pad.
Failure to Monitor and Document Edema in Resident with Arm Fracture and Lymphedema
Penalty
Summary
The facility failed to assess and monitor a resident's left upper extremity (LUE) edema while the resident had a sling and brace in place for a humerus fracture. The resident, who had a complex medical history including lymphedema, heart failure, and a recent humerus fracture, was admitted with a care plan that included monitoring for pain, skin breakdown, and reporting any redness or ineffective treatments to the medical director. Despite documentation on admission and one subsequent note identifying edema in the LUE, there was no ongoing documentation or monitoring of the edema in the comprehensive nursing notes for several days following admission. Observations confirmed visible swelling in the resident's left hand while the arm was in a brace and sling, but the swelling was not consistently documented or evaluated. Interviews with nursing staff confirmed that the edema should have been documented and monitored, especially given the resident's history of lymphedema and the presence of a fracture and immobilization device. The facility's policy required that treatments and assessments be documented objectively and completely, including any unusual findings. However, there was no evidence of ongoing assessment, monitoring, or intervention for the resident's LUE edema, nor documentation of any interventions being implemented, which constituted a failure to provide appropriate treatment and care according to orders and the resident's needs.
Failure to Assess and Provide Restorative ROM Program for Resident with Contractures
Penalty
Summary
A newly admitted resident with a history of joint stiffness, right leg amputation above the knee, diabetes type 2, hemiplegia and hemiparesis following cerebral infarction, lack of coordination, weakness, and difficulty walking was not accurately assessed for range of motion (ROM) upon admission. The baseline care plan noted limited ability to open the last two fingers on both hands, but no goals or interventions were documented. The comprehensive care plan did not address the resident's limited ROM or contractures, and the admission MDS inaccurately reported no upper extremity impairment. The mobility evaluation also incorrectly documented full ROM in the resident's fingers, despite clear evidence of contractures. Further review showed the resident had no orders for splints, braces, or restorative therapy, and was not receiving any restorative or therapy services. Interviews and observations confirmed the presence of contractures in the resident's fingers, which had not worsened since admission, but no interventions had been implemented to maintain or improve ROM. Facility staff acknowledged the inaccuracies in assessment and the lack of a restorative program or therapy initiation for the resident's contractures.
Failure to Complete Physician-Ordered Laboratory Testing
Penalty
Summary
The facility failed to ensure that laboratory testing was completed as ordered by the physician for one resident. Medical record review showed that a resident with a history of hypertension, grade I diastolic dysfunction, and dementia had a physician's order for a lipid profile to be obtained every six months, specifically in April and October. However, there was no evidence that the lipid profile was obtained in October as required, with the last documented lipid profile dated in April. The resident's previous lipid profile results indicated elevated cholesterol, triglycerides, and LDL, and low HDL. Facility policy required that labs be drawn as ordered by the physician, but this was not followed in this instance.
Antibiotic Prescribed Without Appropriate Indication
Penalty
Summary
The facility failed to ensure that antibiotics were prescribed and administered only when appropriate indications were present, as required by their antibiotic stewardship program. A resident with a history of diabetes mellitus, hypertension, and peripheral vascular disease was admitted after a fall and subsequently diagnosed with a urinary tract infection (UTI) at the emergency department. Upon return, the resident was prescribed Cephalexin 500 mg every six hours for five days for the UTI. Nursing staff notified the resident's physician that the urinalysis was negative and the resident was asymptomatic for a UTI, but the physician instructed staff to continue the antibiotic. Final urinalysis and culture results showed bacterial growth but no symptoms of a UTI, and the resident still did not meet criteria for antibiotic use according to McGeer's criteria. Review of the facility's policies indicated that antibiotics should be prescribed and administered under the guidance of the antibiotic stewardship program and in accordance with recognized guidelines. Despite these policies, the antibiotic was continued for the resident without appropriate indication. The Director of Nursing confirmed that the antibiotic order did not meet the criteria for appropriate use.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Steubenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Steubenville Country Club Manor | 0.2 mi | ★★★★★ | 0 | 0 |
| Carriage Inn Of Steubenville | 0.7 mi | ★★★★★ | 18 | 0 |
| Laurels Of Steubenville The | 1.7 mi | ★★★★★ | 2 | 0 |
| Sienna Skilled Nursing & Rehabilitation | 2.1 mi | ★★★★★ | 24 | 0 |
| Dixon Healthcare Center | 2.9 mi | ★★★★★ | 18 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.