Federal inspection record · CMS data as of October 1, 2026
Villa Vista Royale LLC
1800 Sinclair Avenue, Steubenville, OH · (740) 264-7301
- CMS high-performer trophy
- Certified beds
- 54
- Residents per day
- 49
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 4, 2014
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Villa Vista Royale LLC carries 11 inspection points. That is fewer than 93% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service3D
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control2D
- D
Implement a program that monitors antibiotic use.
- D
Implement a program that monitors antibiotic use.
Resident Assessment and Care Planning1D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nursing and Physician Services1F
- F
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.
Inspection history
2026-02-24
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2025-04-03
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2022-10-12
13 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 38 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 27% of nursing staff and 10% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury6.7 pts worse | 9.8% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms63.4 pts worse | 95.0% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts better | 2.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts worse | 27.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts better | 1.5% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2 pts worse | 7.3% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts worse | 8.1% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better | 16.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 4.4% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.8 pts better | 99.2% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 14.2% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.6 pts better | 100.0% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better | 19.2% | 24.4% | 23.4% |
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Who owns and runs it
44 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lancia, Guirino | 5% Or Greater Direct Ownership Interest · Individual | 40% | 2 facilities |
| Barcroft, Angela | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Barcroft, Angela | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bowman, Kasi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Citrin Cooperman Advisors LLC | Adp Of The SNF · Organization | 0% | 110 facilities |
| Crane, Shane | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Crane, Shane | Adp Of The SNF · Individual | 0% | 1 facilities |
| D'anniballe And Company, Inc | Adp Of The SNF · Organization | 0% | 2 facilities |
| Dalton, Debbie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dalton, Debbie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dalton, Leslie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dalton, Thomas | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dalton, Thomas | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ferrell, Kristy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ferrell, Kristy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Figel, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| G & G Agency, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Green, Megan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Huntington Bank | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Huntington Bank | Adp Of The SNF · Organization | 0% | 5 facilities |
| Jp Morgan Chase, N.a. | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Jp Morgan Chase, N.a. | Adp Of The SNF · Organization | 0% | 2 facilities |
| Keenan, Karin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Keller, Lisa | Adp Of The SNF · Individual | 0% | 2 facilities |
| L & L Realty Holding Company, LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Lancia, Giuseppe | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Lancia, Giuseppe | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lancia, Giuseppe | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lancia, Guirino | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lancia, Guirino | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lancia, Joseph | Adp Of The SNF · Individual | 0% | 2 facilities |
| Newlin, Barbara | Adp Of The SNF · Individual | 0% | 2 facilities |
| Nolan, Janet | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Nolan, Janet | Adp Of The SNF · Individual | 0% | 2 facilities |
| Pnc Bank | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Pnc Bank | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ramsey, Heather | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ramsey, Heather | Adp Of The SNF · Individual | 0% | 1 facilities |
| Renewal Rehab LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Riggle, Susan | Adp Of The SNF · Individual | 0% | 2 facilities |
| Wesbanco Bank, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Wesbanco Bank, Inc. | Adp Of The SNF · Organization | 0% | 3 facilities |
| Zakovich, Paris | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Zakovich, Paris | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Construction1E
- E
Use approved construction type or materials.
·
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Carriage Inn Of Steubenville
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Laurels Of Steubenville The
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