Skip to main content
ReadyRule homepageReadyRule

Public Record

Sgmc Health Villa

Nursing HomeLakeland, GACMS 115707
43 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
62

*CMS

Avg. residents per day
57.4

*CMS

Inspection record

On record from CMS

Citations on record
43

*CMS

Inspections on file
6

*CMS

Last inspection
2025-06-04

*CMS

Citations

43 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0576Generalno actual harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

  • 0640Generalpotential for harm

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0001Generalpotential for harm

    Establish an Emergency Preparedness Program (EP).

  • 0689Generalpotential for harm

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

  • 0554Generalpotential for harm

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0372Generalpotential for harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0610Generalpotential for harm

    Respond appropriately to all alleged violations.

  • 0725Generalpotential for harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  • 0677Generalpotential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0791Generalpotential for harm

    Provide or obtain dental services for each resident.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0013Generalpotential for harm

    Develop Emergency Preparedness policies and procedures.

  • 0018Generalpotential for harm

    Establish procedures for tracking staff and patients during an emergency.

  • 0022Generalpotential for harm

    Establish policies and procedures for sheltering.

  • 0036Generalpotential for harm

    Establish emergency prep training and testing.

  • 0037Generalpotential for harm

    Establish staff and initial training requirements.

  • 0341Generalpotential for harm

    Install a fire alarm system that can be heard throughout the facility.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0712Generalpotential for harm

    Have simulated fire drills held at unexpected times.

  • 0753Generalpotential for harm

    Have restrictions on the use of highly flammable decorations.

  • 0781Generalpotential for harm

    Have restrictions on the use of portable space heaters.

  • 0580Generalpotential for harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0004Generalpotential for harm

    Develop and maintain an Emergency Preparedness Program (EP).

  • 0006Generalpotential for harm

    Conduct risk assessment and an All-Hazards approach.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0657Seriousactual harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0689Seriousactual harm

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

  • 0726Seriousactual harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0758Generalpotential for harm

    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.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0814Generalpotential for harm

    Dispose of garbage and refuse properly.

  • 0849Generalpotential for harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0698Generalpotential for harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Sgmc Health Villa?
Sgmc Health Villa is a Medicare- and Medicaid-certified nursing home in Lakeland, GA, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 115707.
What is the CMS rating for Sgmc Health Villa?
Sgmc Health Villa has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Sgmc Health Villa have?
Sgmc Health Villa is certified for 62 beds. It serves an average of 57.4 residents per day.
How many citations does Sgmc Health Villa have?
Sgmc Health Villa has 43 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Sgmc Health Villa last inspected?
Sgmc Health Villa was last inspected on June 4, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

/nursing-home/115707-sgmc-health-villa