Elder Care Record

Georgia › Lanier County › Lakeland

Sgmc Health Villa

138 West Thigpen Ave, Lakeland, GA 31635

CCN 115707 · Government, hospital district · 62 certified beds

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Sgmc Health Villa is a Government, hospital district nursing home in Lakeland, Georgia, certified for 62 beds and caring for about 58 residents a day.

CMS gives it 4 of 5 stars overall, above the Georgia median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.

Inspectors recorded 26 health deficiencies across the three most recent survey cycles (5, 9, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 41.9 per 100 beds, more than the state median of 14.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.5 RN), close to the Georgia median of 3.4; nursing staff turnover is 17.6%.

26health deficiencies, 3 survey cycles3 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.4
94%occupancy (residents ÷ beds)58 residents a day

Compared with county, state and nation

MeasureThis facilityLanier Co. medianGeorgia medianUS average
Overall star rating4433.0
Health citations, 3 cycles26261528.7
Citations per 100 beds41.941.914.226.8
Total nurse hours per resident day3.83.83.43.9
RN hours per resident day0.50.50.50.7
Nursing staff turnover17.6%17.6%45.9%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 356 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 29
Cycle 312

Dark bar: this facility. Grey bar: Georgia average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2025, 12 Feb 2023.

Severity mix: G ×3 D ×14 E ×4 F ×4 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DComplaint investigation19 Jul 2025
4 Jun 2025F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DComplaint investigation19 Jul 2025
4 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation19 Jul 2025
4 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Jul 2025
4 Jun 2025F0576Ensure residents have reasonable access to and privacy in their use of communication methods.CComplaint investigation19 Jul 2025
22 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation6 Dec 2024
22 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation6 Dec 2024
12 Feb 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey29 Mar 2023
12 Feb 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey29 Mar 2023
12 Feb 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey29 Mar 2023
12 Feb 2023F0880Provide and implement an infection prevention and control program.EStandard survey29 Mar 2023
12 Feb 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey29 Mar 2023
12 Feb 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey29 Mar 2023
12 Feb 2023F0791Provide or obtain dental services for each resident.DStandard survey29 Mar 2023
13 Aug 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.GStandard survey24 Sep 2021
13 Aug 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey24 Sep 2021
13 Aug 2021F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.GStandard survey24 Sep 2021
13 Aug 2021F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.FStandard survey24 Sep 2021
13 Aug 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey24 Sep 2021
13 Aug 2021F0814Dispose of garbage and refuse properly.FStandard survey24 Sep 2021
13 Aug 2021F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.FStandard survey24 Sep 2021
13 Aug 2021F0637Assess the resident when there is a significant change in conditionDStandard survey24 Sep 2021
13 Aug 2021F0641Ensure each resident receives an accurate assessment.DStandard survey24 Sep 2021
13 Aug 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey24 Sep 2021
13 Aug 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey24 Sep 2021
13 Aug 2021F0758Implement 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.DStandard survey24 Sep 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.84 h
Nurse aides2.08 h
LPN1.21 h
RN0.55 h
Weekend total3.21 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Georgia average. Turnover: nursing staff 17.6%, RNs 30.0%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityGeorgia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay4.8%14.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay4.5%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.8%2.8%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.3%13.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.7%5.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay24.0%18.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: South Georgia Medical Center Inc.

OrganisationRole in the CMS recordInterestSince
South Georgia Medical Center Inc5% or greater direct ownership interest100%11/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Sgmc Health Villa been cited for?

26 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Georgia median is 15 per facility.

Has Sgmc Health Villa been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Sgmc Health Villa compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Georgia median of 3.4 and a national average of 3.9.

Who operates Sgmc Health Villa?

Ownership type is government, hospital district. Organisations in the CMS ownership record include South Georgia Medical Center Inc. Individual owners and managers are not listed on this site.

When was Sgmc Health Villa last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2025; the most recent standard health survey was 4 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.