Starfile

Starfile / Georgia

SGMC HEALTH VILLA

138 WEST THIGPEN AVE, LAKELAND, GA 31635 · CCN 115707

Ratings

Overall
★★★★☆ 4
Health inspection
★★★★☆ 4
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
Government - Hospital district
Certified beds
62
Avg residents/day
58.4
Phone
2294338425

Inspection history vs Georgia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityGeorgia avgNational avgvs state
12025-06-0456.19.5-1.1 better
22023-02-1295.89.8+3.2 worse
32021-08-13124.89.3+7.2 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Resident rights2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.1625.5%
RN staffing (reported)0.6133.3%
Total nurse staffing (adjusted)4.65

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (26)3 actual harm

  1. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-04 · Health · corrected 2025-07-19

    Potential for more than minimal harm

  2. CF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2025-06-04 · Health · corrected 2025-07-19

    Potential for minimal harm

  3. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-06-04 · Health · corrected 2025-07-19

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-04 · Health · corrected 2025-07-19

    Potential for more than minimal harm

  5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-04 · Health · corrected 2025-07-19

    Potential for more than minimal harm

  6. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-10-22 · Health · corrected 2024-12-06

    Potential for more than minimal harm

  7. DF0610Respond appropriately to all alleged violations.2024-10-22 · Health · corrected 2024-12-06

    Potential for more than minimal harm

  8. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  9. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  10. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  11. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  12. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  13. DF0791Provide or obtain dental services for each resident.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  14. EF0880Provide and implement an infection prevention and control program.2023-02-12 · Health · corrected 2023-03-29

    Potential for more than minimal harm

  15. DF0637Assess the resident when there is a significant change in condition2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  16. DF0641Ensure each resident receives an accurate assessment.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  17. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  18. GF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-08-13 · Health · corrected 2021-09-24

    Actual harm

  19. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-08-13 · Health · corrected 2021-09-24

    Actual harm

  20. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  21. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-08-13 · Health · corrected 2021-09-24

    Actual harm

  22. FF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  23. DF0758Implement 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.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  25. FF0814Dispose of garbage and refuse properly.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

  26. FF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2021-08-13 · Health · corrected 2021-09-24

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SOUTH GEORGIA MEDICAL CENTER INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-11-01
HODGES, JULIEIndividualCORPORATE OFFICER2015-07-06
MOORE, JOHNIndividualCORPORATE OFFICER2021-07-19
HODGES, JULIEIndividualW-2 MANAGING EMPLOYEE2015-07-06
MOORE, JOHNIndividualW-2 MANAGING EMPLOYEE2021-07-19

Other facilities in LAKELAND

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.