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.
| Cycle | Inspection date | This facility | Georgia avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-04 | 5 | 6.1 | 9.5 | -1.1 better |
| 2 | 2023-02-12 | 9 | 5.8 | 9.8 | +3.2 worse |
| 3 | 2021-08-13 | 12 | 4.8 | 9.3 | +7.2 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Resident rights | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.16 | 25.5% |
| RN staffing (reported) | 0.61 | 33.3% |
| 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
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-06-04 · Health · corrected 2025-07-19
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-10-22 · Health · corrected 2024-12-06
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2023-02-12 · Health · corrected 2023-03-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-02-12 · Health · corrected 2023-03-29
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2021-08-13 · Health · corrected 2021-09-24
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2021-08-13 · Health · corrected 2021-09-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0814Dispose of garbage and refuse properly.2021-08-13 · Health · corrected 2021-09-24
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SOUTH GEORGIA MEDICAL CENTER INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-11-01 |
| HODGES, JULIE | Individual | CORPORATE OFFICER | — | 2015-07-06 |
| MOORE, JOHN | Individual | CORPORATE OFFICER | — | 2021-07-19 |
| HODGES, JULIE | Individual | W-2 MANAGING EMPLOYEE | — | 2015-07-06 |
| MOORE, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2021-07-19 |
Other facilities in LAKELAND
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.