PlainNursing
CMS Nursing Home Compare · August 2026

Sgmc Health Villa

138 West Thigpen Ave, Lakeland, GA 31635

Sgmc Health Villa, a 62-bed government - hospital district nursing facility in Lakeland, GA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #65 of 355 rated homes in GA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2294338425

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4 / 5
Above average · CMS overall · nat'l 3.0
#65 of 355
In-state rank among rated GA homes
3.84
About average · nurse hrs/day · nat'l 3.86
26
Inspection findings · 3 serious

The verdict

Sgmc Health Villa, a 62-bed government - hospital district nursing facility in Lakeland, GA, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #65 of 355 rated homes in GA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#65 of 355
In-state rank among rated GA homes
3.84
Nurse hrs/resident-day · national 3.86
26
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 356 GA nursing homes split by ownership sector

This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
115707
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
62
Residents
58
In Hospital
Yes
County
Lanier
Last Inspection
Jun 4, 2025

Staffing Data

How the 3.84 total nursing hours per resident-day are staffed:

RN Hours
0.55 (nat'l avg: 0.69)
LPN Hours
1.21
CNA Hours
2.08
Total Nursing Hours
3.84 (nat'l avg: 3.86)
PT Hours
0.00
Nursing Turnover
17.6%
RN Turnover
30.0%

What the CMS Record Reveals About Sgmc Health Villa

According to CMS Nursing Home Compare, Sgmc Health Villa ranks #65 of 355 rated nursing homes in GA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Sgmc Health Villa operates 62 certified beds in Lakeland, GA with approximately 58 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 4★ · quality 3★).

The inspection file contains 26 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.84 total nursing hours (national average 3.86) and 0.55 RN hours.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Sgmc Health Villa falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 17.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

C - Widespread - No harm Jun 4, 2025 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2025

D - Isolated - Minimal harm Jun 4, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 19, 2025

D - Isolated - Minimal harm Jun 4, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 19, 2025

D - Isolated - Minimal harm Jun 4, 2025 Tag: 0640

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 19, 2025

D - Isolated - Minimal harm Jun 4, 2025 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2025

D - Isolated - Minimal harm Oct 22, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Oct 22, 2024 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 6, 2024

D - Isolated - Minimal harm Feb 12, 2023 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2023

D - Isolated - Minimal harm Feb 12, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2023

D - Isolated - Minimal harm Feb 12, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Mar 29, 2023

E - Pattern - Minimal harm Feb 12, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 29, 2023

E - Pattern - Minimal harm Feb 12, 2023 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 29, 2023

E - Pattern - Minimal harm Feb 12, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 29, 2023

E - Pattern - Minimal harm Feb 12, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 29, 2023

D - Isolated - Minimal harm Aug 13, 2021 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2021

D - Isolated - Minimal harm Aug 13, 2021 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2021

D - Isolated - Minimal harm Aug 13, 2021 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 24, 2021

D - Isolated - Minimal harm Aug 13, 2021 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 24, 2021

D - Isolated - Minimal harm Aug 13, 2021 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 24, 2021

F - Widespread - Minimal harm Aug 13, 2021 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Sep 24, 2021

F - Widespread - Minimal harm Aug 13, 2021 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 24, 2021

F - Widespread - Minimal harm Aug 13, 2021 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 24, 2021

F - Widespread - Minimal harm Aug 13, 2021 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2021

G - Isolated - Actual harm Aug 13, 2021 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Sep 24, 2021

G - Isolated - Actual harm Aug 13, 2021 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2021

G - Isolated - Actual harm Aug 13, 2021 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 24, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 4.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 6.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 24.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 56.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 89.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 13.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 50.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Sgmc Health Villa, both outside GA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Sgmc Health Villa

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The GA registry aggregates state averages and the highest-rated homes in this cohort. View GA registry
  • Peer homes near 62 beds show how CMS stars vary at a similar scale in GA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Sgmc Health Villa?
Sgmc Health Villa has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (3★).
Where does Sgmc Health Villa rank among nursing homes in GA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Sgmc Health Villa ranks 65th among 355 rated nursing homes in GA (#65 of 355). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Sgmc Health Villa?
Sgmc Health Villa reports 3.84 total nursing hours per resident day (national average: 3.86). RN hours are 0.55 per resident day (national average: 0.69). Nursing staff turnover is 17.6%.
How many beds does Sgmc Health Villa have?
Sgmc Health Villa has 62 certified beds with approximately 58 residents. The facility is located at 138 West Thigpen Ave, Lakeland, GA 31635.
Does Sgmc Health Villa have any deficiencies on record?
Yes, Sgmc Health Villa has 26 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Sgmc Health Villa received any fines or penalties?
No, Sgmc Health Villa has no fines or penalties on record.
Who owns Sgmc Health Villa?
Sgmc Health Villa is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Sgmc Health Villa last inspected?
The most recent health inspection for Sgmc Health Villa was on Jun 4, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Sgmc Health Villa?
Sgmc Health Villa is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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