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VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE

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VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE is a for profit - limited liability company facility in LADY LAKE, FL with 120 certified beds and a 3-star overall CMS rating. The facility has 22 deficiency records on file.

900 HIGHWAY 466, LADY LAKE, FL 32159

Phone: 3524300017

Overall Rating

3/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
106099
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
120
Residents
116
In Hospital
No
County
Lake
Last Inspection
May 8, 2025

Staffing Data

RN Hours
0.51 (nat'l avg: 0.68)
LPN Hours
1.21
CNA Hours
2.33
Total Nursing Hours
4.05 (nat'l avg: 3.89)
PT Hours
0.14
Nursing Turnover
48.7%
RN Turnover
58.3%

What the CMS Record Reveals About VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE

VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE operates 120 certified beds in LADY LAKE, FL with approximately 116 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (4★). 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.

The inspection file contains 22 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.05 total nursing hours per resident day (national average 3.89), with RN coverage at 0.51 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 48.7%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (22 most recent)

D — Isolated - Minimal harm Dec 12, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

D — Isolated - Minimal harm Dec 12, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Dec 12, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Dec 12, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Dec 12, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

D — Isolated - Minimal harm Nov 13, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jan 10, 2026

D — Isolated - Minimal harm Jul 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 21, 2025

D — Isolated - Minimal harm Jul 17, 2025 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: Aug 21, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 8, 2025 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: Jun 13, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D — Isolated - Minimal harm May 8, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

F — Widespread - Minimal harm Feb 15, 2024 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: Mar 16, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2024

E — Pattern - Minimal harm Sep 9, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 17, 2022

F — Widespread - Minimal harm Sep 9, 2022 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: Oct 9, 2022

E — Pattern - Minimal harm Sep 9, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Oct 9, 2022

D — Isolated - Minimal harm Sep 9, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2022

D — Isolated - Minimal harm Sep 9, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 9, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 33.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 74.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 69.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.5% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 86.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 70.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 5.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE?
VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (4★).
What are the staffing levels at VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE?
VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE reports 4.05 total nursing hours per resident day (national average: 3.89). RN hours are 0.51 per resident day (national average: 0.68). Nursing staff turnover is 48.7%.
How many beds does VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE have?
VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE has 120 certified beds with approximately 116 residents. The facility is located at 900 HIGHWAY 466, LADY LAKE, FL 32159.
Does VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE have any deficiencies on record?
Yes, VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE has 22 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE received any fines or penalties?
No, VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE has no fines or penalties on record.
Who owns VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE?
VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE last inspected?
The most recent health inspection for VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE was on May 8, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE?
VILLAGES HEALTHCARE AND REHABILITATION CENTER, THE 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial