B

SGMC HEALTH VILLA

138 WEST THIGPEN AVE, LAKELAND, GA 31635
Score: 77 / 100

With a score of 77/100 and a B grade, Sgmc Health Villa is a well-regarded option in Lakeland, Georgia. The facility performs above average in most CMS categories, placing it in the 86th percentile statewide.

Staffing at Sgmc Health Villa is near the national average, with 4.16 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 26 deficiencies at Sgmc Health Villa. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.16 3.8 Average
Registered Nurses (RN) 0.61 0.7 Below Average
Licensed Practical Nurses (LPN) 1.28 0.7 Above Average
Certified Nursing Assistants (CNA) 2.27 2.4 Average
Weekend Total Nursing 3.36 3.8 Below Average
Weekend RN Hours 0.38 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Jun 3, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 25 Moderate
View recent deficiencies (5 shown)
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Jun 3, 2025 · Resident Rights Deficiencies
  • Tag 0640 Severity D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Jun 3, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 3, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jun 3, 2025 · Quality of Life and Care Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Oct 21, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.2% 4.5% Worse
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 23.6% 14.5% Worse
Urinary tract infections 1.5% 2.5% Better
ADL decline (daily activities) 4.8% 14.0% Better
Excessive weight loss 9.9% 7.5% Worse
New/worsened incontinence 13.2% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 77 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
62
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 3, 2025
Deficiencies (Cycle 1)
5