SGMC HEALTH VILLA

138 WEST THIGPEN AVE
LAKELAND, GA, 31635
2294338425
CCN: 115707
4
Overall
4
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (8)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ATLANTA MEDICAL CENTER
1128a1
Excluded 2016-09-30
CREST MEDICAL CENTERS, INC
1128b11
Excluded 1993-12-20
GEORGIA COMMUNITY HELP CENTER
1128b8
Excluded 1999-01-20
GEORGIA MEDICAL AMB & CONV SVC
1128b8
Excluded 1998-01-20
GEORGIA REFERRAL, INC
1128b8
Excluded 1999-07-20
NORTH FULTON MEDICAL CENTER, I
1128a1
Excluded 2016-09-30
PEDIAPLUS MEDICAL CENTER
1128b8
Excluded 2002-10-20
ROOSEVELT MEDICAL CENTER, INC
1128a1
Excluded 1999-06-17
Ownership
NameRole%
SOUTH GEORGIA MEDICAL CENTER INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
HODGES, JULIECORPORATE OFFICERNOT APPLICABLE
MOORE, JOHNCORPORATE OFFICERNOT APPLICABLE
HODGES, JULIEW-2 MANAGING EMPLOYEENOT APPLICABLE
MOORE, JOHNW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (26)
2025-06-04 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
C
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
2024-10-22 · Health
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2023-02-12 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
E
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2021-08-13 · Health
F
F849 · Administration Deficiencies
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.
F
F814 · Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F758 · Pharmacy Service Deficiencies
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.
F
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
G
F726 · Nursing and Physician Services Deficiencies
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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F637 · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.16
3.68
RN Hrs/Resident/Day
0.61
0.54
LPN Hrs/Resident/Day
1.28
0.81
CNA Hrs/Resident/Day
2.27
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01