All citations for SGMC Health Villa

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to SGMC Health Villa

Last standard health inspection on record

June 4, 2025

Showing 1 to 23 of 23 citations

  1. No harm, with potential for more than minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  2. No harm, with potential for more than minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  3. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  4. No harm, with potential for more than minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  5. No harm, with potential for more than minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  6. No harm, with potential for more than minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  7. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  9. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  10. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  12. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  13. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

  15. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

  16. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  17. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  18. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  19. No harm, with potential for more than minimal harm

    Install a fire alarm system that can be heard throughout the facility.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0341, Smoke Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  20. No harm, with potential for more than minimal harm

    Install an approved automatic sprinkler system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  21. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  22. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

  23. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of February 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 29, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.