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 25 of 26 citations

  1. Harm to a resident

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

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

  2. Harm to a resident

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

  3. Harm to a resident

    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.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

    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.

    Widespread (many residents). CMS level F.

    Health citation F-0849, Administration Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

  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

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

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of June 4, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2025).

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

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

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of June 4, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2025).

  14. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 4, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2025).

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

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

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 4, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (July 19, 2025).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

  20. 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).

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

    Assess the resident when there is a significant change in condition

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

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

  23. 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.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

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

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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

    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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 13, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2021).

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.