All citations for The Villa at Green Lake Estates

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 The Villa at Green Lake Estates

Last standard health inspection on record

July 2, 2025

Showing 1 to 25 of 53 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 25, 2025).

  2. Immediate jeopardy to resident health or safety

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 21, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 11, 2024).

  3. Harm to a resident

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

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  4. Harm to a resident

    Plan the resident's discharge to meet the resident's goals and needs.

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

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of December 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 30, 2024).

  5. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 10, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

  6. Harm to a resident

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 2, 2023).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Widespread (many residents). CMS level F.

    Health citation F-0576, Resident Rights Deficiencies. Inspection of May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Widespread (many residents). CMS level F.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  9. 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 May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

  11. 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.

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

    Health citation F-0849, Administration Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

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

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

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

    Health citation F-0912, Environmental Deficiencies. Inspection of July 2, 2025. Found during a standard inspection.

    No follow-up visit needed.

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

    Implement a program that monitors antibiotic use.

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

    Health citation F-0881, Infection Control Deficiencies. Inspection of March 27, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of July 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 5, 2024).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  17. 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 May 8, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  18. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  20. 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 May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  21. 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 May 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 14, 2024).

  22. 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 June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2026).

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

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

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2026).

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

    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.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 14, 2026).

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

    Provide timely, quality laboratory services/tests to meet the needs of residents.

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

    Health citation F-0770, Administration Deficiencies. Inspection of October 8, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 24, 2025).

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.