Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SGMC HEALTH VILLA

LAKELAND, GA · 62 certified beds · Last Life Safety survey June 4, 2025

CMS Certification Number 115707 · first certified November 2005

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

  • Ownership changed November 1, 2023 (change of ownership)to SOUTH GEORGIA MEDICAL CENTER INC from HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within GA

17 citations — more than 83% of the 356 certified nursing homes in GA. Compared within GA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to February 2027. This facility’s last Life Safety survey was June 2025. Facilities in GA are typically surveyed 14–20 months after the last one (median 16), measured over 532 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 17 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in GA, and nationally. Surveyors differ markedly between states, so the GA figure is the meaningful one.

This facility17GA median8National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in GA8
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-08142023-0232025-06
Citations at each Life Safety survey
Survey dateCitations
August 13, 20210
February 12, 202314
June 4, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-03411E-00131E-00361K-03511K-07811K-07531E-00371
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-06-04
K-0341Install a fire alarm system that can be heard throughout the facility.12023-02-12
E-0013Develop Emergency Preparedness policies and procedures.12023-02-12
E-0036Establish emergency prep training and testing.12023-02-12
K-0351Install an approved automatic sprinkler system.12023-02-12
K-0781Have restrictions on the use of portable space heaters.12023-02-12
K-0753Have restrictions on the use of highly flammable decorations.12023-02-12
E-0037Establish staff and initial training requirements.12023-02-12

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 8
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Services Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies8
Smoke Deficiencies5
Miscellaneous Deficiencies3
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 4, 2025 — 3 citations

Citations issued on June 4, 2025
TagWhat the surveyor checksStatus
E-0001Establish an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 19, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 19, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 19, 2025)

February 12, 2023 — 14 citations

Citations issued on February 12, 2023
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (March 29, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (March 29, 2023)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (March 29, 2023)
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (March 29, 2023)
E-0022Establish policies and procedures for sheltering.Deficient, Provider has date of correction (March 29, 2023)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (March 29, 2023)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (March 29, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (March 29, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (March 29, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 29, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 29, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 29, 2023)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (March 29, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (March 29, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.