Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chatham Glen Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with multiple health issues, including malnutrition, did not consistently receive a prescribed nutritional supplement, Mighty Shake, with meals as ordered by the physician. Observations showed the supplement was missing from meal trays, and staff interviews confirmed the oversight. The facility's policy requires timely provision of nutritional supplements to support residents' dietary needs.
The facility failed to ensure physicians documented their rationale for disagreeing with pharmacy recommendations for two residents. One resident was recommended to taper or discontinue a low-dose antipsychotic and Vitamin C, while another had a potential drug interaction identified. In both cases, the prescribers disagreed but did not provide any rationale, contrary to facility policy.
A resident with multiple health issues, including malnutrition, did not consistently receive a prescribed nutritional supplement, Mighty Shake, with meals. Despite this, the MAR inaccurately recorded 100% consumption of the supplement. Observations showed the supplement was often missing or unopened on meal trays. Staff interviews revealed documentation inaccuracies, contrary to the facility's policy requiring factual and objective records.
The facility failed to ensure proper hand hygiene during medication administration and wound care, risking infection spread. An LPN and an RN did not perform hand hygiene after returning from the medication room and before handling medications for two residents. Additionally, a wound care nurse did not perform hand hygiene between glove changes while treating a resident's wounds. Both staff members acknowledged their lapses, and the DON confirmed the need for hand hygiene as per facility policy.
The facility did not post accurate nurse staffing data daily as required. During a tour, it was found that the staffing data was not available at the receptionist desk or nursing stations. The Administrator was unaware of the posting requirement, and later, the data was found with incorrect census information. The facility's policy requires this information to be posted at the start of each shift, but it was not done, as confirmed by a CNA/Staff Coordinator.
Failure to Provide Prescribed Nutritional Supplements
Penalty
Summary
The facility failed to ensure that a resident received nutritional supplements as prescribed. Resident #43, who was admitted with multiple diagnoses including heart failure, respiratory failure, and protein-calorie malnutrition, had a physician's order for a Mighty Shake with each meal as a protein supplement. However, during observations on two consecutive days, the resident did not receive the Mighty Shake with breakfast and only received it with lunch on one occasion, where it remained unopened and was returned with the meal tray. Interviews with staff revealed a lack of adherence to the physician's order. A Certified Nursing Assistant confirmed the absence of the Mighty Shake on the meal tray, and the Registered Dietitian acknowledged the resident's need for the supplement, despite noting that the resident's weight was stabilizing. The Certified Dietary Manager indicated that the dietary aide was responsible for placing the Mighty Shakes on the trays, and the Director of Nursing expressed an expectation for nursing staff to follow physician orders. The facility's policy on nutritional supplements emphasized the importance of providing these within a specified timeframe to maintain residents' nutritional status.
Failure to Document Physician Rationale for Pharmacy Recommendations
Penalty
Summary
The facility failed to ensure that the attending physician documented their rationale for disagreeing with pharmacy recommendations for two residents. For one resident, the pharmacist recommended tapering or discontinuing a low-dose antipsychotic medication and discontinuing Vitamin C supplementation. The prescriber disagreed with both recommendations but did not provide any rationale in the medical records. Similarly, for another resident, the pharmacist identified a potential drug interaction between Omeprazole and Sucralfate and recommended discontinuing Sucralfate. The prescriber disagreed but again failed to document any rationale. The facility's policy requires that the attending physician document in the resident's medical record that the identified irregularity has been reviewed and what action, if any, has been taken. If no change is made, the physician should document their rationale. However, in these cases, the prescribers did not provide any rationale for their decisions, which was confirmed during an interview with the Director of Nursing. The forms used by the facility did not clearly indicate that a rationale was required, contributing to the oversight.
Inaccurate Documentation of Nutritional Supplement Administration
Penalty
Summary
The facility failed to ensure accurate documentation of nutritional supplement administration and the percentage of supplement consumed for a resident reviewed for nutrition. The resident, who was admitted with multiple diagnoses including heart failure, respiratory failure, and protein-calorie malnutrition, had a physician's order for a Mighty Shake with meals as a protein supplement. However, during observations, it was noted that the Mighty Shake was not consistently present on the resident's meal tray, and when it was present, it was not consumed by the resident. Despite these observations, the Medication Administration Record (MAR) inaccurately documented that the resident consumed 100% of the Mighty Shake on several occasions. Interviews with staff revealed a lack of adherence to proper documentation practices, as the LPN responsible for documenting the consumption of the supplement recorded it inaccurately. The Director of Nursing acknowledged the need for accurate documentation and stated that the amount consumed should not be documented if the resident did not receive the supplement. The facility's policy on documentation emphasizes the importance of factual and objective record-keeping, which was not followed in this instance.
Failure in Hand Hygiene During Medication and Wound Care
Penalty
Summary
The facility failed to ensure proper hand hygiene practices during medication administration and wound care, leading to potential risks of infection spread. During medication administration, two staff members, an LPN and an RN, did not perform hand hygiene after returning from the medication room and before handling medications for two residents. The LPN also sanitized her pen and hands with a Sani wipe without using gloves, while the RN entered another resident's room with medication in hand without performing hand hygiene. Both staff members acknowledged their lapses in hand hygiene during interviews. In a separate incident, a wound care nurse, LPN, did not perform hand hygiene between glove changes while providing wound care to a resident with multiple wounds. The nurse admitted to not using hand sanitizer between glove changes due to its unavailability in the room. The Director of Nursing confirmed that staff should perform hand hygiene between wound care steps and after removing gloves, as per the facility's hand hygiene policy.
Failure to Post Accurate Nurse Staffing Data
Penalty
Summary
The facility failed to post accurate nurse staffing data on a daily basis, as required by their policy. During an initial tour of the facility, it was observed that there was no nurse staffing data available at the receptionist desk, on the wall in the reception area, or at the nursing stations. The Administrator, when interviewed, was unaware of the requirement to have this information posted and mentioned that a list of staff for the day was available on each unit but not posted as required. Later in the day, the nurse staffing data was observed on the receptionist desk, but it contained inaccurate information regarding the facility census. The facility's policy mandates that nurse staffing information be readily available in a readable format to residents and visitors at any given time, with specific details such as the facility name, current date, resident census, and staffing hours for each shift. However, the staffing data was not posted at the beginning of the shift on the day in question, as confirmed by Staff C, the Certified Nursing Assistant/Staff Coordinator. The facility's daily census showed a discrepancy in the number of residents reported, further indicating a failure to comply with the policy of posting accurate and timely nurse staffing information.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 101 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near The Villages
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Villages Healthcare And Rehabilitation Center, The | 0.2 mi | — | 9 | 0 |
| Lady Lake Specialty Care Center And Rehab | 1.7 mi | — | 10 | 2 |
| Freedom Pointe Health Center | 3.2 mi | — | 7 | 0 |
| Buffalo Crossings Healthcare & Rehabilitation Cen | 6.3 mi | — | 0 | 0 |
| Club Healthcare And Rehabilitation Center At The V | 6.6 mi | — | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Chatham Glen Healthcare And Rehabilitation Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.