Facility profile · CCN 235489
The Villa At Green Lake Estates
50 federal citations on record , including 2 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $282,021.
Record summary
Federal record · Q1 202650
Total citations
50
Last 3 years
6
Actual harm+
4
Federal penalties
$282,021
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
50 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 8, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Oct 8, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 4, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jul 2, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 2, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jul 2, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard |
| Jul 2, 2025 | F849 | 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. | E | Standard |
| Jul 2, 2025 | F761 | 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. | E | Standard |
| Jul 2, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Jul 2, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 2, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jul 2, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Jul 2, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Mar 27, 2025 | F881 | Implement a program that monitors antibiotic use. | E | Complaint |
| Mar 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Mar 27, 2025 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Feb 4, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Dec 11, 2024 | F660 | Plan the resident's discharge to meet the resident's goals and needs. | G | Complaint |
| Dec 11, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jul 2, 2024 | F761 | 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. | E | Complaint |
| Jul 2, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jun 5, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| May 8, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 8, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| May 8, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| May 8, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 8, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Complaint |
| May 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 8, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| May 8, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 8, 2024 | F758 | 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. | D | Standard |
| May 8, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| May 8, 2024 | F700 | 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. | E | Standard |
| May 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| May 8, 2024 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | Standard |
| May 8, 2024 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| May 8, 2024 | F560 | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | D | Standard |
| May 8, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 21, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Dec 21, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Dec 21, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Oct 10, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| May 11, 2023 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard |
| May 11, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 11, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| May 11, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| May 11, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| May 11, 2023 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $282,021 and 1 payment-denial actions spanning 8 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 2, 2025 | Fine | $61,425 | — |
| Jul 2, 2025 | Payment Denial | — | Jul 31, 2025 · 8 days |
| Dec 21, 2023 | Fine | $205,003 | — |
| Oct 10, 2023 | Fine | $15,593 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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