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Chatham Glen Healthcare and Rehabilitation Center

16605 Se 74th Soulliere Avenue, The Villages, FL 32162 · Marion County · (210) 338-5220

120 certified beds, about 111 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2020

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106139 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 20, 2026, inspectors cited 5 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 13 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.99 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

47.8% of nursing staff left within the year CMS measured (Florida average 41.4%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
0F
Potential for minimal harm
0A
0B
2C
February 20, 2026Standard inspection · 5 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents' Minimum Data Set (MDS) assessments were accurate for 2 of 6 residents reviewed for medication management (Residents #75, and #122).
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were administered as ordered by physician for 2 of 7 residents reviewed for medication management (Residents #24 and #90), and failed to ensure the intravenous (IV) catheter dressing was changed for 1 of 4 residents reviewed for intravenous therapy (Resident #140).
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medications were securely stored in 2 of 4 halls.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff used personal protective equipment (PPE) appropriately while providing wound care for 1 of 1 residents observed for wound care (Resident #13) to prevent the possible spread of infection and communicable diseases.
  5. C
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    F847 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 17, 2026
    Inspectors wroteBased on record review and interview, the facility failed to ensure the arbitration agreement granted the right to rescind the arbitration agreement within 30 calendar days for 3 of 3 residents reviewed for arbitration (Residents #58, #148, and #149).
September 19, 2024Standard inspection · 5 citations
  1. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents received nutritional supplements for 1 of 9 residents reviewed for nutrition, Resident #43 (Photographic evidence obtained).
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 14, 2024
    Inspectors wrote2) Review of Resident #52's Pharmacist's Recommendation to Prescriber dated 8/22/2024 showed it read, Findings/Recommendation: This resident has current orders that might present a potential drug interaction: Omeprazole cap 20 mg- give 20 mg by mouth two times a day for GERD [Gastroesophageal Reflux Disease] administer whole do not crush chew or cut., in addition to Sucralfate. Recommendation: Please consider discontinuation of Sucralfate at this time, unless clinically contraindicated. If concomitant therapy is still warranted at this time, please indicate reason . Prescriber's Response: Disagree. The form did not contain the prescriber's rationale. Review of Resident #52's medical records did not reveal any rationale provided by the provider for the pharmacist's recommendation on 8/22/2024. [...]
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure accurate documentation of nutritional supplement administration and percentage of supplement consumed for 1 of 9 residents reviewed for nutrition, Resident #43.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration for 2 of 4 reviewed for medication administration, Residents #481 and #101, and during wound care for 1 of 6 residents reviewed for skin conditions, Resident #13 to prevent from possible spread of infection and communicable diseases.
  5. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) October 14, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to post the accurate nurse staffing data for the facility on a daily basis.
May 25, 2023Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 19, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure food was stored in accordance with professional standards for food service safety in the dry storage food area and in the walk-in freezer in the main kitchen.
  2. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2023
    Inspectors wroteBased on interview and record review the facility failed to submit the Minimum Data Set (MDS 3.0) discharge summary in a timely manner for 1 (Resident #21) of 4 residents reviewed for discharge.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 19, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to implement comprehensive resident centered care plan interventions for 2 (Resident #9, #338) of 12 residents review for accidents and pressure ulcers. Photographic evidence obtained.

Fire safety inspections

2 fire safety citations on file: 2 on May 25, 2023.

Every fire safety citation2 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 25, 2023 · Corrected (the home has a date of correction)
  2. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · May 25, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)3.993.823.86
Registered nurses0.440.730.69
All nursing staff on weekends3.623.493.42
Nurse aides2.27
Licensed practical nurses1.27
Nursing staff turnover (share who left in a year)47.8%41.4%45.8%
Registered nurse turnover30.8%46.0%42.9%
Administrators who left0

CMS expects 3.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.13 on weekdays and 3.62 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.00 in April to June 2025 to 3.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.990.444.133.62 2.5%0 of 90111
Oct to Dec 20254.090.484.213.77 0.9%0 of 92108
Jul to Sep 20254.030.494.173.66 0.2%0 of 92112
Apr to Jun 20254.000.514.173.60 1.9%0 of 91116
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.08.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.00.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.52.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.09.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.44.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.68.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.79.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.72.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Chatham Glen Healthcare and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (72.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

72.3% this home

Better than the national rate

US median of homes 51.5% · Florida: 169 better, 109 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 861 eligible stays.

Potentially preventable readmissions

9.3% this home

No different from the national rate

US median of homes 10.7% · Florida: 2 better, 35 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 857 eligible stays.

Infections that led to a hospital stay

5.3% this home

Better than the national rate

US median of homes 7.1% · Florida: 6 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 499 eligible stays.

Self-care and mobility at discharge

55.0% this home

Median of homes: Florida55.1% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 438 residents counted.

Falls with major injury

0.6% this home

Median of homes: Florida0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 623 residents counted.

New or worsened pressure ulcers

2.2% this home

Median of homes: Florida1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 623 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Florida97.7% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 14 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: RETIREMENT FIVE, LLC.

NameRoleTypeShareSince
The Villages Invesco, LLC5% or greater direct ownership interestOrganization90%08/08/2017
Rockefeller, KevinCorporate directorIndividual11/15/2017
Kr Management, LLCOperational/managerial controlOrganization01/01/2020
Rockefeller, KevinOperational/managerial controlIndividual11/15/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 20, 2026: "Ensure each resident receives an accurate assessment."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "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."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 20, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is Chatham Glen Healthcare and Rehabilitation Center's Medicare star rating?
CMS rates Chatham Glen Healthcare and Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Chatham Glen Healthcare and Rehabilitation Center get at its last inspection?
5 health deficiencies at the standard inspection on February 20, 2026. The Florida average is 7.1.
Has Chatham Glen Healthcare and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Chatham Glen Healthcare and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Chatham Glen Healthcare and Rehabilitation Center?
CMS lists 4 owners and managers. Legal business name: RETIREMENT FIVE, LLC.

Sources

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