Nursing home in The Villages, Florida
Chatham Glen Healthcare and Rehabilitation Center
Medicare and Medicaid
16605 SE 74TH SOULLIERE AVENUE, The Villages, FL 32162
(210) 338-5220
- CMS shows its high-performing icon for this nursing home.
CMS star ratings
CMS gives this nursing home an overall star rating of 5 out of 5. Each rating is compared with the mean of rated nursing homes in Florida (691 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home5
- Florida average3.3 (691 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home4
- Florida average2.9 (691 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home3
- Florida average3.3 (686 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home5
- Florida average4.2 (686 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Feb 20, 2026. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- Florida average7.1 (694 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 10 health deficiencies on 2 inspection dates since Sep 30, 2023. By level of harm: 8 potential for harm, 2 minimal harm potential.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 8 No actual harm, potential for more than minimal harm
- 2 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Feb 20, 2026 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 17, 2026 |
| Feb 20, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 17, 2026 |
| Feb 20, 2026 | F0761 | 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 17, 2026 |
| Feb 20, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 17, 2026 |
| Feb 20, 2026 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Administration Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Mar 17, 2026 |
| Sep 19, 2024 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 21, 2024 |
| Sep 19, 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 14, 2024 |
| Sep 19, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 21, 2024 |
| Sep 19, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Oct 21, 2024 |
| Sep 19, 2024 | F0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Oct 14, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.99 hours
- Florida average3.82 hours (680 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.44 hours
- Florida average0.73 hours (680 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home47.8%
- Florida average41.4% (646 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 120 |
|---|---|
| Average residents per day | 111.2 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Not part of a chain in the CMS file |
| Legal business name | RETIREMENT FIVE, LLC |
| First approved for Medicare and Medicaid | Apr 23, 2020 |
| County | Marion |
| CMS certification number | 106139 |
Also in The Villages
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Buffalo Crossings Healthcare & Rehabilitation Cen | 120 | For profit - Limited Liability company | ||
| Freedom Pointe Health Center | 72 | For profit - Limited Liability company | ||
| Club Healthcare and Rehabilitation Center at the V | 68 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Villages Regional Hospital, The | Acute Care Hospitals | Yes |