Federal inspection record · CMS data as of October 1, 2026
Chatham Glen Healthcare And Rehabilitation Center
16605 Se 74th Soulliere Avenue, The Villages, FL · (210) 338-5220
- CMS high-performer trophy
- Certified beds
- 120
- Residents per day
- 112
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 23, 2020
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Chatham Glen Healthcare And Rehabilitation Center carries 16 inspection points. That is fewer than 78% of Florida's 691 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–8 pts
- 4★ 8–25 pts
- 3★ 25–46 pts
- 2★ 46–85 pts
- 1★ over 85 pts
Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
13 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service2D
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration1C
- C
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-02-20
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-09-19
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-05-25
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 57 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 57 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 0.8 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 2.6% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 0.0% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts better | 1.4% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.7 pts worse | 22.6% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.4 pts better | 3.3% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.1 pts better | 4.3% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts better | 4.1% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 1.1% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts better | 7.8% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 2.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 100.0% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts worse | 10.1% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.2 pts better | 96.5% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts better | 23.1% | 25.8% | 23.4% |
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Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The Villages Invesco, LLC | 5% Or Greater Direct Ownership Interest · Organization | 90% | 1 facilities |
| Kr Management, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Rockefeller, Kevin | Corporate Director · Individual | 0% | 5 facilities |
| Rockefeller, Kevin | Operational/Managerial Control · Individual | 0% | 5 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1D
- D
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
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Villages Healthcare And Rehabilitation Center, The
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0
-
Lady Lake Specialty Care Center and Rehab
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $26,685
-
Freedom Pointe Health Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 49 min
- Fines
- $0