The Villages On Macarthur

Penalties

• Jul 3, 2025 — Fine ($11,190)
• Feb 21, 2025 — Fine ($14,069)

Inspection findings

1. Jan 2, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jan 5, 2026 · CMS health inspection

2. Jul 3, 2025 Fire Safety · 24 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0020 Emergency Preparedness Deficiencies

     Establish policies and procedures including evacuation.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     E0037 Emergency Preparedness Deficiencies

     Establish staff and initial training requirements.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 10, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Mar 3, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Aug 6, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jul 10, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jul 22, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jul 22, 2025 · CMS fire safety

3. Feb 21, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Mar 14, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 13, 2025 · CMS health inspection

4. Sep 13, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 20, 2024 · CMS health inspection

5. Sep 6, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Sep 13, 2024 · CMS health inspection

6. Jun 6, 2024 Health · 8 findings
   • Not serious Scope/severity D Complaint

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jun 14, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 28, 2024 · CMS fire safety

7. Jan 10, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Feb 2, 2024 · CMS health inspection

8. Apr 27, 2023 Health · 3 findings
   • Not serious Scope/severity D

     F0642 Resident Assessment and Care Planning Deficiencies

     Ensure a qualified health professional conducts resident assessments.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected May 5, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected May 5, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• CAMPBELL, SCOTT — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/03/2025
• CHANCE, JAMES — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/03/2025
• FISHER, JAMES — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/04/2025
• LANGDON, THOMAS — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/03/2025
• MCGEHEE, WILLIAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/03/2025
• OBE, OLUKAYODE — adp of the snf, NOT APPLICABLE, since 09/01/2021
• OKORO, CHIBUIKE — adp of the snf, NOT APPLICABLE, since 09/01/2023
• OLVERA, NOEL — adp of the snf, NOT APPLICABLE, since 07/14/2025
• OLVERA, NOEL — operational/managerial control, NOT APPLICABLE, since 07/14/2025
• PRICE, LARRY — corporate officer, NOT APPLICABLE, since 06/01/1982
• TAYLOR, JOHN — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 12/03/2025
• YAFT, JOHN — adp of the snf, NOT APPLICABLE, since 01/01/2020
• LIFETIME WELLNESS, LTD. — adp of the snf, NOT APPLICABLE, since 09/23/2021
• MARTUS FINANCIAL SERVICES, INC. — adp of the snf, NOT APPLICABLE, since 12/31/2023
• PF IRVING SNF OPS, LLC — adp of the snf, NOT APPLICABLE, since 12/02/2025
• PF IRVING SNF OPS, LLC — operational/managerial control, NOT APPLICABLE, since 09/23/2021
• PHARMERICA DRUG SYSTEMS LLC — adp of the snf, NOT APPLICABLE, since 08/27/2017
• PRESERVATION FREEHOLD COMPANY — adp of the snf, NOT APPLICABLE, since 09/23/2021
• REHAB PRO LP — adp of the snf, NOT APPLICABLE, since 09/23/2021
• SANCTUARY LTC, LLC — adp of the snf, NOT APPLICABLE, since 09/23/2021
• SOUTH LIMESTONE HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 02/27/2015
• STONEGATE SENIOR LIVING, LP — adp of the snf, NOT APPLICABLE, since 12/02/2025
• STONEGATE SENIOR LIVING, LP — operational/managerial control, NOT APPLICABLE, since 06/22/2022
• UMB BANK NATIONAL ASSOCIATION — 5% or greater mortgage interest, NOT APPLICABLE, since 09/23/2021