| General |
| City |
| Hollywood |
Fort Myers |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 600 North 17th Ave |
13755 Golf Club Pkwy |
| Zip Code |
| 33,020 |
33,919 |
| Phone |
| 9,549,272,531 |
2,394,822,848 |
|
Overall Star Rating |
| 2 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 2 |
4 |
|
Quality Measures Star Rating |
| 5 |
1 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 67 |
107 |
|
Total Number of Residents |
| 59 |
64 |
|
Percent of Occupied Beds |
| 88 % |
60 % |
| Health Survey Date |
| 10/21/2011 |
6/8/2012 |
| Fire Survey Date |
| 10/18/2011 |
6/4/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
13 |
|
| Staff Information |
| Number of Residents |
| 59 |
64 |
| Number of RN Hours Per Resident Per Day |
| 0.71 |
0.74 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.57 |
1.1 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.28 |
1.84 |
| Number of CNA Hours Per Resident Per Day |
|
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.1 |
0.1 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 04/26/2010date Of Correction: 05/26/2010 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 07/01/2011date Of Correction: 07/27/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 02/12/2010date Of Correction: 03/11/2010 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Help And Prepare Each Resident For A Safe And Easy Discharge And Transfer From The Nursing Home.survey Date: 02/11/2010date Of Correction: 03/11/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Enough Notice Before Discharging Or Transferring A Resident.survey Date: 02/11/2010date Of Correction: 03/11/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/01/2011date Of Correction: 07/27/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/31/2010date Of Correction: 01/30/2011 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 12/31/2010date Of Correction: 01/30/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/31/2010date Of Correction: 01/30/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 02/12/2010date Of Correction: 03/11/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 02/11/2010date Of Correction: 03/11/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/31/2010date Of Correction: 01/30/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 04/26/2010date Of Correction: 05/26/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 28.8 % |
21.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 20 % |
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.2 % |
7.5 % |
| Percent of long-stay residents who lose too much weight |
| 3.6 % |
6.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.7 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
15.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 7.4 % |
24.1 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.3 % |
34.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 85.1 % |
85.5 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.1 % |
87.2 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
4.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 33.3 % |
21.8 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
5.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 15.4 % |
15 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.1 / 8.8 |
13.3 % |
| Percent of long-stay residents who lose too much weight |
| 4.4 % |
5.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 59.5 % |
53.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.8 % |
1.7 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.7 % |
22.7 (72.9) |
| Percent of long-stay residents who have depressive symptoms |
| 9 % |
28 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 75.2 % |
3.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 24.5 % |
37.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 65.2 % |
86.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 76.2 % |
84 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 2.9 % |
15.7 % |