| General |
| City |
| Fort Myers |
Ormond Beach |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 2826 Cleveland Ave |
170 North Kings Road |
| Zip Code |
| 33,901 |
32,174 |
| Phone |
| 2,393,341,091 |
3,866,777,955 |
|
Overall Star Rating |
| 1 |
1 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 3 |
3 |
|
Quality Measures Star Rating |
| 2 |
3 |
|
RN Only Star Rating |
| 2 |
2 |
|
Number of Certified Beds |
| 120 |
133 |
|
Total Number of Residents |
| 106 |
113 |
|
Percent of Occupied Beds |
| 88 % |
85 % |
| Health Survey Date |
| 2/10/2012 |
1/27/2012 |
| Fire Survey Date |
| 2/13/2012 |
1/23/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Partnership |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Both |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 2 |
1 |
| # of deficiencies |
| 6 |
21 |
|
| Staff Information |
| Number of Residents |
| 106 |
100 |
| Number of RN Hours Per Resident Per Day |
| 0.41 |
0.76 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
1 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.29 |
1.76 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.21 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.21 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 01/19/2010date Of Correction: 02/19/2010 |
Scope: Manylevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.survey Date: 11/06/2009date Of Correction: 12/18/2009 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Manylevel Of Harm: 4deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/27/2012date Of Correction: 01/27/2012 |
| Deficiency #2 |
|
Scope: Manylevel Of Harm: 4deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 01/27/2012date Of Correction: 01/27/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 09/23/2011date Of Correction: 10/13/2011 |
Scope: Somelevel Of Harm: 2deficiency: Try To Resolve Each Resident's Complaints Quickly.survey Date: 12/01/2011date Of Correction: 01/01/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Give The Resident's Representative The Ability To Exercise The Resident's Rights.survey Date: 04/08/2010date Of Correction: 05/08/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Let The Resident Refuse Treatment Or Refuse To Take Part In An Experiment And Formulate Advance Directives.survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 06/25/2009date Of Correction: 07/25/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Give Proper Treatment To Residents With Feeding Tubes To Prevent Problems (such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-pharyngeal Ulcers) And Help Restore Eating Skills, If Possible.survey Date: 03/28/2012date Of Correction: 04/17/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/28/2012date Of Correction: 04/17/2012 |
| Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 10/05/2011date Of Correction: 11/01/2011 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/07/2011date Of Correction: 04/07/2011 |
| Deficiency #5 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Deficiency #6 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Deficiency #7 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/09/2010date Of Correction: 04/09/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 09/10/2009date Of Correction: 10/10/2009 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 09/10/2009date Of Correction: 10/10/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 08/24/2011date Of Correction: 09/07/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 03/07/2011date Of Correction: 04/07/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 03/07/2011date Of Correction: 04/07/2011 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Maintain 15 Months Of Resident Assessments In The Resident's Active Clinical Record.survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 09/10/2009date Of Correction: 10/10/2009 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 09/23/2011date Of Correction: 10/13/2011 |
Scope: Manylevel Of Harm: 2deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.survey Date: 01/27/2012date Of Correction: 02/16/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Quickly Tell The Resident's Doctor The Results Of Lab Tests.survey Date: 04/02/2010date Of Correction: 04/23/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25 % |
15.9:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.7 % |
3.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.1 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.2 % |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
75.2 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.5 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 5.2 % |
5.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 19.1:1 |
6.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
75.2 % |
| 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 |
| 49.4 % |
15.9:1 |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 65.7 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.4 % |
92.7 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.5 % |
1.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
1.3 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 31.4 (88.5) |
16.3:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 3.1 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.6 % |
6.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.6 % |
9 % |
| Percent of long-stay residents who lose too much weight |
| 3.9 % |
1.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.5 % |
29.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.3 % |
6.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 20.8 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.4 % |
75.2 % |
| 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 |
| 2.1 % |
2.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 56 % |
26.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 50.4 % |
91.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.9 % |
92.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.5 % |
19.2 % |