| General |
| City |
| Fort Myers |
Tarpon Springs |
| State attribute explanation |
| Fl |
Fl |
| Street |
| 2826 Cleveland Ave |
900 Beckett Way |
| Zip Code |
| 33,901 |
34,689 |
| Phone |
| 2,393,341,091 |
7,279,340,876 |
|
Overall Star Rating |
| 1 |
2 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
1 |
|
Quality Measures Star Rating |
| 2 |
2 |
|
RN Only Star Rating |
| 2 |
1 |
|
Number of Certified Beds |
| 120 |
120 |
|
Total Number of Residents |
| 106 |
113 |
|
Percent of Occupied Beds |
| 88 % |
94 % |
| Health Survey Date |
| 2/10/2012 |
4/27/2012 |
| Fire Survey Date |
| 2/13/2012 |
4/24/2012 |
| 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 |
75.2 |
| # of deficiencies |
| 6 |
1 |
|
| Staff Information |
| Number of Residents |
| 106 |
113 |
| Number of RN Hours Per Resident Per Day |
| 0.41 |
0.39 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
0.9 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.29 |
1.29 |
| Number of CNA Hours Per Resident Per Day |
| 0.05 |
0.1 |
| Number Therapy Hours Per Resident Per Day |
| 0.05 |
0.1 |
| 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: Somelevel Of Harm: 2deficiency: Provide Housekeeping And Maintenance Services.survey Date: 08/23/2010date Of Correction: 09/23/2010 |
| 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 |
|
| 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 |
|
| 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 |
|
| 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 |
|
| 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 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 25 % |
15.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 5.7 % |
1.7 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9.1 % |
9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.2 % |
6.4 % |
| Percent of long-stay residents who lose too much weight |
| 5.6:1 |
10 % |
| 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 % |
5.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 19.1:1 |
8.9 / 9.9 |
| Percent of long-stay residents who have depressive symptoms |
| 1.1 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 49.4 % |
26.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 65.7 % |
60.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 81.4 % |
73.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 8.5 % |
3.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
3.3 % |
| 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 % |
1.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 14.6 % |
7.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 7.6 % |
7.3 % |
| Percent of long-stay residents who lose too much weight |
| 3.9 % |
9.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 37.5 % |
34.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 8.3 % |
7.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 20.8 % |
10 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.4 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.1 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 56 % |
28 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 50.4 % |
66.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 86.9 % |
77 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 9.5 % |
2.20 % |