Citrus Gardens Of Fort Myers - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105427
Provider Name
CITRUS GARDENS OF FORT MYERS
Provider Address
7173 CYPRESS DRIVE SW
FORT MYERS, FL 33907
FORT MYERS, FL 33907
Provider Phone Number
2399360203
Provider SSA County
350
Provider County Name
Lee
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1983-01-14
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.57917
Reported LPN Staffing Hours per Resident per Day
0.91354
Reported RN Staffing Hours per Resident per Day
0.74427
Reported Licensed Staffing Hours per Resident per Day
1.65781
Reported Total Nurse Staffing Hours per Resident per Day
4.23698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05938
Expected CNA Staffing Hours per Resident per Day
2.45775
Expected LPN Staffing Hours per Resident per Day
0.66286
Expected RN Staffing Hours per Resident per Day
1.08695
Expected Total Nurse Staffing Hours per Resident per Day
4.20757
Adjusted CNA Staffing Hours per Resident per Day
2.57492
Adjusted LPN Staffing Hours per Resident per Day
1.14388
Adjusted RN Staffing Hours per Resident per Day
0.51163
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05908
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
600
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
209.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
335250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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