Calusa Harbour - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105384
Provider Name
CALUSA HARBOUR
Provider Address
2525 FIRST ST
FORT MYERS, FL 33901
FORT MYERS, FL 33901
Provider Phone Number
(239) 425-2241
Provider SSA County
350
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SNH SE TENANT TRS, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-04-29
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96373
Reported LPN Staffing Hours per Resident per Day
1.08627
Reported RN Staffing Hours per Resident per Day
0.98431
Reported Licensed Staffing Hours per Resident per Day
2.07059
Reported Total Nurse Staffing Hours per Resident per Day
5.03431
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17941
Expected CNA Staffing Hours per Resident per Day
2.38023
Expected LPN Staffing Hours per Resident per Day
0.66102
Expected RN Staffing Hours per Resident per Day
1.30012
Expected Total Nurse Staffing Hours per Resident per Day
4.34138
Adjusted CNA Staffing Hours per Resident per Day
3.05521
Adjusted LPN Staffing Hours per Resident per Day
1.36395
Adjusted RN Staffing Hours per Resident per Day
0.56570
Adjusted Total Nurse Staffing Hours per Resident per Day
4.67428
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
2014-12-11
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
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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