Consulate Health Care Of North Fort Myers - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105507
Provider Name
CONSULATE HEALTH CARE OF NORTH FORT MYERS
Provider Address
991 PONDELLA RD
FORT MYERS, FL 33903
FORT MYERS, FL 33903
Provider Phone Number
(239) 995-8809
Provider SSA County
350
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH FORT MYERS FACILITY OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1985-06-13
Continuing Care Retirement Community
N
Special Focus Facility
N
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.58846
Reported LPN Staffing Hours per Resident per Day
0.90983
Reported RN Staffing Hours per Resident per Day
0.33162
Reported Licensed Staffing Hours per Resident per Day
1.24145
Reported Total Nurse Staffing Hours per Resident per Day
3.82991
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09786
Expected CNA Staffing Hours per Resident per Day
2.56630
Expected LPN Staffing Hours per Resident per Day
0.65451
Expected RN Staffing Hours per Resident per Day
1.09570
Expected Total Nurse Staffing Hours per Resident per Day
4.31651
Adjusted CNA Staffing Hours per Resident per Day
2.47489
Adjusted LPN Staffing Hours per Resident per Day
1.15378
Adjusted RN Staffing Hours per Resident per Day
0.22614
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57650
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
409
Cycle 2 Standard Health Survey Date
2014-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
409
Cycle 3 Total Number of Health Deficiencies
28
Cycle 3 Number of Standard Health Deficiencies
24
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
200
Cycle 3 Standard Health Survey Date
2013-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
200
Total Weighted Health Survey Score
189.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
5
Total Amount of Fines in Dollars
20443
Number of Payment Denials
0
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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