Coral Trace Health Care - Cape Coral Nursing Home
General Information
UPDATEFederal Provider Number
105588
Provider Name
CORAL TRACE HEALTH CARE
Provider Address
216 SANTA BARBARA BLVD
CAPE CORAL, FL 33991
CAPE CORAL, FL 33991
Provider Phone Number
(239) 772-4600
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
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
216 SANTA BARBARA BOULEVARD OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1987-11-03
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49518
Reported LPN Staffing Hours per Resident per Day
0.86842
Reported RN Staffing Hours per Resident per Day
0.54825
Reported Licensed Staffing Hours per Resident per Day
1.41667
Reported Total Nurse Staffing Hours per Resident per Day
3.91185
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15044
Expected CNA Staffing Hours per Resident per Day
2.42103
Expected LPN Staffing Hours per Resident per Day
0.71237
Expected RN Staffing Hours per Resident per Day
1.26156
Expected Total Nurse Staffing Hours per Resident per Day
4.39496
Adjusted CNA Staffing Hours per Resident per Day
2.52885
Adjusted LPN Staffing Hours per Resident per Day
1.01182
Adjusted RN Staffing Hours per Resident per Day
0.32472
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58781
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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