Gulf Coast Village Care Center - Cape Coral Nursing Home
General Information
UPDATEFederal Provider Number
105672
Provider Name
GULF COAST VILLAGE CARE CENTER
Provider Address
1333 SANTA BARBARA BLVD
CAPE CORAL, FL 33991
CAPE CORAL, FL 33991
Provider Phone Number
(239) 772-1333
Provider SSA County
350
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
85
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GULF CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-08-28
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.93293
Reported LPN Staffing Hours per Resident per Day
0.90427
Reported RN Staffing Hours per Resident per Day
0.74207
Reported Licensed Staffing Hours per Resident per Day
1.64634
Reported Total Nurse Staffing Hours per Resident per Day
4.57927
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15305
Expected CNA Staffing Hours per Resident per Day
2.46657
Expected LPN Staffing Hours per Resident per Day
0.61315
Expected RN Staffing Hours per Resident per Day
1.11033
Expected Total Nurse Staffing Hours per Resident per Day
4.19005
Adjusted CNA Staffing Hours per Resident per Day
2.91763
Adjusted LPN Staffing Hours per Resident per Day
1.22409
Adjusted RN Staffing Hours per Resident per Day
0.49938
Adjusted Total Nurse Staffing Hours per Resident per Day
4.40534
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
24
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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