Heritage Park Rehabilitation And Healthcare - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105238
Provider Name
HERITAGE PARK REHABILITATION AND HEALTHCARE
Provider Address
2826 CLEVELAND AVE
FORT MYERS, FL 33901
FORT MYERS, FL 33901
Provider Phone Number
2393341091
Provider SSA County
350
Provider County Name
Lee
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
2826 CLEVELAND AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1970-08-31
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
2
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
2.08966
Reported LPN Staffing Hours per Resident per Day
0.87629
Reported RN Staffing Hours per Resident per Day
0.31293
Reported Licensed Staffing Hours per Resident per Day
1.18922
Reported Total Nurse Staffing Hours per Resident per Day
3.27888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06466
Expected CNA Staffing Hours per Resident per Day
2.38757
Expected LPN Staffing Hours per Resident per Day
0.60807
Expected RN Staffing Hours per Resident per Day
0.93398
Expected Total Nurse Staffing Hours per Resident per Day
3.92962
Adjusted CNA Staffing Hours per Resident per Day
2.14754
Adjusted LPN Staffing Hours per Resident per Day
1.19612
Adjusted RN Staffing Hours per Resident per Day
0.25035
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36339
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
136
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
136
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
108.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
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Citrus Gardens Of Fort Myers
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Consulate Health Care Of North Fort Myers
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Rehab & Healthcare Center Of Cape Coral
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Signature Healthcare At College Park
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Manorcare Health Services
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