Lodge At Cypress Cove, The - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
106019
Provider Name
LODGE AT CYPRESS COVE, THE
Provider Address
10500 CYPRESS COVE DR
FORT MYERS, FL 33908
FORT MYERS, FL 33908
Provider Phone Number
2394155100
Provider SSA County
350
Provider County Name
Lee
Ownership Type
Non profit - Corporation
Number of Certified Beds
64
Number of Residents in Certified Beds
60
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CYPRESS COVE AT HEALTH PARK OF FLORIDA, INC.
Date First Approved to Provide Medicare and Medicaid services
2000-04-26
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
5
QM Rating Footnote
Staffing Rating
3
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
1.89500
Reported LPN Staffing Hours per Resident per Day
1.11000
Reported RN Staffing Hours per Resident per Day
0.65250
Reported Licensed Staffing Hours per Resident per Day
1.76250
Reported Total Nurse Staffing Hours per Resident per Day
3.65750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16917
Expected CNA Staffing Hours per Resident per Day
2.49457
Expected LPN Staffing Hours per Resident per Day
0.67007
Expected RN Staffing Hours per Resident per Day
1.24646
Expected Total Nurse Staffing Hours per Resident per Day
4.41110
Adjusted CNA Staffing Hours per Resident per Day
1.86395
Adjusted LPN Staffing Hours per Resident per Day
1.37493
Adjusted RN Staffing Hours per Resident per Day
0.39115
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34225
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
24
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-10
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
25.33300
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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