Manorcare Health Services - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
106020
Provider Name
MANORCARE HEALTH SERVICES
Provider Address
13881 EAGLE RIDGE DRIVE
FORT MYERS, FL 33912
FORT MYERS, FL 33912
Provider Phone Number
(239) 561-7700
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
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF FT MYERS FL LLC
Date First Approved to Provide Medicare and Medicaid services
2000-04-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.66768
Reported LPN Staffing Hours per Resident per Day
1.09040
Reported RN Staffing Hours per Resident per Day
0.53535
Reported Licensed Staffing Hours per Resident per Day
1.62576
Reported Total Nurse Staffing Hours per Resident per Day
4.29343
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20202
Expected CNA Staffing Hours per Resident per Day
2.52297
Expected LPN Staffing Hours per Resident per Day
0.73742
Expected RN Staffing Hours per Resident per Day
1.50373
Expected Total Nurse Staffing Hours per Resident per Day
4.76411
Adjusted CNA Staffing Hours per Resident per Day
2.59444
Adjusted LPN Staffing Hours per Resident per Day
1.22730
Adjusted RN Staffing Hours per Resident per Day
0.26601
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63266
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-07
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
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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