Shell Point Nursing Pavilion - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105966
Provider Name
SHELL POINT NURSING PAVILION
Provider Address
15071 SHELL POINT BLVD
FORT MYERS, FL 33908
FORT MYERS, FL 33908
Provider Phone Number
(239) 466-1111
Provider SSA County
350
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
219
Number of Residents in Certified Beds
177
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION INC
Date First Approved to Provide Medicare and Medicaid services
1997-08-04
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.15537
Reported LPN Staffing Hours per Resident per Day
0.88701
Reported RN Staffing Hours per Resident per Day
1.24379
Reported Licensed Staffing Hours per Resident per Day
2.13079
Reported Total Nurse Staffing Hours per Resident per Day
5.28617
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20339
Expected CNA Staffing Hours per Resident per Day
2.44598
Expected LPN Staffing Hours per Resident per Day
0.61071
Expected RN Staffing Hours per Resident per Day
0.95726
Expected Total Nurse Staffing Hours per Resident per Day
4.01396
Adjusted CNA Staffing Hours per Resident per Day
3.16533
Adjusted LPN Staffing Hours per Resident per Day
1.20551
Adjusted RN Staffing Hours per Resident per Day
0.97085
Adjusted Total Nurse Staffing Hours per Resident per Day
5.30848
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-08-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-06-07
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
20.66700
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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