Signature Healthcare At College Park - Fort Myers Nursing Home
General Information
UPDATEFederal Provider Number
105387
Provider Name
SIGNATURE HEALTHCARE AT COLLEGE PARK
Provider Address
13755 GOLF CLUB PKWY
FORT MYERS, FL 33919
FORT MYERS, FL 33919
Provider Phone Number
(239) 482-2848
Provider SSA County
350
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP FORT MYERS LLC
Date First Approved to Provide Medicare and Medicaid services
1981-07-27
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43851
Reported LPN Staffing Hours per Resident per Day
0.92931
Reported RN Staffing Hours per Resident per Day
0.48678
Reported Licensed Staffing Hours per Resident per Day
1.41609
Reported Total Nurse Staffing Hours per Resident per Day
3.85460
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05805
Expected CNA Staffing Hours per Resident per Day
2.59865
Expected LPN Staffing Hours per Resident per Day
0.73604
Expected RN Staffing Hours per Resident per Day
1.27609
Expected Total Nurse Staffing Hours per Resident per Day
4.61078
Adjusted CNA Staffing Hours per Resident per Day
2.30249
Adjusted LPN Staffing Hours per Resident per Day
1.04794
Adjusted RN Staffing Hours per Resident per Day
0.28503
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36982
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
2015-03-05
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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