CITRUS GARDENS OF FORT MYERS

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Citrus Gardens of Fort Myers. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Low Rehabilitation

Clinically Complex

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/10/2010.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 01/30/2009 Correction Date: 03/28/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 01/29/2010 Correction Date: 03/24/2010
Keep Accurate and Appropriate Medical Records. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Provide Clean Bed and Bath Linens That Are in Good Condition. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 01/30/2009 Correction Date: 03/02/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/30/2009 Correction Date: 03/02/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 01/30/2009 Correction Date: 03/28/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 01/29/2010 Correction Date: 03/24/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
Give or Get Dental Care for Each Resident. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/30/2009 Correction Date: 03/02/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/30/2009 Correction Date: 03/28/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 01/29/2010 Correction Date: 03/01/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 12/10/2010 Correction Date: 01/19/2011
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 12/10/2010 Correction Date: 01/19/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Citrus Gardens of Fort Myers, as well as complaints by residents or their family in the previous three years.

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident. Complaint Filed: 04/28/2008 Correction Date: 05/30/2008
Bill Properly: Charged Resident for Items That Medicare or Medicaid Pays For. Complaint Filed: 09/22/2009 Correction Date: 10/22/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Citrus Gardens of Fort Myers had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/09/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/02/2009 Correction Date: 03/05/2009
Portable Fire Extinguishers. Inspection Date: 02/02/2009 Correction Date: 03/05/2009

Building Service Equipment

Properly Protected Cooking Facilities. Inspection Date: 02/02/2009 Correction Date: 03/05/2009
Properly Protected Cooking Facilities. Inspection Date: 12/09/2010 Correction Date: 01/13/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/02/2009 Correction Date: 03/05/2009

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/02/2009 Correction Date: 03/05/2009

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/02/2009 Correction Date: 03/05/2009