Heritage Park Rehabilitation and Healthcare
2826 Cleveland Ave, Fort Myers, FL 33901


Heritage Park Rehabilitation and Healthcare is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105238. The address is 2826 Cleveland Ave, Fort Myers, FL 33901. The zip code is 33901. The phone number is 2393341091.


Heritage Park Rehabilitation and Healthcare · 2826 Cleveland Ave, Fort Myers, FL 33901

Federal Provider Number 105238
Provider Name HERITAGE PARK REHABILITATION AND HEALTHCARE
Address 2826 CLEVELAND AVE
FORT MYERS, FL 33901
Phone Number 2393341091
SSA County Code 350
County Name Lee
Ownership Type For profit - Individual
Certified Beds 120
Certified Beds Residents 116
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 2826 CLEVELAND AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare Medicaid Services 08/31/1970
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.73836
Reported LPN Staffing Hours per Resident per Day 0.91379
Reported RN Staffing Hours per Resident per Day 0.32371
Reported Licensed Staffing Hours per Resident per Day 1.2375
Reported Total Nurse Staffing Hours per Resident per Day 3.97586
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04914
Expected CNA Staffing Hours per Resident per Day 2.41594
Expected LPN Staffing Hours per Resident per Day 0.61173
Expected RN Staffing Hours per Resident per Day 1.04342
Expected Total Nurse Staffing Hours per Resident per Day 4.07108
Adjusted CNA Staffing Hours per Resident per Day 2.78116
Adjusted LPN Staffing Hours per Resident per Day 1.23984
Adjusted RN Staffing Hours per Resident per Day 0.23181
Adjusted Total Nurse Staffing Hours per Resident per Day 3.93662
Cycle 1 Total Number of Health Deficiencies 8
Cycle 1 Number of Standard Health Deficiencies 8
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 01/12/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 14
Cycle 2 Number of Standard Health Deficiencies 8
Cycle 2 Number of Complaint Health Deficiencies 6
Cycle 2 Health Deficiency Score 76
Cycle 2 Standard Health Survey Date 03/17/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 76
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 4
Cycle 3 Health Deficiency Score 144
Cycle 3 Standard Health Survey Date 02/13/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 144
Total Weighted Health Survey Score 67.333
Number of Substantiated Complaints 9
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Heritage Park Rehabilitation and Healthcare

Owner Name Role Association Date
ALG LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
BRYSON, CHRISTOPHER (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
CMC II INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
CMC II LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 03/01/2012
COLUMBIA PACIFIC OPPORTUNITY FUND (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
CONTE, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
DIAS, DANIEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
EPSILON HEALTH CARE PROPERTIES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 02/01/2012
FC INVESTORS XXI, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
FC LV HOLDCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 08/01/2012
FLORIDA HEALTH CARE PROPERTIES LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
GENOA HEALTHCARE GROUP LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
LAVIE CARE CENTERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
LOW, ASHER (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
LV INVESTMENT, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
LV OPERATIONS I, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
LV OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
MCP LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
NEUBERGER, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
RAGLAND, RUSSELL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 07/01/2014
SAY LA VIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
SENIOR CARE LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
STANFIELD, DAWN (Individual) MANAGING EMPLOYEE since 02/01/2012
STANFIELD, DAWN (Individual) OFFICER since 02/01/2012
THE 1995 DAVID REIS FAMILY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/01/2012
USSERY, KENNETH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015

street_number: 2826
route: Cleveland Avenue (S Cleveland Ave)
locality, political: Fort Myers
admin_level_2, political: Lee County
admin_level_1, political: Florida (FL)
country, political: United States (US)
postal_code: 33901
postal_code_suffix: 6001
types : street_address
latitude: 26.625884
longitude: -81.8734585
latlng: (26.625884, -81.8734585)


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