| Larsen Health Center | |
| 13880 Shell Point Plaza, Fort Myers, Florida 33908 | |
| (239) 466-1111 | |
| Name | Larsen Health Center |
|---|---|
| Location | 13880 Shell Point Plaza, Fort Myers, Florida |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 180 |
| Occupancy Rate | 84.89% |
| Medicare ID (CCN) | 105966 |
| Legal Business Name | The Christian & Missionary Alliance Foundation, Inc |
| Ownership Type | Non Profit - Corporation |
| Chain | The Christian and Missionary Alliance (2 nursing homes) |
| Chain Average Overall Rating | 4.5 out of 5 |
| NPI Number | 1669546321 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Christian & Missionary Alliance Foundation Inc |
| Doing Business As | Shell Point Nursing Pavilion |
| Address | 13880 Shell Point Plz Ste 200, Fort Myers, FL 33908 |
| Phone Number | 239-454-2041 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.6 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.42 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.63 | 0.86 |
| Nurse aide hours per resident per day | 3.56 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.21 | 3.42 |
| RN hours per resident per day on the weekend | 1.09 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 44.2% | 45.8% |
| Registered nurse turnover | 41.8% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $32,139 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 24, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Plan of correction |
| May 22, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2025 |
| May 22, 2025 | Provide or get specialized rehabilitative services as required for a resident. F0825, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2025 |
| May 22, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 22, 2025 |
| Jan 16, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Feb 14, 2025 |
| Mar 16, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Ensure the activities program is directed by a qualified professional. F0680, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. F0909, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 16, 2023 |
| Mar 16, 2023 | Provide appropriate foot care. F0687, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 16, 2023 |
| Jul 1, 2021 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 24, 2021 |
| Jul 1, 2021 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 24, 2021 |
| Jul 1, 2021 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Sep 24, 2021 |
| Jul 1, 2021 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Sep 27, 2021 |
| Jul 1, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Sep 27, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.92 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.93 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.68 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.11 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.88 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.47 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.22 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.71 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.46 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.09 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.73 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.66 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.75 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.48 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.91 | 15.38 |
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