01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-07 | 3 | 2026-05-07 | 1 |
| Cycle 2 | 2025-11-20 | 11 | 2025-11-20 | 1 |
| Cycle 3 | 2025-05-01 | 7 | 2025-05-01 | 5 |
CMS CCN 1056722026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Gulf Coast Village
1333 Santa Barbara Blvd · Cape Coral, FL 33991 · Lee County
Certified beds85CMS provider file
Recent citation rows28current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
28 rows in the current release
5 rows carry G–L scope/severity codes; 4 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-26 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-06-06 · complaint2026-05-07 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-06-062026-05-07 · HEALTHF0848Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Correction field: Deficient, Provider has date of correction · 2026-06-062026-05-07 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2026-05-292025-11-20 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-11-20 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-01-122025-05-01 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-05-01 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-05-302025-05-01 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-05-30 · complaint2025-05-01 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-282025-05-01 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-05-022025-05-01 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-05-222025-05-01 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-05-01 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-05-01 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-11-20 | Fine | $19,920 | 0 |
| 2024-04-02 | Fine | $8,586 | 0 |
| 2024-04-02 | Fine | $8,586 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- VOLUNTEERS OF AMERICAOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 08/01/2004
- VOLUNTEERS OF AMERICA NATIONAL SERVICESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2026
- VOLUNTEERS OF AMERICAOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 08/01/2004
- BLOOM, SHAWNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- ERICKSON, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- HACKETT, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- JACKSON, CARMENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- KITTLESON, MELISSAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- MANEVAL, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- MULLEN, BETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- PERKINS, DERRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- PETERSON, JEANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- SHERIDAN, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2023
- STRIBLING, MORRISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- STRINGFELLOW, JANETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- TEJADA, WALTERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2024
- VIGEE, VORISIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- BATA, JEFFIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/24/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.93per resident day
RN hours1.20per resident day
Weekend nurse hours4.58per resident day
Staff turnover53.6%CMS reported field
06 / LOCAL RECORDS
Open the Cape Coral ledger →