CMS Special Focus status: SFF
Non-profit

Gulf Coast Village

1333 Santa Barbara Blvd, Cape Coral, FL 33991

(239) 772-1333 · Volunteers of America Senior Living

Not reported by CMSCMS overall rating

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
Not reported by CMSOverall
Not reported by CMSHealth inspections
Not reported by CMSStaffing
Not reported by CMSResident quality
OwnershipNon profit - CorporationCertified beds85
Estimated occupancy104.5%Latest inspection2026-05-07

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: Not reported by CMS
unavailable
Health-inspection score
Facility: 140.3 points
worse
Total nurse staffing
Facility: 4.93 hours/day
better
RN staffing
Facility: 1.20 hours/day
better
Staff turnover
Facility: 53.6%
worse
Latest health deficiencies
Facility: 3 deficiencies
better
View data table
MetricFacilityCountyFlorida
Overall ratingNot reported by CMS3 of 53 of 5
Health-inspection score140.3 points65.5 points38.5 points
Total nurse staffing4.93 hours/day4.11 hours/day3.63 hours/day
RN staffing1.20 hours/day0.80 hours/day0.62 hours/day
Staff turnover53.6%34.3%41.8%
Latest health deficiencies3 deficiencies6 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-05-07
3 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0848 · Severity E

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Administration Deficiencies · Deficient, Provider has date of correction 2026-06-06

Tag 0656 · Severity D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-06-06
2025-11-20
11 deficiencies
Highest severity: G

Immediate-jeopardy citations: 0

Tag 0689 · Severity G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0628 · Severity E

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0842 · Severity E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0867 · Severity E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0925 · Severity E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0580 · Severity D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0582 · Severity D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0679 · Severity D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2026-01-12

Tag 0761 · Severity D

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.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2026-01-12
2025-05-01
7 deficiencies
Highest severity: F

Immediate-jeopardy citations: 0

Tag 0684 · Severity D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-30

Tag 0812 · Severity F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2025-05-28

Tag 0600 · Severity D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2025-05-01

Tag 0677 · Severity D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-05-30

Staffing composition

2.98 hours/dayNurse aide
0.75 hours/dayLPN
1.20 hours/dayRN
Total staffing
4.93 hours/day
County median
4.11 hours/day
Florida median
3.63 hours/day
Weekend total
4.58 hours/day
Staff turnover
53.6%
RN turnover
55.9%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

2.5 per 1,000 daysworseFlorida: 2.1 per 1,000 days · County: 1.7 per 1,000 days
20250101-20251231

Emergency-department visits

1.2 per 1,000 daysworseFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days
20250101-20251231

Falls with major injury

8.5%worseFlorida: 2.2% · County: 3.6%
2025Q2-2026Q1

Pressure ulcers

5.9%worseFlorida: 4.2% · County: 3.2%
2025Q2-2026Q1

Urinary tract infections

2.8%unavailableFlorida: 0.0% · County: 0.3%
2025Q2-2026Q1

Antipsychotic medication use

5.5%betterFlorida: 7.0% · County: 7.0%
2025Q2-2026Q1

These group measures do not predict an individual resident’s experience.

Questions to ask

Use these prompts during a tour or phone call
  1. What improvements is the facility making in response to its Special Focus status?

    Suggested because of: special focus
  2. What is driving staff turnover, and what is being done to retain nurses and aides?

    Suggested because of: staff turnover
  3. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  4. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers
  5. What operational changes followed the facility's most recent penalty?

    Suggested because of: penalties

Facility Details

County
Lee County
Certified beds
85
Average daily residents
88.8
Ownership
Non profit - Corporation
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1989-08-28
CCN
105672

Staffing Data

Reported measureValue
Nurse aide hours2.97674
Lpn hours0.75091
Rn hours1.20022
Reported total hours4.92787
Weekend total hours4.58043
Weekend rn hours0.8931
Adjusted total hours4.78853
Total turnover percent53.6
Rn turnover percent55.9
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$37,092.00Total fines
3Number of fines
0Payment denials
DateTypeAmount
2025-11-20Fine$19,920.00
2024-04-02Fine$8,586.00
2024-04-02Fine$8,586.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

3Health citations
7Fire safety citations

Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.

Serious Deficiencies

FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.

5

2025-11-20 · G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-04-02 · K

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

2024-04-02 · K

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-04-02 · K

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

2024-04-02 · K

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Ownership & Operators

NameRoleShare
VOLUNTEERS OF AMERICA5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
VOLUNTEERS OF AMERICA NATIONAL SERVICES5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
VOLUNTEERS OF AMERICA5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
BLOOM, SHAWNCORPORATE DIRECTORNOT APPLICABLE
ERICKSON, KARENCORPORATE DIRECTORNOT APPLICABLE
HACKETT, KARENCORPORATE DIRECTORNOT APPLICABLE
JACKSON, CARMENCORPORATE DIRECTORNOT APPLICABLE
KITTLESON, MELISSACORPORATE DIRECTORNOT APPLICABLE
MANEVAL, JOHNCORPORATE DIRECTORNOT APPLICABLE
MULLEN, BETHCORPORATE DIRECTORNOT APPLICABLE
PERKINS, DERRICKCORPORATE DIRECTORNOT APPLICABLE
PETERSON, JEANNECORPORATE DIRECTORNOT APPLICABLE
SHERIDAN, PATRICKCORPORATE DIRECTORNOT APPLICABLE
STRIBLING, MORRISCORPORATE DIRECTORNOT APPLICABLE
STRINGFELLOW, JANETCORPORATE DIRECTORNOT APPLICABLE
TEJADA, WALTERCORPORATE DIRECTORNOT APPLICABLE
VIGEE, VORISCORPORATE DIRECTORNOT APPLICABLE
BATA, JEFFCORPORATE OFFICERNOT APPLICABLE
KELLER, RYANCORPORATE OFFICERNOT APPLICABLE
KING, MICHAELCORPORATE OFFICERNOT APPLICABLE
NISIVOCCIA, DAVIDCORPORATE OFFICERNOT APPLICABLE
NUTZ, FAITHCORPORATE OFFICERNOT APPLICABLE
SOCZYNSKI, PAULCORPORATE OFFICERNOT APPLICABLE
VOLUNTEERS OF AMERICA NATIONAL SERVICESOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BUDZYNSKI, JOSEPHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
DIVIETRO, ANGELIQUEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KELLER, RYANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KING, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAHADEVAN, ANANDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RICHARD, SARAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SALTMARSH CPAS, INC.ADP OF THE SNFNOT APPLICABLE
VOLUNTEERS OF AMERICAADP OF THE SNFNOT APPLICABLE
VOLUNTEERS OF AMERICA NATIONAL SERVICESADP OF THE SNFNOT APPLICABLE
BUDZYNSKI, JOSEPHADP OF THE SNFNOT APPLICABLE
DIVIETRO, ANGELIQUEADP OF THE SNFNOT APPLICABLE
KELLER, RYANADP OF THE SNFNOT APPLICABLE
KING, MICHAELADP OF THE SNFNOT APPLICABLE
MAHADEVAN, ANANDADP OF THE SNFNOT APPLICABLE
RICHARD, SARAHADP OF THE SNFNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology