Tag 0689 · Severity J
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 2026-03-272900 12Th Street N, Naples, FL 34103
(239) 261-2554 · Simcha Hyman & Naftali Zanziper
| Ownership | For profit - Limited Liability company | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 91.0% | Latest inspection | 2026-03-06 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 1 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 351.3 points | 57.0 points | 38.5 points |
| Total nurse staffing | 3.65 hours/day | 3.99 hours/day | 3.63 hours/day |
| RN staffing | 0.55 hours/day | 1.37 hours/day | 0.62 hours/day |
| Staff turnover | 43.0% | 31.1% | 41.8% |
| Latest health deficiencies | 11 deficiencies | 5 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 3
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 2026-03-27Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2026-03-27Have policies on smoking.
Environmental Deficiencies · Deficient, Provider has date of correction 2026-03-27Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2026-03-27Ensure 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 2026-03-27Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-27Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-27Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-27Provide 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 2026-03-27Immediate-jeopardy citations: 0
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-12-30Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-30Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-12-30Ensure 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 2023-12-30Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30Provide 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 2023-12-30Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-30Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-01-17Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-12-30Immediate-jeopardy citations: 0
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-02-06Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06Honor 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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-02-06Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-02-06Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-02-06Ensure 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 2022-02-06Ensure 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 2022-02-06Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-02-06Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-02-06Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?
Suggested because of: abuse iconHow many RNs are typically on site during days, nights, and weekends?
Suggested because of: rn staffingWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow does the care team prevent and treat pressure injuries?
Suggested because of: pressure ulcers| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.27051 |
| Lpn hours | 0.82888 |
| Rn hours | 0.54893 |
| Reported total hours | 3.64832 |
| Weekend total hours | 3.3831 |
| Weekend rn hours | 0.44183 |
| Adjusted total hours | 4.31116 |
| Total turnover percent | 43 |
| Rn turnover percent | 82.4 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-04-10 | Fine | $19,256.00 |
| 2024-03-28 | Fine | $35,426.00 |
| 2023-08-25 | Fine | $118,000.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
8
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Have policies on smoking.
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
| Name | Role | Share |
|---|---|---|
| SPENCER, EVERTON | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| GORELICK, BATYA | CORPORATE OFFICER | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology