Fort Myers, FL

Ambassador Healthcare At College Park

1-star overall rating with 1-star inspections with abuse icon flag with $78,430 in total fines with 15 recent health deficiencies

13755 Golf Club Pkwy, Fort Myers, FL

(239) 482-2848

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

107

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Excelsior Care Group

Operator or chain grouping

Approved since

1981-07-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

33 facilities

Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.64

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.43

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.18

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,738

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

28.90

Composite VBP score used to determine payment impact.

Payment multiplier

0.9852

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.82

Baseline 21.21% · Performance 19.66% · Measure score 3.82 · Achievement 3.82 · Improvement 3.20

Healthcare-associated infections

Baseline 5.86% · Performance 8.30% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.34

Baseline 47.31% · Performance 37.78% · Measure score 6.34 · Achievement 6.34 · Improvement 3.74

Adjusted total nurse staffing

1.41

Baseline 3.80 hours · Performance 3.48 hours · Measure score 1.41 · Achievement 1.41 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.28%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 154 · Observed rate 13.64% · Lower 95% interval 7.75%
Discharge to community	51.22%	50.57% 0.6 pts better	No Different than the National Rate · Eligible stays 119 · Observed rate 39.5% · Lower 95% interval 40.33%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	98.91%	95.27% 3.6 pts better	Numerator 272 · Denominator 275
Falls with major injury	0.36%	0.77% 0.4 pts better	Numerator 1 · Denominator 275
Discharge self-care score	28.49%	53.69% 25.2 pts worse	Numerator 49 · Denominator 172
Discharge mobility score	31.4%	50.94% 19.5 pts worse	Numerator 54 · Denominator 172
Pressure ulcers or injuries, new or worsened	1.09%	2.29% 1.2 pts better	Numerator 3 · Denominator 275 · Adjusted rate 1.04%
Healthcare-associated infections requiring hospitalization	8.3%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 114 · Observed rate 11.4% · Lower 95% interval 5.16%
Staff COVID-19 vaccination coverage	6.17%	8.2% 2 pts worse	Numerator 10 · Denominator 162
Staff flu vaccination coverage	22.12%	42% 19.9 pts worse	Numerator 50 · Denominator 226
Discharge function score	36.05%	56.45% 20.4 pts worse	Numerator 62 · Denominator 172
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 124 · Denominator 124
Transfer of health information to patient	95.29%	96.28% 1 pts worse	Numerator 81 · Denominator 85
Resident COVID-19 vaccinations up to date	15.92%	25.2% 9.3 pts worse	Numerator 25 · Denominator 157

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.2 0.3 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	97.8% 1.5 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 100.0% · Q4 98.3% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	99.2% 0.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	2.6% 0.4 pts worse	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.7% · Q3 3.2% · Q4 3.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.2%	3.7% 5.5 pts worse	11.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 5.2% · Q4 34.0% · 4Q avg 9.2%
Percentage of long-stay residents who lose too much weight	13.1%	5.9% 7.2 pts worse	5.4% 7.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 11.3% · Q3 7.3% · Q4 14.5% · 4Q avg 13.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.2%	15.7% 0.5 pts worse	19.6% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 14.3% · Q3 14.0% · Q4 16.4% · 4Q avg 16.2%
Percentage of long-stay residents who received an antipsychotic medication	14.9%	9.8% 5.1 pts worse	16.7% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 13.7% · Q3 16.3% · Q4 11.6% · 4Q avg 14.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.3%	11.7% 1.4 pts better	16.3% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 21.1% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.4%	9.8% 1.4 pts better	14.9% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 11.7% · Q3 3.8% · Q4 2.0% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.8%	12.5% 5.7 pts better	19.8% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 9.7% · Q3 3.7% · Q4 7.5% · 4Q avg 6.8%
Percentage of long-stay residents with pressure ulcers	4.2%	5.1% 0.9 pts better	5.1% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.5% · Q3 4.3% · Q4 5.6% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.0%	94.3% 4.3 pts worse	81.7% 8.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 98.7% · Q3 85.8% · Q4 80.5% · 4Q avg 90.0%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	9.3% 5.1 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.8% · Expected 12.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.6% · Q4 2.2% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.8%	94.7% 4.1 pts better	79.7% 19.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.8%	26.2% 1.4 pts better	23.9% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 31.7% · Expected 30.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-01-11 · Fire 2024-01-11

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-04-07 · Fire 2022-04-07

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-11-04 · Fire 2020-11-04

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2020-11-04

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2021-01-08

F · Potential for more than minimal harm 2020-11-04

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2021-01-08

F · Potential for more than minimal harm 2020-11-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-01-08

F · Potential for more than minimal harm 2020-11-04

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2021-01-08

Inspection history

Recent health citations

G · Actual harm 2025-04-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-22

G · Actual harm 2025-04-30

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-22

D · Potential for more than minimal harm 2024-07-08

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-01

F · Potential for more than minimal harm 2024-01-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-02-11

E · Potential for more than minimal harm 2024-01-11

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-11

D · Potential for more than minimal harm 2024-01-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-11

E · Potential for more than minimal harm 2023-06-21

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2023-07-16

G · Actual harm 2022-04-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-05-07

F · Potential for more than minimal harm 2022-04-07

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-05-07