Cycle 1
Health 2025-08-29 · Fire 2025-08-29
17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cape Coral, FL
Aviata At Santa Barbara
2-star overall rating with 1-star inspections with Special Focus status with $180,079 in total fines with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
216 Santa Barbara Blvd, Cape Coral, FL
(239) 772-4600
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Aviata Health Group
Operator or chain grouping
Approved since
1987-11-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
52 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
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
0.55
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.80
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.54
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
11,805
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.72
Baseline 21.11% · Performance 20.64% · Measure score 1.72 · Achievement 1.72 · Improvement 0.66
Healthcare-associated infections
0.92
Baseline 6.73% · Performance 7.56% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
1.92
Baseline 3.55 hours · Performance 3.62 hours · Measure score 1.92 · Achievement 1.92 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.25% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 15.46% · Lower 95% interval 8.74% |
| Discharge to community | 44.35% |
50.57%
6.2 pts worse
|
No Different than the National Rate · Eligible stays 72 · Observed rate 36.11% · Lower 95% interval 35.64% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.7% |
95.27%
3.4 pts better
|
Numerator 152 · Denominator 154 |
| Falls with major injury | 0.65% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 154 |
| Discharge self-care score | 46.36% |
53.69%
7.3 pts worse
|
Numerator 51 · Denominator 110 |
| Discharge mobility score | 37.27% |
50.94%
13.7 pts worse
|
Numerator 41 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 2.6% |
2.29%
0.3 pts worse
|
Numerator 4 · Denominator 154 · Adjusted rate 2.42% |
| Healthcare-associated infections requiring hospitalization | 7.56% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 9.52% · Lower 95% interval 4.15% |
| Staff COVID-19 vaccination coverage | 50% |
8.2%
41.8 pts better
|
Numerator 56 · Denominator 112 |
| Staff flu vaccination coverage | 20.37% |
42%
21.6 pts worse
|
Numerator 22 · Denominator 108 |
| Discharge function score | 40.91% |
56.45%
15.5 pts worse
|
Numerator 45 · Denominator 110 |
| Transfer of health information to provider | 82.86% |
95.95%
13.1 pts worse
|
Numerator 29 · Denominator 35 |
| Transfer of health information to patient | 98.28% |
96.28%
2 pts better
|
Numerator 57 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 11.11% |
25.2%
14.1 pts worse
|
Numerator 9 · Denominator 81 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
2.1
1.1 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
1.2
0.9 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.8%
2.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.1% |
2.6%
0.5 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.4% · Q3 2.4% · Q4 2.4% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
3.7%
2.7 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
5.9%
2.8 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 1.3% · Q3 2.8% · Q4 4.0% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
15.7%
1.5 pts worse
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 16.9% · Q3 18.4% · Q4 18.4% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.7% |
9.8%
4.1 pts better
|
16.7%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.6% · Q3 4.7% · Q4 5.9% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.3% |
0.0%
0.3 pts worse
|
0.1%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.6% |
11.7%
1.9 pts worse
|
16.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 18.9% · Q3 13.6% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.5% |
9.8%
3.3 pts better
|
14.9%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.3% · Q3 8.7% · Q4 11.4% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.4%
0.1 pts worse
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.8%
0.5 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.6% |
12.5%
1.9 pts better
|
19.8%
9.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 13.8% · Q3 7.8% · Q4 5.0% · 4Q avg 10.6% |
| Percentage of long-stay residents with pressure ulcers | 1.0% |
5.1%
4.1 pts better
|
5.1%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.8% · Q3 0.0% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
94.3%
1.6 pts better
|
81.7%
14.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 99.4% · Q3 93.5% · Q4 92.7% · 4Q avg 95.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.6% |
9.3%
1.7 pts better
|
12.0%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 6.8% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.8% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.5% |
94.7%
4.8 pts better
|
79.7%
19.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.7% |
26.2%
4.5 pts worse
|
23.9%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.7% · Observed 27.4% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-14 · Fire 2023-09-14
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-10-14 · Fire 2021-10-14
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-08-29
E22 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2025-09-29
F · Potential for more than minimal harm
2025-08-29
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2025-09-29
F · Potential for more than minimal harm
2025-08-29
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-15
F · Potential for more than minimal harm
2025-08-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-10-15
E · Potential for more than minimal harm
2025-08-29
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-14
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.
Not marked corrected
D · Potential for more than minimal harm
2025-11-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-06
L · Immediate jeopardy
2025-08-29
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 2025-09-29
L · Immediate jeopardy
2025-08-29
F726 · Nursing and Physician Services Deficiencies
Health
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.
Corrected 2025-09-29
L · Immediate jeopardy
2025-08-29
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-09-29
L · Immediate jeopardy
2025-08-29
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2025-09-29
F · Potential for more than minimal harm
2025-08-29
F843 · Administration Deficiencies
Health
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-29
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-29
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-29
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-29
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-29
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2025-09-29
D · Potential for more than minimal harm
2025-08-29
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-09-29
E · Potential for more than minimal harm
2025-08-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-04
E · Potential for more than minimal harm
2025-08-06
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-09-04
E · Potential for more than minimal harm
2025-02-27
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 2025-03-27
D · Potential for more than minimal harm
2024-07-11
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-04
E · Potential for more than minimal harm
2023-09-14
F688 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2023-10-14
E · Potential for more than minimal harm
2023-09-14
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 2023-10-14
D · Potential for more than minimal harm
2023-09-14
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-14
D · Potential for more than minimal harm
2021-10-14
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 2021-12-15
Penalties and ownership
What sits behind the stars
$135,640
2025-08-06
Fine
Fine · fine $135,640
Fine
$4,336
2025-02-27
Fine
Fine · fine $4,336
Fine
$4,336
2025-02-27
Fine
Fine · fine $4,336
Fine
$4,336
2025-02-27
Fine
Fine · fine $4,336
Fine
$4,337
2025-02-27
Fine
Fine · fine $4,337
Fine
$6,032
2024-07-11
Fine
Fine · fine $6,032
Fine
$3,846
2023-06-05
Fine
Fine · fine $3,846
Fine
$3,529
2023-05-30
Fine
Fine · fine $3,529
Fine
$3,176
2023-05-23
Fine
Fine · fine $3,176
Fine
$2,797
2023-05-15
Fine
Fine · fine $2,797
Fine
$2,470
2023-05-08
Fine
Fine · fine $2,470
Fine
$5,244
2023-04-17
Fine
Fine · fine $5,244
Fine
Ownership
Freund, Nochum
Operational/Managerial Control · Individual
Freund, Nochum
Corporate Officer · Individual
Nassif, Roderick
Operational/Managerial Control · Individual
Papineau, Bert
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Gulf Coast Village
Cape Coral, FL
0-star overall rating with 0-star inspections with Special Focus status with $96,018 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Aviata At North Fort Myers
N Ft Myers, FL
1-star overall rating with 2-star inspections with $14,120 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Rehab & Healthcare Center Of Cape Coral
Cape Coral, FL
1-star overall rating with 1-star inspections with $32,188 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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