Cycle 1
Health 2025-01-30 · Fire 2025-01-30
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Naples, FL
Chateau At Moorings Park, The
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
130 Moorings Park Drive, Naples, FL
(239) 643-9133
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
79
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-11-19
CMS approved date
Coverage
Medicare
Participation flags
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
1.49
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.35
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
5.81
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.46
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
5.18
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.89
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.23
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.52
CMS adjusted RN staffing hours
Adjusted total hours
5.93
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
16%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
346
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0235
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3
Baseline 17.31% · Performance 20.04% · Measure score 3 · Achievement 3 · Improvement 0
Healthcare-associated infections
8.74
Baseline 6.71% · Performance 5.22% · Measure score 8.74 · Achievement 8.74 · Improvement 8.17
Total nurse turnover
10
Baseline 14.85% · Performance 20.37% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
7.24
Baseline 4.8 hours · Performance 5.14 hours · Measure score 7.24 · Achievement 7.24 · Improvement 2.95
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.56% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 832 · Observed rate 8.41% · Lower 95% interval 9.51% |
| Discharge to community | 71.55% |
50.57%
21 pts better
|
Better than the National Rate · Eligible stays 804 · Observed rate 77.74% · Lower 95% interval 68.61% |
| Medicare spending per beneficiary | 0.9 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.44% |
95.27%
4.2 pts better
|
Numerator 533 · Denominator 536 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 6 · Denominator 536 |
| Discharge self-care score | 63.05% |
53.69%
9.4 pts better
|
Numerator 256 · Denominator 406 |
| Discharge mobility score | 53.69% |
50.94%
2.8 pts better
|
Numerator 218 · Denominator 406 |
| Pressure ulcers or injuries, new or worsened | 5.6% |
2.29%
3.3 pts worse
|
Numerator 30 · Denominator 536 · Adjusted rate 6.95% |
| Healthcare-associated infections requiring hospitalization | 5.22% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 474 · Observed rate 2.95% · Lower 95% interval 3.64% |
| Staff COVID-19 vaccination coverage | 4.46% |
8.2%
3.7 pts worse
|
Numerator 10 · Denominator 224 |
| Staff flu vaccination coverage | 89.62% |
42%
47.6 pts better
|
Numerator 190 · Denominator 212 |
| Discharge function score | 68.97% |
56.45%
12.5 pts better
|
Numerator 280 · Denominator 406 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 377 · Denominator 377 |
| Transfer of health information to patient | 97.6% |
96.28%
1.3 pts better
|
Numerator 122 · Denominator 125 |
| Resident COVID-19 vaccinations up to date | 20.21% |
25.2%
5 pts worse
|
Numerator 58 · Denominator 287 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.1
0.6 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.2
0.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.4 · 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 | 97.5% |
99.2%
1.7 pts worse
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
2.6%
1.9 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
3.7%
2.1 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.1% · Q4 0.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
5.9%
1.7 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 8.7% · Q3 3.8% · Q4 0.0% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% |
15.7%
5.9 pts worse
|
19.6%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 19.2% · Q3 22.2% · Q4 29.6% · 4Q avg 21.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
9.8%
1.9 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 9.5% · Q4 4.5% · 4Q avg 7.9% · 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 | 16.1% |
11.7%
4.4 pts worse
|
16.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
9.8%
4.8 pts worse
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 27.3% · Q3 8.3% · Q4 4.0% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.4% |
0.4%
3 pts worse
|
1.0%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 1.4% · Q3 2.8% · Q4 6.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 7.5% |
0.8%
6.7 pts worse
|
1.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 6.1% · Q3 11.8% · Q4 0.0% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.0% |
12.5%
19.5 pts worse
|
19.8%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 41.7% · Q3 29.2% · Q4 30.5% · 4Q avg 32.0% |
| Percentage of long-stay residents with pressure ulcers | 13.4% |
5.1%
8.3 pts worse
|
5.1%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 18.1% · Q3 9.8% · Q4 12.8% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
94.3%
5.1 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 99.0% · Q3 99.5% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
9.3%
0.2 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 7.9% · Expected 9.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 0.7% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.1% |
94.7%
6.6 pts worse
|
79.7%
8.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
26.2%
1.3 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 22.5% · Expected 19.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-04-07 · Fire 2023-04-07
0 health deficiencies
No concentrated health issue counts in this cycle.
13 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Cycle 3
Health 2021-09-16 · Fire 2021-09-16
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
C · Minimal harm
2025-01-30
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-11
F · Potential for more than minimal harm
2023-04-07
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E33 · Emergency Preparedness Deficiencies
Fire Safety
Establish methods for sharing information.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E35 · Emergency Preparedness Deficiencies
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2023-04-28
F · Potential for more than minimal harm
2023-04-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-04-07
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-04-07
K541 · Services Deficiencies
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-04-28
E · Potential for more than minimal harm
2023-04-07
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-04-07
K751 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2023-04-28
E · Potential for more than minimal harm
2021-09-16
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2021-09-29
D · Potential for more than minimal harm
2021-09-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-03
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 2025-11-26
D · Potential for more than minimal harm
2025-08-20
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-17
F · Potential for more than minimal harm
2025-01-30
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 2025-02-18
E · Potential for more than minimal harm
2025-01-30
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 2025-02-18
D · Potential for more than minimal harm
2025-01-30
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 2025-02-18
Penalties and ownership
What sits behind the stars
Ownership
The Moorings Incorporated
5% Or Greater Direct Ownership Interest · Organization
Bakker, Tameca
Operational/Managerial Control · Individual
Budd, Russell
Corporate Director · Individual
Cowan-Phillips, Laurie
Corporate Director · Individual
Fridkin, Jeffrey
Corporate Director · Individual
Geary Iii, Francis
Operational/Managerial Control · Individual
Griffith, Kathleen
Corporate Director · Individual
Hill, Clark
Corporate Director · Individual
Hole, Michael
Corporate Director · Individual
Holquist, Laura
Corporate Director · Individual
Johnson, Kayda
Corporate Director · Individual
Kurili, Katy
Corporate Officer · Individual
Lavender, Daniel
Operational/Managerial Control · Individual
Lavender, Daniel
Corporate Officer · Individual
Morton, Mary
Corporate Officer · Individual
Mosteller, Karen
Corporate Director · Individual
Powder, Scott
Corporate Director · Individual
Solis, Andrew
Corporate Director · Individual
Steinmetz, William
Corporate Director · Individual
The Moorings Park Institute Inc
Operational/Managerial Control · Organization
Wilson, Ellen
Corporate Director · Individual
Zaccagnino, Joseph
Corporate Director · Individual
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