Cycle 1
Health 2025-09-25 · Fire 2025-09-25
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fort Myers, FL
Lodge At Cypress Cove, The
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
10500 Cypress Cove Dr, Fort Myers, FL
(239) 415-5100
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
64
Certified beds
Average residents
57
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2000-04-26
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
1.34
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
3.18
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
5.34
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
2.16
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
4.89
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
1.23
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.45
CMS adjusted RN staffing hours
Adjusted total hours
5.76
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
46
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
92.68
Composite VBP score used to determine payment impact.
Payment multiplier
1.0275
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.07% · Performance 15.90% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 4.83% · Performance 4.35% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
8.55
Baseline 35.71% · Performance 28.75% · Measure score 8.55 · Achievement 8.55 · Improvement 5.91
Adjusted total nurse staffing
8.53
Baseline 5.33 hours · Performance 5.50 hours · Measure score 8.53 · Achievement 8.53 · Improvement 3.38
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.6% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 358 · Observed rate 5.31% · Lower 95% interval 6.44% |
| Discharge to community | 72.86% |
50.57%
22.3 pts better
|
Better than the National Rate · Eligible stays 366 · Observed rate 76.78% · Lower 95% interval 68.95% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 332 · Denominator 332 |
| Falls with major injury | 0.3% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 332 |
| Discharge self-care score | 90.03% |
53.69%
36.3 pts better
|
Numerator 271 · Denominator 301 |
| Discharge mobility score | 75.75% |
50.94%
24.8 pts better
|
Numerator 228 · Denominator 301 |
| Pressure ulcers or injuries, new or worsened | 1.2% |
2.29%
1.1 pts better
|
Numerator 4 · Denominator 332 · Adjusted rate 1.92% |
| Healthcare-associated infections requiring hospitalization | 4.35% |
7.12%
2.8 pts better
|
No Different than the National Rate · Eligible stays 294 · Observed rate 1.36% · Lower 95% interval 2.85% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 128 |
| Staff flu vaccination coverage | 2.22% |
42%
39.8 pts worse
|
Numerator 2 · Denominator 90 |
| Discharge function score | 87.71% |
56.45%
31.3 pts better
|
Numerator 264 · Denominator 301 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 98.54% |
96.28%
2.3 pts better
|
Numerator 270 · Denominator 274 |
| Resident COVID-19 vaccinations up to date | 41.4% |
25.2%
16.2 pts better
|
Numerator 65 · Denominator 157 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
2.1
0.9 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.1 · Expected 1.2 · 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 | 97.1% |
99.2%
2.1 pts worse
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% |
2.6%
1.9 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.7% · Q3 2.9% · Q4 2.8% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
3.7%
2 pts worse
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.4% · Q3 3.1% · Q4 5.7% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
5.9%
5.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.8% |
15.7%
7.9 pts better
|
19.6%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.7% |
9.8%
6.1 pts better
|
16.7%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.7% · 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 | 30.1% |
11.7%
18.4 pts worse
|
16.3%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 30.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.3% |
9.8%
4.5 pts worse
|
14.9%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.6% |
0.4%
3.2 pts worse
|
1.0%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 6.5% · Q3 0.0% · Q4 1.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.9% |
0.8%
6.1 pts worse
|
1.7%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.7% · Q3 5.9% · Q4 11.1% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.1% |
12.5%
14.6 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 36.6% · Q3 23.5% · Q4 25.5% · 4Q avg 27.1% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
5.1%
4.2 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 2.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.3% |
94.3%
2 pts better
|
81.7%
14.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 94.1% · Q3 95.3% · Q4 98.9% · 4Q avg 96.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.3% |
9.3%
4 pts better
|
12.0%
6.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.3% · Observed 4.7% · Expected 9.9% · 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 1.4% · Q2 1.4% · Q3 1.5% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.4% |
94.7%
13.3 pts worse
|
79.7%
1.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
26.2%
7.9 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 13.1% · Expected 17.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-01-18 · Fire 2024-01-18
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 2022-02-24 · Fire 2022-02-24
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
F · Potential for more than minimal harm
2025-09-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-11-21
F · Potential for more than minimal harm
2025-09-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-11-21
E · Potential for more than minimal harm
2025-09-25
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-11-21
F · Potential for more than minimal harm
2022-02-24
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-03-21
D · Potential for more than minimal harm
2022-02-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-03-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-01-18
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-02-09
E · Potential for more than minimal harm
2024-01-18
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 2024-02-09
D · Potential for more than minimal harm
2024-01-18
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-09
D · Potential for more than minimal harm
2024-01-18
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 2024-02-09
D · Potential for more than minimal harm
2024-01-18
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 2024-02-09
Penalties and ownership
What sits behind the stars
Ownership
Lee Memorial Hospital Inc
5% Or Greater Direct Ownership Interest · Organization
Buist, Charity
Corporate Director · Individual
Franklin, Mary
Operational/Managerial Control · Individual
Franklin, Mary
Corporate Director · Individual
Liu, Jimmy
Operational/Managerial Control · Individual
Sayeh, Tily
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Healthpark Care Center
Fort Myers, FL
5-star overall rating with 5-star inspections
#2
Ambassador Healthcare At College Park
Fort Myers, FL
1-star overall rating with 1-star inspections with abuse icon flag with $78,430 in total fines with 15 recent health deficiencies
#3
Larsen Health Center
Fort Myers, FL
3-star overall rating with 3-star inspections with $32,139 in total fines with 3 recent health deficiencies
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