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Street Address

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13755 GOLF CLUB PKWY
FORT MYERS, FL 33919
Phone: (239) 482-2848
County: Lee

Mailing Address

13755 GOLF CLUB PKWY
FORT MYERS, FL 33919
County: Lee
Website: http://LTCREVOLUTION.COM

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JIMMY GRIMES
Financial Officer: JOHN HARRISON
Owner/Licensee: LP FORT MYERS, LLC
Owner/Licensee Since: 11/1/2007
NamePositionOwnership
LP O HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SIGNATURE HEALTHCARE CONSULTING SERVICES, LLC
Manager Since: 11/1/2007
NamePositionOwnership
SIGNATURE HEALTHCARE, LLC 100%
Licensed Beds: 107
Bed Types:
Community Beds : 107
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 13
2-Bed Rooms : 47
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 83605
AHCA Field Office: 08
License Number: 1159096
Current License Effective: 11/1/2017
Expires: 10/31/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $215.00
Occupancy/Occupancy Rate :  73 / 67.91%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, French, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare
Special Programs and Services :  Alzheimer's, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
11/14/2017 2017012497 Rule Variance/WaiverAdministrative Rule N/A
11/07/2016 2016011539 FineReporting $500.00
12/17/2007 2007012987 FineApplication N/A
11/27/2007 2007010898 FineReporting $500.00
07/28/2006 2006003564 FineSurvey $1,500.00
02/21/2006 2006003563 Conditional LicenseSurvey N/A
12/19/2005 2005008133 FineReporting $500.00
06/23/2004 2004002478 FineSurvey $2,000.00
02/25/2004 2004002801 Conditional LicenseSurvey N/A
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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