Overall rating: not rated. Gulf Coast Village in Cape Coral, FL is a special focus facility (SFF) with $19,920 in fines in the last 24 months; reported nurse staffing is 4.93 hours per resident per day, above the federal benchmark of 4.1.
Last inspection: May 26, 2026Penalties, last 24 months: $19,920special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9279.
Staffing detail
Registered nurses
1.20
Licensed practical nurses
0.75
Nurse aides
2.98
Weekend nursing
4.58
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
2.7%5.7%Worsening
Residents with a fall causing major injury
5.3%10.6%Worsening
Residents with pressure ulcers (bedsores)
7.2%7.5%No change
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
6.5%5.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.5%25.7%Worsening
Residents whose ability to walk got worse
—33%—
Long-stay residents on antianxiety or sleep medication
37%26.3%Improving
Short-stay residents newly given an antipsychotic
1.1%0%Improving
Residents with a long-term catheter
1.3%3.8%Worsening
Residents with new or worsening incontinence
19.3%18.7%Improving
Residents with depressive symptoms
2.1%5.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.2%91.5%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
98.1%87.3%Worsening
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 578 — 42 CFR §483.10 — S/S: K
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited April 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 726 — 42 CFR §483.35 — S/S: K
The home failed to run its operations effectively and efficiently using its available resources. Cited April 2024 — limited pattern, immediate jeopardy to residents.
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F-Tag 835 — 42 CFR §483.70 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 2 health deficiencies.
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STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
PENALTY
A federal fine of $19,920 was recorded.
INSPECTION
Health inspection found 10 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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Penalties & enforcement
On record with Medicare: 3 fines · $37,092 in total fines.
Federal fine
Nov 20, 2025
$19,920
Federal fine
Apr 2, 2024
$8,586
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of VOLUNTEERS OF AMERICA SENIOR LIVING · 6 homes · 3.2 stars avg
Occupancy
88.8 residents on an average day (104% of 85 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.