ElderGrade
D

52.1/100

Below average

Gulf Coast Village

1333 Santa Barbara Blvd, Cape Coral, FL 33991

#17 of 20 in Lee County (239) 772-1333
Certified beds
85
Occupancy
100%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 5 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $37,092 in federal fines

    CMS has fined this facility across 3 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

4.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -1.4 for 21 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.79 total nurse hours per resident per day (national median 3.77)
  • 1.2 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 54% of nursing staff left in the last year

Resident outcomes

7.5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • No quality-measure rating published — scored neutral

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $37,092 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.93 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.20 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.58 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 53.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: May 7, 2026 (3 months ago).

D May 26, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

E May 7, 2026 F0848

Administration Deficiencies

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

No actual harm, potential for more than minimal harm

D May 7, 2026 F0656

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

G Nov 20, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm to a resident

F Nov 20, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Nov 20, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E Nov 20, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

E Nov 20, 2025 F0867

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of VOLUNTEERS OF AMERICA SENIOR LIVING, which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
AHMADI, KEVIN Individual W-2 MANAGING EMPLOYEE
BENNETT, BARBARA Individual W-2 MANAGING EMPLOYEE
AHMADI, KEVIN Individual CORPORATE DIRECTOR
BENNETT, BARBARA Individual CORPORATE DIRECTOR
GRIMES, JENNIFER Individual CORPORATE DIRECTOR
BOWMAN, DAVID Individual CORPORATE OFFICER
COOPER, WILFRED Individual CORPORATE OFFICER
DALE, KAREN Individual CORPORATE OFFICER
FELDMAN, NANCY Individual CORPORATE OFFICER
KELLER, CYNTHIA Individual CORPORATE OFFICER
KIKUMOTO, CHARLES Individual CORPORATE OFFICER
MOORE, CAROL Individual CORPORATE OFFICER

What families say

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Common questions about Gulf Coast Village

What is the ElderGrade for Gulf Coast Village? +

Gulf Coast Village holds an ElderGrade of D (52.1 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Gulf Coast Village? +

Residents receive an average of 4.93 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Gulf Coast Village been cited for harming residents? +

Yes. 5 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Gulf Coast Village accept Medicaid? +

Yes, Gulf Coast Village is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.