Inspection·February 9, 2022

SUMMARY OF DEFICIENCIES ID PLAN OF CORRECTION 106057 R 02/09/2022 LIFE CARE CENTER OF ESTERO 3850 WILLIAMS ROAD ESTERO, FL 33928 ID PREFIX TAG PREFIX TAG COMPLETION DATE DEFICIENCY) [K 000] INITIAL COMMENTS [K 000] An unannounced revisit survey was conducted on 2/9/22 at Life Care Center of Estero, a skilled nursing facility in Estero, Florida. This was a follow-up to the recertification survey completed on 12/9/21. Life Care Center of Estero is in compliance with Code of Federal Regulations (CFR) 42, Section 483.90(a)&(b), Physical Environment Requirements for Long-Term Care Facilities and the National Fire Protection Association (NFPA) 101 (2012 edition) Life Safety Code. 02/22/2022 35960987 R 02/09/2022 LIFE CARE CENTER OF ESTERO 3850 WILLIAMS ROAD ESTERO, FL 33928 PREFIX TAG ID PREFIX TAG DEFICIENCY) COMPLETE DATE {K 000} INITIAL COMMENTS {K 000} An unannounced revisit survey was conducted on 2/9/22 at Life Care Center of Estero, a skilled nursing facility in Estero, Florida. This was a follow-up to the relicensure survey completed on 12/9/21. The previous deficiencies were found corrected and no new deficiencies were identified. (X8) DATE 02/22/22 STATE FORM