Occupancy rate
88%
In line with Florida averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living in Fort Myers
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Preserve
Assisted Living in Fort Myers
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Preserve
The Preserve is a senior living community in Fort Myers, Florida, offering a range of services including assisted living, memory support, long-term care, and rehabilitation. It is part of Volunteers of America National Services, known for its commitment to quality care. The community provides a continuum of care, ensuring residents receive the support they need as their health needs change.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
38
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.1%
Residents per day (avg)
65
Occupancy rate
88.1%
Residents per day (avg)
65
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
51% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
44% of new residents, often for short stays.
Typical stay
1 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
7 months
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$17.5M
Operating deficit
-$2.7M
Voluntary non-profit community
Operated by a church.
Home revenue
$17.5M
Operating deficit
-$2.7M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$20.2M
38-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
In line with Florida averageOccupied beds
33 / 38
Average residents
108 per day
Facility TypeAssisted Living Facility
StatusLicensed
IssuanceJuly 4, 2024
CountyLee
License Number13391
CMS Certification Number106137
RCFE NumberAL13391
SNF LicenseSNF130471076
AwardsHigh Performing rating on U.S. News & World Report’s Best Nursing Homes list
The Preserve is administrated by Claudia E. Salazar- Porta.
Management CompanyVOLUNTEERS OF AMERICA NATIONAL SERVICES CORPORATION
Owner NameVOA LEE COUNTY HEALTH CARE FACILITY, INC.
Profit StatusNot-For-Profit
Staffing
Key information about the people who lead and staff this community.
Creole
English
Spanish
Accept Medicaid
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Memory Support
Rehabilitation
Continuing Care Retirement Community (CCRC)
Specific ProgramsAssisted Living, Memory Support, Long-Term Care, Rehabilitation, Outpatient Services, Life at The Preserve, Testimonials, About, Meet Our Team, Contact Us, FAQs, Blog, Careers, Photo Gallery, Leave a Review
Food DescriptionChef-prepared meals are created with fresh, seasonal ingredients and professionally served three times daily.
Activities in this home
- Arts and Crafts
- Exercise Classes
- Games & Cards
- Gardening
- Music Programs
- Social Events & Outings
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Inspection History
In Florida, the Agency for Health Care Administration (AHCA) is the primary authority that conducts unannounced inspections and completes official health quality reports for all healthcare facilities.
7 visits/inspections
Results
4 with citations
0 without citations
Florida average: 16 inspections with citations
Show Inspection Reports
Latest inspection
Date
October 1, 2025
Complaint Investigation7 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Florida average: 33 citations
4 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Florida average: 19 deficiencies
0 fines
Florida average: 5 fines
Total amount fined: $0.00
Florida average: $11,623.53
0 Legal actions
Florida average: 3 legal actions
Inspection Report Summary for The Preserve
The most recent inspection on October 1, 2025, found no deficiencies. Earlier inspections showed a mixed pattern, with some reports citing deficiencies related mainly to resident care elopement standards and staffing and training requirements. Complaint investigations were not noted in the available reports. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The facility’s inspection history shows some issues in past years but no deficiencies in the latest review, indicating some improvement.
Health Inspection History
Inspections
Total health inspections
4
Florida average 4.3
Last Health inspection on Jan 2025
Total health citations
10
Florida average 19.7
Citations per inspection
2.5
Florida average 4.48
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
7 of 10 citations resulted from standard inspections; and 3 of 10 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Florida averageFlorida average: 0.8
Serious Health citations
1
1
150% worse than Florida averageFlorida average: 0.4
0 critical citations
1 serious citation
9 moderate citations
0 minor citations
Citations history (last 3 years)
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jan 16, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jan 16, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 16, 2023
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 16, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 16, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 16, 2023
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 16, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 16, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Fort Myers The information below is reported by the Florida Agency for Health Care Administration (AHCA).
Filter by care type
Brookdale Fort Myers Cypress Lake
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Fort Myers
190
Yes
56
2
A+
Emeritus Corporation
57
56.1%
59
For-Profit
$37,250
Chelsea Mulcahy
-
The Gallery at North Port
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
North Port
108
Yes
40
2
-
Nx North Port Operator Llc
5
0%
5
Not-For-Profit
-
Craig Karczmer
-
The Preserve
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Fort Myers
75
No
-
1
-
-
7
57.1%
7
Not-For-Profit
-
Claudia E. Salazar- Porta
-
Merrill Gardens at Barkley Place
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Fort Myers
64
Yes
46
4
-
Mg Fort Myers Subtenant Llc
17
76.5%
23
For-Profit
$35,600
Cynthia Syoen-Thompson
Studio / 1 Bed / 2 Bed
Thandi’s Care Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Fort Myers
10 Residents
No
0
-
-
-
0
0%
0
-
-
-
Private / Semi-Private Suite
Places of interest near The Preserve
8.0 miles from city center
Calculate Travel Distance to The Preserve
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
120
Employees
103
Contractors
17
Staff to resident ratio
2.00:1
32% better than Florida averageFlorida average ratio: 1.52:1
Avg staff/day
46
Average shift
8.6 hours
9% better than Florida averageFlorida average: 7.9 hours
Total staff hours (quarter)
36,174
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
52
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
1.4%
524 contractor hours this quarter
Certified Nursing Assistant: 7
Licensed Practical Nurse: 6
Occupational Therapy Assistant: 2
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 45 | 7 | 52 | 17,141 | 91 | 100% | 9.2 |
| Registered Nurse | 15 | 0 | 15 | 5,143 | 91 | 100% | 10.4 |
| Licensed Practical Nurse | 11 | 6 | 17 | 4,533 | 91 | 100% | 9 |
| Speech Language Pathologist | 7 | 0 | 7 | 1,548 | 79 | 87% | 6.7 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,173 | 90 | 99% | 7.6 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,000 | 64 | 70% | 8 |
| Physical Therapy Assistant | 6 | 0 | 6 | 789 | 70 | 77% | 6.3 |
| RN Director of Nursing | 1 | 0 | 1 | 773 | 64 | 70% | 12.1 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 742 | 76 | 84% | 6.6 |
| Qualified Social Worker | 2 | 0 | 2 | 555 | 63 | 69% | 7.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 504 | 62 | 68% | 8.1 |
| Dietitian | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 159 | 28 | 31% | 5.7 |
| Medical Director | 0 | 1 | 1 | 61 | 15 | 16% | 4.1 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 46 | 49 | 54% | 0.9 |
52 Certified Nursing Assistant
% of Days
100%
15 Registered Nurse
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
7 Speech Language Pathologist
% of Days
87%
4 Other Dietary Services Staff
% of Days
99%
3 Clinical Nurse Specialist
% of Days
70%
6 Physical Therapy Assistant
% of Days
77%
1 RN Director of Nursing
% of Days
70%
4 Respiratory Therapy Technician
% of Days
84%
2 Qualified Social Worker
% of Days
69%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
1 Mental Health Service Worker
% of Days
69%
1 Dental Services Staff
% of Days
68%
1 Dietitian
% of Days
66%
1 Occupational Therapy Aide
% of Days
31%
1 Medical Director
% of Days
16%
2 Occupational Therapy Assistant
% of Days
54%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
60 residents
Residents by payment source
Medicare
23 residents (38.3%)
Medicaid
23 residents (38.3%)
Private pay or other
14 residents (23.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.0
21% worse than Florida averageFlorida average: 7.4
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
24% worse than Florida averageFlorida average: 12.4
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
45% worse than Florida averageFlorida average: 10.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.6%
Percent of long-stay residents whose ability to move independently worsened
11.6%
11% better than Florida averageFlorida average: 12.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.3%
43% worse than Florida averageFlorida average: 13.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
96% worse than Florida averageFlorida average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
20% worse than Florida averageFlorida average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
70% worse than Florida averageFlorida average: 0.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
9% worse than Florida averageFlorida average: 6.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.6%
Percent of long-stay residents who have depressive symptoms
1.6%
53% better than Florida averageFlorida average: 3.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
13.3%
Percent of long-stay residents who received an antipsychotic medication
13.3%
66% worse than Florida averageFlorida average: 8.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
In line with Florida averageFlorida average: 97.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than Florida averageFlorida average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
16% better than Florida averageFlorida average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.7%
5% better than Florida averageFlorida average: 94.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$25K
65% lower than Florida averageFlorida average: $72K
Number of fines
1
62% fewer fines than Florida averageFlorida average: 2.6
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Florida averageFlorida average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$25K
Florida average
$72K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 31, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 31, 2023
$25K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for The Preserve based on CMS SNF Cost Reports.
Occupancy Rate
88.1%
↓ 1.0pp vs 2023
Net Income
-$2.7M
↓ ~$718.0K vs 2023
Total Payroll
$7.7M
↑ ~$345.5K vs 2023
Profit Margin
-16.0%
↓ 4.6pp vs 2023
Loading trend charts...
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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