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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 37th out of 252 homes in Florida. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 11m per day | ▲ 61% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 50m per day | ▲ 6% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 55m per day | ▲ 25% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 29m per day | ▲ 27% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 20% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 47m per day | ▲ 47% State avg: 32m per day · National avg: 28m per day |
Similar to the Florida average: 84.3%The Preserve is legally operated by Voa Lee County Health Care Facility, Inc., and administrated by William Boyd.
Key information about the people who lead and staff this community.
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.
Formal stipulations and orders filed by Florida regulators against this facility, including fines and total monetary penalties.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Florida state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 33 | This facility has 79% fewer total citations than a typical Florida nursing home (7 vs. FL avg 33).↓ 79% better |
|
Citations per year
Average citations per year since 2019.
| 1 | 4.7 | This facility has 79% fewer citations per year than a typical Florida nursing home (1 vs. FL avg 4.7).↓ 79% better |
|
Citations per inspection
Average citations per inspection.
| 1 | 1.3 | This facility has 23% fewer citations per inspection than a typical Florida nursing home (1 vs. FL avg 1.3).↓ 23% better |
Inspections
| This Facility | FL Average | vs. FL Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 26 | This facility has 73% fewer total inspections than a typical Florida nursing home (7 vs. FL avg 26).↓ 73% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 16 | This facility has 75% fewer inspections with citations than a typical Florida nursing home (4 vs. FL avg 16).↓ 75% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 57% | 62% | This facility has 5 percentage points lower inspection citation rate than a typical Florida nursing home (57% vs. FL avg 62%).↓ 5% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
THE PRESERVE was inspected on 2025-08-06, where it was reported that deficiencies were cited. Over the reporting period from 2019-12-26 to 2025-10-01, a total of seven inspections were conducted, with all but one citing deficiencies. The facility had a total of seven line-item deficiencies across these inspections. Common themes identified during inspections included records and documentation, as well as resident care and rights. Following the latest inspection, the facility reported that it had corrected its deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsFlorida average 4.3
Last Health inspection on Jan 2025
Florida average 19.7
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.
100% better than Florida averageFlorida average: 0.8
150% worse than Florida averageFlorida average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% better than Florida average
11% better than Florida average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
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.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
574 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 17,595 | 92 | 100% | 9.5 |
| Registered Nurse | 18 | 1 | 19 | 5,553 | 92 | 100% | 10.6 |
| Licensed Practical Nurse | 12 | 3 | 15 | 3,853 | 92 | 100% | 9.2 |
| Speech Language Pathologist | 8 | 0 | 8 | 1,450 | 78 | 85% | 6.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,399 | 65 | 71% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 1,284 | 70 | 76% | 11 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,257 | 91 | 99% | 7.6 |
| Physical Therapy Assistant | 5 | 0 | 5 | 954 | 74 | 80% | 6.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 927 | 71 | 77% | 7.7 |
| Qualified Social Worker | 3 | 0 | 3 | 507 | 62 | 67% | 7.2 |
| Administrator | 1 | 1 | 2 | 501 | 62 | 67% | 8.1 |
| Dietitian | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 486 | 58 | 63% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 173 | 29 | 32% | 6 |
| Medical Director | 0 | 1 | 1 | 59 | 13 | 14% | 4.5 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 44 | 55 | 60% | 0.7 |
Includes penalties issued in 2023
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)
65% lower than Florida averageFlorida average: $72K
62% fewer fines than Florida averageFlorida average: 2.6
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 31, 2023 · $25K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 31, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
45% worse than Florida averageFlorida average: 10.5%
Percent of long-stay residents whose ability to move independently worsened
11.6%
11% better than Florida averageFlorida average: 12.9%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
96% worse than Florida averageFlorida average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
6.4%
20% worse than Florida averageFlorida average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.5%
70% worse than Florida averageFlorida average: 0.9%
Percent of long-stay residents who lose too much weight
6.5%
9% worse than Florida averageFlorida average: 6.0%
Percent of long-stay residents who have depressive symptoms
1.6%
53% better than Florida averageFlorida average: 3.3%
Percent of long-stay residents who received an antipsychotic medication
13.3%
66% worse than Florida averageFlorida average: 8.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.6%
In line with Florida averageFlorida average: 97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Florida averageFlorida average: 99.2%
Number of hospitalizations per 1,000 long-stay resident days.
2.00
5% better than Florida averageFlorida average: 2.10
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.50
112% worse than Florida averageFlorida average: 1.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
5% better than Florida averageFlorida average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
16% better than Florida averageFlorida average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.7%
5% better than Florida averageFlorida average: 94.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.9%
13% better than Florida averageFlorida average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.8%
16% worse than Florida averageFlorida average: 9.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
23% better than Florida averageFlorida average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
73.2%
36% better than Florida averageFlorida average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
71.3%
41% better than Florida averageFlorida average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
51% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
60Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for The Preserve based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #139 / 256Payroll — State benchmarkedThis home is ranked 139th out of 256 homes in Florida. Shows total annual staff payroll benchmarked to the Florida average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
8.0 miles from city center
Estimated distance in miles from Fort Myers's city center to The Preserve's address, calculated via Google Maps.
Add your location
The Preserve is located in FORT MYERS, Florida.
Here are the financial assistance programs available to residents in Florida.
The team at The Preserve speaks Creole, English, and Spanish.
The legal owner and operator of The Preserve is Voa Lee County Health Care Facility, Inc..
The Preserve has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to FL state health department records, The Preserve's license number is 13391.
According to FL state health department records, The Preserve's license expires on April 6, 2026.
The Preserve's occupancy is 88%.
The Preserve is registered as a non-profit in FL.
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