The Preserve
Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Fort Myers, FL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Preserve

Nursing Home, Assisted Living, Memory Care & Skilled Nursing · Fort Myers, FL
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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The Preserve accepts Medicaid, Medicare, and private pay.

Overview of The Preserve

The Preserve in Fort Myers is a 38-bed nursing home housed in a three-story building on Hope Center Loop in Fort Myers, Florida. Run by administrator William Boyd and operated by Voa Lee County Health Care Facility, Inc., the building runs at roughly 88 percent occupancy. Stays here average just 41 days, which shows the staff concentrates heavily on short-term post-hospital rehab and recovery. To handle billing, the business office takes traditional Medicare, state Medicaid, and private funds.

Visitors will need a vehicle for almost all errands, as the surrounding neighborhood is car-dependent with a walk score of 17 out of 100. Indoors, residents receive an average of 4 hours and 47 minutes of direct nursing attention every day from a 24-hour team of RNs, LPNs, and aides. This floor crew provides regular speech, physical, and occupational therapy alongside a secure memory care program for residents with dementia. Daily life includes one-bedroom units, chef-prepared meals, weekly housekeeping, local transport, and a secure outdoor courtyard.

While older reports noted issues with elopement prevention and staffing protocols, the management team resolved those concerns, and the most recent inspection cleared the building with zero deficiencies.

Prospective residents can get in touch with the front desk to see if there are any current vacancies, ask about the short-term rehab schedules, or book an afternoon to see the campus firsthand.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 57.5% Above FL avg. ▲ 57.5% Above FL avg.FL average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 77.8% Above FL avg. ▲ 77.8% Above FL avg.FL average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 18.2% Above FL avg. ▲ 18.2% Above FL avg.FL average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 1.4% Below FL avg. ▼ 1.4% Below FL avg.FL average: 4.1Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Florida averages

Rank #49 / 180Nurse hours — State benchmarkedThis home is ranked 49th out of 180 homes we track in Florida for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Florida average, with a ranking across 180 Florida facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 49th out of 180 homes we track in Florida for nurse hours. 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.

4h 32m

12% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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 3m
+44% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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
+7% State avg: 47m per day · National avg: 52m per day
Nurse Aide Info 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 38m
+13% State avg: 2h 20m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 2m
+15% State avg: 3h 31m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
9m
+75% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
46m
+45% State avg: 32m per day · National avg: 28m per day

All 6 underlying metrics are above the state average

Capacity and availability

Residents per day (avg)
70
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
41 days
Bed community size
38-bed community Rank #813 / 1058Bed count — State benchmarkedThis home is ranked 813th out of 1,058 homes we track in Florida for bed count. Shows this facility's certified or reported bed count compared to other Florida facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 9 / 100 Rank #1282 / 1427Walk Score — State benchmarkedThis home is ranked 1282nd out of 1,427 homes we track in Florida for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Florida facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Awards

High Performing rating on U.S. News & World Report’s Best Nursing Homes list

License Details

Facility TypeAssisted Living Facility
IssuanceApril 7, 2024
CountyLee
License Number13391
CMS Certification Number106137
RCFE NumberAL13391
SNF LicenseSNF130471076

Ownership & Operating Entity

The Preserve is legally operated by Voa Lee County Health Care Facility, Inc., and administered by William Boyd.

Management CompanyVOLUNTEERS OF AMERICA NATIONAL SERVICES CORPORATION
Owner NameVoa Lee County Health Care Facility, Inc
Profit StatusNonprofit

Type Of Units

Private
38 units
Total beds
38 units

Staffing

Key information about the people who lead and staff this community.

Languages Spoken

Creole English Spanish

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

1 service
Memory Support

Amenities & Lifestyle

Specific ProgramsOutpatient Services, Life at The Preserve, Leave a Review

Contact The Preserve

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.

Inspection Scorecard Info 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.

Overall vs. FL average 0 Worse No metrics in this bucket. 4 Better Metrics better than Florida average:
• Total citations (80% below)
• Citations per inspection (23% below)
• Inspections with citations (75% below)
• Inspection citation rate (8% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityFL Averagevs. FL Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 735 This facility has 80% fewer total citations than a typical Florida nursing home (7 vs. FL avg 35).↓ 80% better Rank #77 / 906 Total citations — State benchmarked This home is ranked 77th out of 906 homes we track in Florida for total citations. Shows this facility's total citations compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Citations per inspection Info Average citations per inspection. 1.01.3 This facility has 23% fewer citations per inspection than a typical Florida nursing home (1 vs. FL avg 1.3).↓ 23% better Rank #153 / 906 Citations per inspection — State benchmarked This home is ranked 153rd out of 906 homes we track in Florida for citations per inspection. Shows this facility's citations per inspection compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityFL Averagevs. FL Avg
Total inspections Info Combined count of all inspections conducted at this facility. 726 This facility has had 73% fewer total inspections than the Florida average (7 vs. FL avg 26). More inspections can mean more regulatory scrutiny rather than worse care.↓ 73% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 416 This facility has 75% fewer inspections with citations than a typical Florida nursing home (4 vs. FL avg 16).↓ 75% better
Inspection citation rate Info 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 Rank #443 / 906 Inspection citation rate — State benchmarked This home is ranked 443rd out of 906 homes we track in Florida for % of inspections with citations. Shows this facility's % of inspections with citations compared to the Florida average among 906 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2022 · 4 years of data
Total health inspections 4

Florida average 4.3


Last Health inspection on Jan 2025

Total health citations
10 Rank #39 / 179Health citations — State benchmarkedThis home is ranked 39th out of 179 homes we track in Florida for health citations. Shows this facility's total health deficiency citations benchmarked to the Florida State average, with a ranking across all 179 FL facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Florida average 19.7

Citations per inspection
2.5 Rank #26 / 179Citations per inspection — State benchmarkedThis home is ranked 26th out of 179 homes we track in Florida for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Florida mean across 179 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 4 years)
Critical health citations
0
100% better than Florida average

Florida average: 0.8


Serious health citations
1
150% worse than Florida average

Florida average: 0.4

0 critical citations Florida average: 0.8

1 serious citation Florida average: 0.4

9 moderate citations Florida average: 18.4

0 minor citations Florida average: 0.2
Citations history (last 4 years)
Resident Rights moderate citation Jan 16, 2025
Corrected

Pharmacy moderate citation Nov 16, 2023
Corrected

Quality of Care moderate citation Nov 16, 2023
Corrected

Quality of Care moderate citation Nov 16, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 118
Employees 108
Contractors 10
Staff to resident ratio 1.97 : 1
34% more staff per resident than Florida average
Florida average ratio: 1.47 : 1 Florida average ratio: 1.47 : 1See full Florida ranking
Avg staff/day 46
Average shift 8.8 hours
11% better than Florida average
Florida average: 7.9 hours Florida average shift: 7.9 hoursSee full Florida ranking
Total staff hours (quarter) 37,417

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 19 total: 18 full-time employees and 1 contractor. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 15 total: 12 full-time employees and 3 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 45 CNA Staff are full-time employees. No contractors work on this role. 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.5%

574 contractor hours this quarter

Licensed Practical Nurse: 3 Occupational Therapy Assistant: 3 Registered Nurse: 1 Occupational Therapy Aide: 1 Medical Director: 1 Administrator: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4504517,59592100%9.5
Registered Nurse181195,55392100%10.6
Licensed Practical Nurse123153,85392100%9.2
Speech Language Pathologist8081,4507885%6.9
Clinical Nurse Specialist3031,3996571%8
RN Director of Nursing2021,2847076%11
Other Dietary Services Staff4041,2579199%7.6
Physical Therapy Assistant5059547480%6.4
Respiratory Therapy Technician3039277177%7.7
Qualified Social Worker3035076267%7.2
Administrator1125016267%8.1
Dietitian1014966267%8
Dental Services Staff1014865863%8.4
Mental Health Service Worker1014645863%8
Nurse Practitioner1014165257%8
Occupational Therapy Aide0111732932%6
Medical Director011591314%4.5
Occupational Therapy Assistant033445560%0.7
45 Certified Nursing Assistant
% of Days 100%
19 Registered Nurse
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
8 Speech Language Pathologist
% of Days 85%

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 Rank #146 / 183Federal fines — State benchmarkedThis home is ranked 146th out of 183 homes we track in Florida for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Florida average among facilities with fines, and where it ranks among 183 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
65% lower than Florida average

Florida average: $72K

Number of fines 1
62% fewer fines than Florida average

Florida average: 2.6

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Florida average

Florida average: 0.1

Fines amount comparison
Fines amount comparison
This facility $25K
Florida average $72K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Florida average: 7.4

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.4
24% worse than Florida average

Florida average: 12.4

Long-stay resident measures
Above average Florida avg: 4.5 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 15.2%
45% worse than Florida average

Florida average: 10.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.6%
11% better than Florida average

Florida average: 12.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.3%
43% worse than Florida average

Florida average: 13.5%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.2%
96% worse than Florida average

Florida average: 2.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.4%
20% worse than Florida average

Florida average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.5%
70% worse than Florida average

Florida average: 0.9%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.5%
9% worse than Florida average

Florida average: 6.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.6%
53% better than Florida average

Florida average: 3.3%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 13.3%
66% worse than Florida average

Florida average: 8.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.6%
In line with Florida average

Florida average: 97.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Florida average

Florida average: 99.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.00
5% better than Florida average

Florida average: 2.10

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.50
112% worse than Florida average

Florida average: 1.18

Short-stay resident measures
Significantly above average Florida avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
5% better than Florida average

Florida average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
16% better than Florida average

Florida average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 99.7%
5% better than Florida average

Florida average: 94.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.9%
13% better than Florida average

Florida average: 26.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.8%
16% worse than Florida average

Florida average: 9.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
23% better than Florida average

Florida average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 73.2%
36% better than Florida average

Florida average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 71.3%
41% better than Florida average

Florida average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 60
Medicare
23
38.3% of residents
Medicaid
23
38.3% of residents
Private pay or other
14
23.3% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.4M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$11.2M Rank #114 / 159Net patient revenue — State benchmarkedThis home is ranked 114th out of 159 homes we track in Florida. Shows this facility's net patient revenue compared to the Florida average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$3.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$768.9K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #103 / 159Payroll costs — State benchmarkedThis home is ranked 103rd out of 159 homes we track in Florida. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Florida average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.3M 64.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #51 / 159Payroll % of net patient revenue — State benchmarkedThis home is ranked 51st out of 159 homes we track in Florida. Shows payroll as a percentage of net patient revenue versus the Florida average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Florida that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$14.7M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 26 days.

Admissions
605 total

Coverage residents most often arrive under.

Medicare 51%
Private pay 44%
Medicaid 6%
Discharges
597 total

Coverage residents most often leave under.

Medicare 49%
Private pay 45%
Medicaid 6%

Activities in this home

Places of interest near The Preserve

Address 8.0 miles from city center Info Estimated distance in miles from Fort Myers's city center to The Preserve's address, calculated via Google Maps.

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Address

Compare Nursing Homes around Fort Myers

Info below is compiled from CMS reports & the FL Agency for Health Care Administration (AHCA), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Florida average is: 72.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
The Preserve
NH
AL
MC
SNF
Fort Myers
38
Facility 38
FL AVG 88
Rank #813 / 1,058
--
4.53
Facility 4.53
FL AVG 4.04
Rank #49 / 180
+33%+12%
$25.2k
Facility $25.2k
FL AVG $78.9k
Rank #146 / 183
10
Facility 10
FL AVG 19.7
Rank #39 / 179
2.5
Facility 2.5
FL AVG 4.5
Rank #26 / 179
170-
9
Facility 9
FL AVG 42
Rank #1,282 / 1,427
Voa Lee County Health Care Facility, Inc
$11.2MFiscal year ending 06/2024
Facility $11.2MFiscal year ending 06/2024
FL AVG $14.6M
Rank #114 / 159
$7.3MFiscal year ending 06/2024
Facility $7.3MFiscal year ending 06/2024
FL AVG $9.5M
Rank #103 / 159
64.7%Fiscal year ending 06/2024
Facility 64.7%Fiscal year ending 06/2024
FL AVG 72.3%
Rank #51 / 159
106137
Lee Memorial Hospital – Skilled Nursing Unit
NH
SNF
Fort Myers
18
Facility 18
FL AVG 88
Rank #868 / 1,058
95.0%
Facility 95.0%
FL AVG 87.4%
Rank #26 / 121
+9%
5.88
Facility 5.88
FL AVG 4.04
Rank #8 / 180
+104%+46%
$0
Facility $0
FL AVG $78.9k
Rank #1 / 183
---17-
47
Facility 47
FL AVG 42
Rank #571 / 1,427
----106113
ProMedica Skilled Nursing and Rehabilitation Fort Myers East (Eagleridge)
NH
MC
PC
RC
SNF
Ft. Myers
120
Facility 120
FL AVG 88
Rank #253 / 1,058
96.8%
Facility 96.8%
FL AVG 87.4%
Rank #9 / 121
+11%
3.48
Facility 3.48
FL AVG 4.04
Rank #157 / 180
-16%-14%
$63.9k
Facility $63.9k
FL AVG $78.9k
Rank #157 / 183
27
Facility 27
FL AVG 19.7
Rank #134 / 179
4.5
Facility 4.5
FL AVG 4.5
Rank #101 / 179
3116-
17
Facility 17
FL AVG 42
Rank #1,145 / 1,427
Eagleridge Rehab Holdings$13.0M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.6M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.58.3%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.106020
Winkler Court
NH
PC
RC
SNF
Fort Myers (Colonial Oaks)
120
Facility 120
FL AVG 88
Rank #253 / 1,058
94.2%
Facility 94.2%
FL AVG 87.4%
Rank #40 / 121
+8%
3.56
Facility 3.56
FL AVG 4.04
Rank #148 / 180
+6%-12%
$178.9k
Facility $178.9k
FL AVG $78.9k
Rank #177 / 183
40
Facility 40
FL AVG 19.7
Rank #173 / 179
8.0
Facility 8.0
FL AVG 4.5
Rank #168 / 179
4113-
46
Facility 46
FL AVG 42
Rank #591 / 1,427
Sally Boswell
$14.4MFiscal year ending 12/2023
Facility $14.4MFiscal year ending 12/2023
FL AVG $14.6M
Rank #79 / 159
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
FL AVG $9.5M
Rank #112 / 159
45.3%Fiscal year ending 12/2023
Facility 45.3%Fiscal year ending 12/2023
FL AVG 72.3%
Rank #139 / 159
105882
Fort Myers Nursing and Rehab
NH
HOS
MC
RC
SNF
Fort Myers (Arborwood)
120
Facility 120
FL AVG 88
Rank #253 / 1,058
--
4.22
Facility 4.22
FL AVG 4.04
Rank #69 / 180
-6%+5%
$0
Facility $0
FL AVG $78.9k
Rank #1 / 183
23
Facility 23
FL AVG 19.7
Rank #120 / 179
7.7
Facility 7.7
FL AVG 4.5
Rank #167 / 179
1127-
73
Facility 73
FL AVG 42
Rank #179 / 1,427
Hollywood Hills Holdings, LLC
$17.1MFiscal year ending 12/2023
Facility $17.1MFiscal year ending 12/2023
FL AVG $14.6M
Rank #48 / 159
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
FL AVG $9.5M
Rank #68 / 159
53.6%Fiscal year ending 12/2023
Facility 53.6%Fiscal year ending 12/2023
FL AVG 72.3%
Rank #88 / 159
105427

Financial Assistance for
Nursing Home in Florida

The Preserve is located in FORT MYERS, Florida.
Here are the financial assistance programs available to residents in Florida.

Get Financial aid guidance

Long-Term Care Waiver

Florida Medicaid LTC Waiver

Age 65+ or 21+ disabled
General Florida resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
FL

High demand; waitlists common.

Benefits
In-home care (6-8 hours/day) Assisted living Respite (240 hours/year) Case management

Community Care for the Elderly (CCE)

Florida CCE

Age 60+
General Florida resident, at risk of nursing home.
Income Limits ~$2,000/month varies
Asset Limits $5,000 individual
FL

Limited funding; regional variation.

Benefits
Homemaker services (3-5 hours/week) Adult day care (~$60/day) Respite (up to 10 days/year)

Home Care for the Elderly (HCE)

Florida Home Care for the Elderly

Age 60+
General Florida resident, at risk of nursing home placement; caregiver must be approved.
Income Limits (2025) ~$2,829/month individual, aligned with Medicaid thresholds
Asset Limits ~$2,000 (individual); varies by case manager discretion.
FL

Limited funding (~3,500 served annually); prioritizes low-income frail seniors.

Benefits
Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month)

Program of All-Inclusive Care for the Elderly (PACE)

Florida Medicaid PACE

Age 55+
General Florida resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy

Optional State Supplementation (OSS)

Florida Optional State Supplementation

Age 65+ or disabled
General Florida resident, living in approved facility, receiving SSI or low-income.
Income Limits (2025) ~$1,004/month individual, including SSI
Asset Limits $2,000 (individual), $3,000 (couple).
FL

Limited to specific facility types; ~$78.40/month max supplement.

Benefits
Cash payment (~$78.40/month) for room/board or personal needs in facilities

Frequently Asked Questions about The Preserve

What languages are spoken at The Preserve?

The team at The Preserve speaks Creole, English, and Spanish.

Who is the owner of The Preserve?

The Preserve is legally operated by Voa Lee County Health Care Facility, Inc., and administered by William Boyd.

Is The Preserve in a walkable area?

The Preserve has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Preserve?

According to FL state health department records, The Preserve's license number is 13391.

What is the occupancy rate at The Preserve?

The Preserve's occupancy is 88.1%.

Are pets allowed at The Preserve?

Yes, The Preserve allows residents to bring their pets.

Does The Preserve operate as a for-profit or non-profit?

The Preserve is registered as a non-profit in FL.

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