Inspection Reports for
The Preserve
14750 HOPE CENTER LOOP, FORT MYERS, FL, 33912
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Florida average
Florida average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Oct 2, 2025
Visit Reason
Annual survey inspection of The Preserve nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Oct 1, 2025
Visit Reason
State-compiled facility profile showing 7 inspections from 2019 to 2025 with deficiency history and inspection statuses.
Findings
Across multiple inspections from 2019 to 2025, the facility had several inspections with no deficiencies, some with deficiencies cited, and others with deficiencies corrected, including complaint and standard inspections.
Report Facts
Inspections on page: 7
Inspection Report
Complaint
Deficiencies: 1
Date: Aug 6, 2025
Visit Reason
One Class 3 deficiency related to resident care elopement standards
Findings
One Class 3 deficiency related to resident care elopement standards
Deficiencies (1)
Tag A0032 — RESIDENT CARE - ELOPEMENT STANDARDS
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 16, 2025
Visit Reason
The inspection was conducted to investigate a complaint regarding the facility's failure to properly document and investigate a grievance filed by Resident #2's daughter related to the resident's discharge process.
Complaint Details
The complaint was related to Resident #2's discharge with a distended bladder, elevated WBC, and wrong medications. The grievance was not documented or investigated as required. The Director of Nursing investigated but did not document or communicate findings. The grievance was deemed unfounded but procedural requirements were not met.
Findings
The facility failed to ensure documentation of the grievance investigation, including steps taken, findings, and communication of the resolution to the complainant. Interviews confirmed the grievance was not properly logged or investigated as required by the facility's grievance policy.
Deficiencies (1)
F 0585: The facility failed to document the investigation and resolution of a grievance filed by Resident #2's daughter regarding discharge concerns, including lack of follow-up communication as required by policy.
Inspection Report
Routine
Deficiencies: 3
Date: Dec 4, 2023
Visit Reason
Three Class 3 deficiencies related to staffing standards and training
Findings
Three Class 3 deficiencies related to staffing standards and training
Deficiencies (3)
Tag A0078 — STAFFING STANDARDS - STAFF
Tag A0082 — TRAINING - HIV/AIDS
Tag A0090 — TRAINING - DO NOT RESUSCITATE ORDERS
Inspection Report
Routine
Deficiencies: 3
Date: Nov 16, 2023
Visit Reason
The inspection was conducted to assess compliance with medication administration, pain management, and medication error rates in the facility.
Findings
The facility failed to accurately transcribe medication orders upon admission for one resident, resulting in ineffective pain control. Additionally, the facility failed to ensure medication error rates were below 5%, with two medication errors observed involving crushing medications that should not be crushed.
Deficiencies (3)
F 0684: The facility failed to accurately transcribe medication orders upon admission for Resident #118, resulting in incorrect oxycodone dosing instructions in the Medication Administration Record.
F 0697: The facility failed to provide safe, appropriate pain management by inaccurately transcribing physician's admitting pain medication orders for Resident #118, causing ineffective pain control.
F 0759: The facility failed to ensure medication error rates were less than 5%, evidenced by two medication errors involving crushing medications that should not be crushed without physician orders.
Report Facts
Medication error rate: 7.69
Medication errors: 2
Residents reviewed for physician orders: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN Staff C | Licensed Practical Nurse | Admitting nurse who transcribed the physician order incorrectly for Resident #118 |
| Staff A | Registered Nurse | Observed crushing medication Myrbetriq against manufacturer instructions |
| Staff B | Registered Nurse | Observed crushing medication Divaloprex against manufacturer instructions |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 27, 2023
Visit Reason
Annual survey inspection of The Preserve nursing home to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 31, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding inadequate wound care and pressure ulcer prevention at the nursing home.
Complaint Details
The investigation was triggered by complaints about inadequate wound care and pressure ulcer prevention. Resident #10's missing skin graft was substantiated with minimal harm. Resident #1 developed multiple pressure ulcers related to medical device use, substantiated with actual harm.
Findings
The facility failed to ensure proper treatment and care for residents with wounds, including failure to notify the primary care physician and interdisciplinary team of changes in skin integrity. Additionally, the facility failed to prevent pressure ulcers and properly assess and document skin conditions related to medical devices such as immobilizers and CAM boots.
Deficiencies (2)
F 0684: The facility failed to notify the primary care physician and interdisciplinary team when Resident #10's skin graft went missing and did not document refusal of dressing changes or changes in skin integrity as required by policy.
F 0686: The facility failed to prevent pressure ulcers for Resident #1 by not properly assessing and documenting skin integrity under immobilizing devices and not notifying the physician of skin redness and pressure injuries.
Report Facts
Residents affected: 3
Residents affected: 4
Pressure injury measurements: 11
Pressure injury measurements: 1.2
Pressure injury measurements: 3
Pressure injury measurements: 7
Pressure injury measurements: 1
Pressure injury measurements: 1.2
Pressure injury measurements: 0.8
Pressure injury measurements: 4
Pressure injury measurements: 5
In-service attendance: 3
In-service attendance: 9
In-service attendance: 1
In-service attendance: 18
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Feb 17, 2022
Visit Reason
The inspection was conducted as a standard annual survey to assess compliance with regulatory requirements for the nursing home facility.
Findings
The facility was found to have multiple deficiencies including inaccurate Minimum Data Set (MDS) assessments for residents' vision and behavior, inadequate assistance with activities of daily living for residents with impaired vision, improper maintenance of urinary catheters, and insufficient dietary staffing affecting meal service and dining room availability.
Deficiencies (4)
F 0641: The facility failed to ensure accurate MDS assessments for 2 residents regarding vision and behavior, resulting in potential inappropriate health care.
F 0677: The facility failed to provide appropriate care and assistance with meals for a resident with impaired vision, leading to inadequate support during eating.
F 0690: The facility failed to maintain urinary catheters in a safe and sanitary manner for 3 residents, with catheter drainage bags observed resting on the floor.
F 0802: The facility failed to ensure sufficient dietary staff to effectively carry out food and nutrition services, resulting in dining rooms remaining closed and residents eating meals in their rooms.
Report Facts
Residents surveyed for dietary services: 16
Residents affected by dietary staffing deficiency: 3
Residents with urinary catheter deficiencies: 3
Residents with impaired vision and meal assistance deficiency: 1
Residents with inaccurate MDS assessments: 2
Inspection Report
Complaint
Deficiencies: 0
Date: Sep 15, 2021
Visit Reason
No deficiencies noted
Findings
No deficiencies noted
Inspection Report
Follow-Up
Deficiencies: 0
Date: Feb 17, 2021
Visit Reason
No deficiencies noted
Findings
No deficiencies noted
Inspection Report
Deficiencies: 0
Date: Dec 26, 2019
Visit Reason
No deficiencies noted
Findings
No deficiencies noted
Viewing
Loading inspection reports...
