13755 Golf Club Pkwy, Fort Myers, FL 33919 · Lee County · (239) 482-2848
107 certified beds, about 95 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105387 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 15, 2026, inspectors cited 6 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 40 health citations since April 2022, 5 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $96,105 in the last three years; the largest was $78,430, and the latest is dated February 13, 2026.
Nurses and nurse aides worked 3.57 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
40.8% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Excelsior Care Group, an affiliated group of 33 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.
Inspectors wroteBased on observation, review of facility policy and procedure and staff interview, the facility failed to store food in a sanitary manner, failed to maintain the kitchen and equipment in a sanitary manner, and failed to ensure staff washed their hands appropriately when handling sanitized dishes. These failures have the potential to cause food borne illness in residents receiving an oral diet.
Inspectors wroteBased on observation, record reviews, residents and staff interviews, the facility failed to follow the planned menu to meet the needs and preferences of 11 (Residents #75, #4, #31, #55, #23, #7, #58, #63, #33, #54, and #76) of 37 residents reviewed.
Inspectors wroteBased on observation, residents, resident's family members and staff interviews, the facility failed to provide housekeeping and maintenance services to ensure a safe, clean and comfortable environment in 5 (Rooms 121, 207, 209, 214 and 215) of 60 residents rooms observed.
Inspectors wroteBased on record review, resident and staff interviews, review of facility policy and procedure, the facility failed to provide assistance with showers and personal hygiene as outlined in the resident's care plan and according to residents' preferences for 4 (Residents #88, # 5, #49, and #65) of 5 dependent residents reviewed.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure 1 (Resident #76) of 2 residents reviewed received necessary treatment and services to promote healing and prevent worsening of a pressure ulcer.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to follow the physician's orders for fluid restriction for 1 (Resident #75) of 2 residents reviewed for nutritional status.
Inspectors wroteBased on observation, clinical record review, review of facility's policies and procedures, resident representative and staff interviews, the facility failed to adequately supervise 1 (Resident #900) of 3 sampled residents with cognitive impairment, confusion and poor safety awareness to prevent unsafe wandering and elopement. On 11/28/25 at approximately 9:45 a.m., Resident #900 who was cognitively impaired, ambulatory, confused and had poor safety awareness walked past the unattended front desk of the facility and exited the building through the unlocked front door. Resident #900 crossed a two lane road and walked 0.5 mile to the dorm of a State College through uneven terrain and near water ponds. The college staff found Resident #900 wandering in the dorm, confused, unsteady and shaking. [...]
Inspectors wroteBased on observation, review of facility's policies and procedures, clinical record review, resident representative and staff interviews, the facility administration failed to provide effective oversight and implement processes to ensure the safety of residents, including unsafe wandering and elopement of 1 (Resident #900) of 3 cognitively impaired and confused residents reviewed. On 11/28/25 at approximately 9:45 a.m., Resident #900 who was cognitively impaired, ambulatory, confused and had poor safety awareness walked past the unattended front desk of the facility and exited the building through the unlocked front door. Resident #900 crossed a two lane road and walked 0.5 mile to the dorm of a State College through uneven terrain and near water ponds. The college staff found Resident #900 wandering in the dorm, confused, unsteady and shaking. [...]
Inspectors wroteBased on record review, review of facility's policy and procedure and staff interviews, the facility failed to maintain a medical record on 1 (Resident #900) of 3 residents reviewed that was completely and accurately documented.
Inspectors wroteBased on record review, review of facility's policies and procedures and staff interviews, the facility failed to protect the resident's rights to be free from neglect by failing to follow safety precautions specified in the care plan to prevent avoidable accident with injury for 1 (Resident #1) of 3 dependent residents reviewed.
Inspectors wroteBased on record review, review of facility's policies and procedures and staff interviews, the facility failed to provide care as specified in the care plan resulting in an avoidable fall with injury for 1 Resident #1) of 3 dependent residents reviewed.
Inspectors wroteBased on observation, record review, residents and staff interviews, the facility failed to provide timely assistance with dining for 2 (Residents #2 and #3) of 3 sampled dependent residents reviewed for dining services.
Inspectors wroteBased on observation, staff interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in a safe and sanitary manner.
Inspectors wroteBased on observation, resident and staff interviews, record review and review of facility policies and procedures, the facility of failed to provide the necessary care and services to maintain grooming and hygiene for 4 (Resident #8, #19, #38, and #60) of 8 residents reviewed for assistance with activities of daily living.
Inspectors wroteBased on observation, record review, review of policies and procedures, staff and residents interview, the facility failed to provide services to restore bladder function and prevent urinary tract infections to the extent possible for 3 (Residents #92, #254, and #11) of 3 residents reviewed for bladder function.
Inspectors wroteBased on record review, and staff interview, the facility failed to complete a performance review of 6 (Certified Nursing Assistants Staff W, X, Y, Z, AA, and BB) of 8 Certified Nursing Assistants (CNAs) employed at the facility greater than 12 months.
Inspectors wrote5. On 1/8/2024 at 12:45 p.m., during an interview with Resident #20, she was observed to have multiple medications on the table at her bedside. She said they were her medications that the nurses gave her to use as needed. Included in the medications were: Diclofenac Sodium Topical gel which is a medication to treat arthritis pain. Vitamin D Tablets. [NAME] Oil 500mg Dietary Supplement. Osteo Bi-Flex joint health Glucosamine & Chondroitin is taken to improve joint care. Brimonidine tartrate eye drops. 6. On 1/9/24 at 12:30 p.m., in an interview with Resident #53, she said she takes Albuterol as needed for shortness of breath. She said the staff let her keep it at bedside, so she has it when she needs it. A cannister/inhaler of Albuterol Sulfate was observed on Resident #53 bedside table. [...]
Inspectors wroteBased on observations and staff and resident interviews, the facility failed to provide food that was palatable, attractive, and at an appetizing temperature as determined by the type of food to ensure resident's satisfaction for 8 of 22 residents reviewed, (Resident #76, #20, #34, #61,#53, #49, #353 and #77).
Inspectors wroteBased on observation, interview and record review, the facility failed to provide beverages according to preferences for 3 (Residents #86, #19, and #17) of 11 sampled residents.
Inspectors wroteBased on observation, record review, review of policies and procedures, resident and staff interview the facility failed to evaluate and determine the resident's ability to safely self-administer medications for 2 (Resident #353, and #40) of 6 residents observed with unsecured medications at the bedside.
Inspectors wroteBased on observations, facility policy review, resident and staff interviews, the facility failed to provide housekeeping and maintenance services necessary to repair a broken toilet for 1 (Resident #84) of 27 sampled residents.
Inspectors wroteBased on observation, record review, staff and resident interview, the facility failed to revise the comprehensive care plans with individualized interventions to meet the needs of 1 (Residents #453) of 27 residents' care plans reviewed.
Inspectors wroteBased on observations, records review, policy and procedure review, residents and staff interviews, the facility failed to monitor and treat a skin rash for 1 (Resident #84) of 3 residents reviewed for skin conditions. The facility failed to provide appropriate care of a midline intravenous catheter for 1 (Resident #453) of 1 sampled resident receiving intravenous therapy.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate care and services to prevent an avoidable fall for 1 (Resident #26) of 3 dependent residents reviewed who sustained a fall at the facility.
Inspectors wroteBased on observations, record review, review of facility's policy and procedure, resident and staff interviews, the facility failed to ensure 2 (Residents, #21 and #40) of 3 sampled residents received oxygen therapy accurately and appropriately.
Inspectors wroteBased on interview and record review the facility failed to implement adequate interventions and supervision to prevent incidents two incidents of joint dislocation for 1 (Resident #182) of 1 resident surveyed for injury of unknown origin.
Inspectors wroteBased on observation, and staff interview the facility failed to prepare, store, and distribute food in a sanitary manner.
Inspectors wroteBased on observation, staff and resident interviews and policy review, the facility failed to ensure 2 (Residents #57 and #332), of 2 residents reviewed had been evaluated for the safe ability to self-administer medication.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide reasonable accommodation of needs and preferences for 1 (Resident #30) of 1 resident reviewed with mobility limitations by failing to provide access to a functional phone and radio. Accommodating their needs helps residents to maintain independence and dignity and improves overall well-being.
Inspectors wroteBased on observation, record review, review of the facility's abuse and neglect policy and procedure, and staff interviews, the facility failed to protect vulnerable residents' rights to be free abuse and neglect. The facility failed to implement adequate supervision for 2 (Resident #4 and Resident #38) of 2 sampled residents with known behaviors, from resident-to-resident verbal and physical abuse.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure 1(Resident #41) of 1 resident reviewed was free from physical restraints. Potential negative outcomes of restraint use included but are not limited to declines in resident's physical functioning and muscle condition, increased incidence of infections, pressure ulcers, agitation, and incontinence.
Inspectors wroteBased on interview and record review the facility failed to report two incidents of injury of unknown origin for 1 (Resident #182) of 1 resident surveyed for injury of unknown origin.
Inspectors wroteBased on interview and record review the facility failed to have documentation of investigation of two incidents of injury of unknown origin for 1 (Resident #182) of 1 resident surveyed for injury of unknown origin.
Inspectors wroteBased on observation, review of policies and procedure, interview, and record reviews the facility failed to provide regular individualized activities for 3 (Resident #30, #48, and #63) of 3 sampled residents with dementia. Failure to provide activities has a potential to increase loneliness and depression and prevent residents form maintaining their highest practical physical and psychological well-being.
Inspectors wroteBased on observation, review of facility policy and procedure, clinical record review and staff interviews, the facility failed to provide thickened liquids for 3 (Resident #5, #38 and #77) of 3 residents identified with swallowing difficulty. This had the potential to cause, choking and aspiration (food or liquid entering the lungs).
Inspectors wroteBased on observation, staff and resident interviews, review of facility policy and procedure, and record review, the facility failed to ensure 3 (Residents #5, #34 and #77) of 3 residents were assessed for alternative interventions prior to the use of bed rails. The facility failed to ensure they had informed the residents and/or their representative of the risks and benefits of bed rails, obtain an informed consent prior to use of the bed rails and to conduct periodic maintenance of the bed rails to ensure they remained safe for residents' use.
Inspectors wroteBased on clinical record review, personnel file review, and staff interview the facility failed to ensure 1 (Licensed Practical Nurse Staff Q) of 7 Licensed Practical Nurses reviewed had the required certification and competency prior to administer Intravenous Medication.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure 1(Staff B) of 5 Certified Nursing Assistant (CNA) reviewed for training received 12 hours annual in-service education as required.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish a system of disposition of controlled drugs in sufficient detail to enable accurate reconciliation of narcotics for disposal. Keeping accurate records of narcotics for disposal ensures staff who have access to the narcotics are not diverting the narcotics for personal use.
Inspectors wroteBased on observation, review of policy and procedure and staff interviews, the facility failed to ensure safe storage of medications for 2 (Residents #57 and #332) of 2 residents observed with unsecured medication at the bedside.
1 fire safety citation on file: 1 on April 15, 2026.
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2026 | Fine | $17,675 |
| April 30, 2025 | Fine | $78,430 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.57 | 3.82 | 3.86 |
| Registered nurses | 0.58 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.29 | 3.49 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.82 | ||
| Nursing staff turnover (share who left in a year) | 40.8% | 41.4% | 45.8% |
| Registered nurse turnover | 50.0% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.69 on weekdays and 3.29 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.57 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.57 | 0.58 | 3.69 | 3.29 | 0.0% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.59 | 0.59 | 3.67 | 3.36 | 0.0% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.64 | 0.53 | 3.73 | 3.43 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.62 | 0.57 | 3.75 | 3.30 | 0.0% | 0 of 91 | 102 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.0 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.4 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.4 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ambassador Healthcare at College Park's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.2% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 119 eligible stays.
11.3% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 154 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 114 eligible stays.
47.9% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 165 residents counted.
0.6% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 323 residents counted.
2.3% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 323 residents counted.
95.6% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 68 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: COLLEGE PARK REHABILITATION AND NURSING CENTER LLC. CMS links this home to Excelsior Care Group, a group of 33 nursing homes averaging 2.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| College Park Rehabilitation and Nursing Center LLC | 5% or greater direct ownership interest | Organization | 100% | 10/07/2022 |
| Flnho Capital Group LLC | 5% or greater indirect ownership interest | Organization | 10% | 10/08/2022 |
| Johnson, Benjamin | W-2 managing employee | Individual | 11/01/2022 | |
| Leifer, Joel | Corporate officer | Individual | 10/08/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.