3735 Evans Ave, Fort Myers, FL 33901 · Lee County · (239) 277-3977
120 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 106000 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 21, 2024, inspectors cited 11 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 36 health citations since March 2021, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $50,028 in the last three years; the largest was $29,819, and the latest is dated June 12, 2025.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
42.9% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Aviata Health Group, an affiliated group of 50 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 36 health citations on file.
Inspectors wroteBased on observation, review of facility policy and procedures, record review and staff interviews, the facility failed to provide adequate supervision and implement appropriate resident centered interventions to prevent avoidable accidents for 1 (Resident #999) of 3 residents reviewed who were identified as being at risk for falls and sustained multiple falls at the facility, including falls with injuries.
Inspectors wroteBased on record review, resident and staff interview the facility failed to ensure 3 (Residents #1, #4 and #6) of 4 residents reviewed with Baseline Care Plans, had those Care Plans developed and completed appropriately to include instructions needed to provide effective and person-centered care within 48 hours of the residents being admitted to the facility.
Inspectors wroteBased on staff interviews and resident medial record review, the facility failed to ensure 1 (Resident #1) of 4 residents reviewed with admission orders for an occupational, physical, and speech therapy evaluation and treatment as indicated had the assessments/services provided as ordered by the physician to evaluate the need for therapy and to treat as indicated by the assessment.
Inspectors wroteBased on observation, review of facility policy and procedures, resident and staff interviews, the facility failed to maintain an effective pest control program to ensure an environment free from pests for 2, (Resident #400 and #500), of 97 residents residing in the skilled nursing facility.
Inspectors wroteBased on record review, and staff interviews, the facility failed to ensure a licensed nurse was designated to serve as charge nurse on all shifts. This failure resulted in the inability of nursing staff to know who would provide oversite for patient care, ensure safety and compliance and serve as a leader to support staff on the evening shifts.
Inspectors wroteBased on record review, review of facility policy and procedures, staff and resident interviews, the facility failed to protect the resident's right to be free from physical, and verbal abuse for 1(Resident #999) of 3 residents reviewed for abuse.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure residents were free from abuse, including but not limited to physical restraint not required to treat the resident's medical symptoms for 1 (Resident #1) of 1 resident reviewed for physical restraint.
Inspectors wroteBased on record review and interview, the facility failed to ensure required documentation was completed in the event of transfer or discharge for 3 (Resident #2, #3 and #6) of 3 residents reviewed for transfer and discharge.
Inspectors wroteBased on record review and interview, the facility failed to permit residents to remain in the facility and allow residents to return to the facility following hospitalization for 2 (Residents #2 and #3) of 3 residents reviewed following hospitalization.
Inspectors wroteBased on observations, records review and interviews, the facility failed to carry out activities of daily living (ADLs) including nail care and showers for 2 dependent residents, 12 and #16, of 5 residents reviewed for ADLs.
Inspectors wroteBased on record review, and staff interviews the facility failed to ensure consistent documentation of meal intake for 2 (Residents #3 and #9) of 3 sampled residents with significant weight loss to determine the effectiveness of nutritional interventions.
Inspectors wroteBased on observation, record review, review of facility's policy and procedure, staff, and family interview the facility failed to implement a systemic approach to identify risk factors and implement appropriate supervision and interventions to prevent avoidable falls with serious injuries for 3 (Resident #10, #69 and #30) of 5 residents sampled with falls or fall related injuries.
Inspectors wroteBased on observation, staff interviews, and record reviews, the facility failed to store, prepare, distribute, and serve food in long term care facilities in a safe and sanitary manner.
Inspectors wroteBased on observation, family and staff interview, review of facility policy and procedure, and record review the facility failed to ensure they provided an ongoing program to support the residents in their choice of activities which are designed to meet the resident's interests and support the resident physical, mental and psychosocial well-being for 6 (Residents #10, #23, #48, #69, #79 and #96) of 21 residents reviewed for involvement in the activity program on the secured memory care unit.
Inspectors wroteBased on review of facility job description and staff interviews, the facility failed to ensure the activities program was directed by a qualified professional who is a qualified therapeutic recreation specialist or an activity professional. This has the potential to affect all current residents who participate in activities.
Inspectors wroteBased on staff interviews and record review the facility failed to ensure 5 facility Staff (E, N, O, P, and Q) out of 5 facility staff nursing aids reviewed, had the required in-service training for continuing competency education of no less than 12 hours per year. Failure to provide staff with continuing yearly in-service training on a yearly basis could lead to staff not having knowledge and training on how to provide the appropriate services to resident with cognitive impairments.
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to ensure staff provided care and services with respect and dignity to 2 (Residents #69 and #23) of 21 cognitively impaired residents observed on the memory care unit.
Inspectors wroteBased on observation, review of facility policy and procedure and staff interview the facility failed to provide housekeeping and maintenance services to ensure a clean, safe and comfortable environment for 9 (Rooms #302, #304, #306, #307, #308, #309, #310, #312, and #313) of 13 rooms and the dining room of the memory care unit.
Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to ensure the Baseline Care Plan (BCP) was provided to the resident and their representative with a summary of the BCP that included but was not limited to the initial goals of the resident, a summary of the resident's medications and dietary instructions, and any services and treatments to be administered by the facility and any updated information for 2 (Residents #4 and #26) of 3 residents reviewed for BCP.
Inspectors wroteBased on observation, record review and interview the facility failed to implement resident-directed care and treatment per physician order and professional standards of practice for 1 (Resident #502) of 2 residents reviewed for wound care which could place the resident at risk for infection or worsening of wound.
Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to ensure 1 (Resident #17) of 1 resident reviewed for dental services received appropriate care and services for broken teeth.
Inspectors wroteBased on observation, clinical record review, review of facility's policy and procedure and staff interviews, the facility failed to determine and implement appropriate transmission-based precautions for 1(Resident #8) of 1 resident reviewed for transmission-based precautions.
Inspectors wroteBased on interviews and record reviews the facility failed to ensure two of three residents surveyed (Resident #159, and Resident #8) received showers as scheduled weekly and as requested by the residents and their families.
Inspectors wroteBased on observation, review of facility policies and procedures, record review and staff interviews, the facility failed to provide individual and group activities to meet the assessed needs of 4 (Resident #2, #31, #79 and #86) of 4 residents reviewed for activities on the memory care unit.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the activities program is directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities professional.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents' medications, and supplements were properly stored to prevent unauthorized access for 1 (Resident #33) of 1 resident observed with unsecured medications at the bedside.
Inspectors wroteBased on record review, resident and staff interview, the facility failed to provide an ongoing facility sponsored group activity program, and individualized activities to support residents in their choice of activities, which are designed to meet the residents' interests and support the residents' physical, mental, and psychosocial well-being for 5 (Residents #48, #17, #42, #28, and #33) of 5 residents reviewed of a total of 61 residents. The lack of an ongoing activity program and a lack of contact and interaction with the community could lead to a decline in the residents' self-esteem, physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, record review, review of the facility's policies and procedures, staff, resident, and family member interview the facility failed to facilitate indoor visitation for 1 (Resident #60) of 1 resident reviewed for visitation.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure accurate advanced directives/code status was in place for 1 (Resident #57) of 1 resident from a total of 19 sampled residents. This may impact quality of care at the end of life for the resident.
Inspectors wroteBased on record review and staff interview, the facility failed to provide the Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) form CMS-10055 and the Notice of Medicare Non-coverage (NOMNC) - form CMS 10123-NOMNC, also referred to as a generic notice to 2 (Resident #39 and #60) of 3 residents sampled.
Inspectors wroteBased on record review, staff, resident and family interview, the facility failed to have documentation of prompt efforts to address and resolve grievances for 1 (Resident #60) of 1 sampled resident with multiple documented grievances.
Inspectors wroteBased on observation, record review, and staff and resident interview, the facility failed to develop and implement a comprehensive resident-centered activity care plan for 3 (Residents #43, #48 and #436) of 3 residents reviewed who were admitted to the facility since 1/4/21. The failure to develop and implement a resident-centered care plan could lead to a decline and/or failure to meet the resident's highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on record review and resident and staff interview, the facility failed to provide a restorative nursing program as ordered by the physician to prevent decline in range of motion for 1 (Resident #28) of 1 resident reviewed for activities of daily living.
Inspectors wroteBased on record review, resident observation, and staff interview, the facility failed to ensure 3 (Residents #71, #75 and #435) of 28 residents observed with side rails were assessed for alternative interventions prior to the use of side rails. The facility failed to ensure they had informed the resident and/or their representative of the risks and benefits of side rails, obtain an informed consent prior to use of the bed rails. The facility further failed to provide documentation they were following the manufactures' recommendation of maintaining the side rails for safety and to prevent potential resident entrapment.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure 1 (Resident #25) of 5 residents observed for medication administration was free from a significant medication error.
Inspectors wroteBased on observation and policy review, the facility failed to store cold foods in a safe and sanitary manner to prevent potential cross contamination.
15 fire safety citations on file: 8 on August 21, 2024, 2 on May 30, 2024, 2 on October 24, 2022, 3 on March 10, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| June 12, 2025 | Fine | $29,819 |
| August 21, 2024 | Fine | $10,033 |
| August 21, 2024 | Fine | $10,176 |
| August 21, 2024 | Payment Denial | 17 days from October 31, 2024 |
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) | 3.31 | 3.82 | 3.86 |
| Registered nurses | 0.27 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.49 | 3.42 |
| Nurse aides | 2.07 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 42.9% | 41.4% | 45.8% |
| Registered nurse turnover | 85.0% | 46.0% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.24 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 3.36 on weekdays and 3.17 on weekends, 6% 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 3.71 in April to June 2025 to 3.31 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 | 3.31 | 0.27 | 3.36 | 3.17 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.37 | 0.35 | 3.45 | 3.17 | 0.0% | 0 of 92 | 103 |
| Jul to Sep 2025 | 3.62 | 0.38 | 3.70 | 3.44 | 0.0% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.71 | 0.49 | 3.81 | 3.47 | 0.0% | 0 of 91 | 111 |
| 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. If you work here, your report helps start one.
| 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 | 9.5 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.3 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.4 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.2 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.8 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 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 Aspire at Evans's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (38.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
38.6% 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. 34 eligible stays.
10.5% 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. 58 eligible stays.
7.2% 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. 27 eligible stays.
51.9% 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. 81 residents counted.
0.0% 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. 113 residents counted.
0.0% 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. 113 residents counted.
100.0% 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. 27 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: EVANS AVENUE OPCO LLC. CMS links this home to Aviata Health Group, a group of 50 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Evans Parent LLC | Direct ownership interest | Organization | 11/02/2023 | |
| Lee Evans Holdco LLC | Indirect ownership interest | Organization | 11/02/2023 | |
| Freund, Nochum | Corporate officer | Individual | 11/02/2023 | |
| Freund, Nochum | Operational/managerial control | Individual | 11/02/2023 | |
| Shoman, Edwin | Operational/managerial control | Individual | 02/26/2024 | |
| Sipra, Sajid | Operational/managerial control | Individual | 11/16/2023 | |
| Dagan, Amitai | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Goldberger, Abraham | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Goldberger, Faigy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Herskowitz, Eliezer | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Herskowitz, Yaakov | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Travitsky, Aaron | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/15/2025 | |
| Aspire Mgt LLC | Adp of the SNF | Organization | 11/02/2023 | |
| Shoman, Edwin | Adp of the SNF | Individual | 02/26/2024 | |
| Sipra, Sajid | Adp of the SNF | Individual | 11/16/2023 |
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.
Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.