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Larsen Health Center

13880 Shell Point Plaza, Fort Myers, FL 33908 · Lee County · (239) 466-1111

180 certified beds, about 153 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 105966 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 22, 2025, inspectors cited 3 health deficiencies (the Florida average is 7.1, the national average 9.2).

Of 17 health citations since July 2021, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $32,139 in the last three years; the largest was $32,139, and the latest is dated January 16, 2025.

Nurses and nurse aides worked 5.60 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.42 of those hours.

44.2% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to The Christian and Missionary Alliance, an affiliated group of 2 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
12D
3E
0F
Potential for minimal harm
0A
0B
0C
June 24, 2026Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has July 24, 2026
    Inspectors wroteBased on observation, record review, facility policy review, resident and staff interviews, the facility failed to provide care and services in accordance with the resident's individualized care plan to minimize the risk of avoidable accidents for 1 (Resident #1) of 3 dependent residents reviewed for transfers.
May 22, 2025Standard inspection · 3 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 22, 2025
    Inspectors wroteBased on record review, facility staff, resident and resident's representative interviews, the facility failed to develop and implement a comprehensive care plan to meet the needs of 1 (Resident #123) of 2 residents reviewed with a cardiac pacemaker (implanted device to treat irregular heart rhythm).
  2. D
    Provide or get specialized rehabilitative services as required for a resident.
    F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 22, 2025
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to follow physician's orders and provided skilled therapy services for 1 (Residents #89) of 4 residents reviewed for following physician's orders.
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 22, 2025
    Inspectors wroteBased on records review, observation and staff interviews the facility failed to accurately document physician ordered treatments for 2 (Residents #82 and Resident #93) of 2 resident's reviewed with feeding tubes.
January 16, 2025Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on record review, review of facility's policies and procedures, and staff interviews, the facility failed to protect residents' rights to be free from abuse by failing to honor the residents' right to refuse care for 1 (Resident #999) of 3 sampled residents when the resident displayed agitated and aggressive behaviors during care.
March 16, 2023Standard inspection · 7 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observation, review of facility policy and procedures, record review and staff interviews, the facility failed to provide adequate supervision and implement necessary interventions to prevent avoidable accidents for 1 (Resident #143) of 4 residents reviewed who were identified as being at risk for falls and sustained multiple falls at the facility, and a fracture requiring a transfer to a higher level of care.
  2. E
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on review of facility policy 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 residing in the facility.
  3. E
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observations, interviews, records review and facility policy review the facility failed to review the risks and benefits of bed rails with the resident/representative or attempt alternative interventions prior to bed rail installation for 5 residents, (#28, #97, #110, #143 and #554) of 5 residents reviewed for bed rails.
  4. E
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to conduct regular inspection of all bed frames, mattresses, and grab bars, as part of a regular maintenance program to ensure they remain safe, in good operating condition and to identify areas of possible entrapment for residents with grab bars. This had the potential to cause serious injury to the residents.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observation, review of facility policy and procedures, record review and staff interviews, the facility failed to have documentation of a thorough investigation related to alleged violations, including injuries of unknown origin for 2 (Resident #143 and #140) of 3 sampled residents reviewed for accidents.
  6. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observation, clinical record review, review of the facility's policy and procedure, resident and staff interviews, the facility failed to provide care and services in accordance to professional standards of practice to meet the needs of 2 (Resident #148, and #67) of 5 sampled residents reviewed for skin condition.
  7. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 16, 2023
    Inspectors wroteBased on observation, record review, review of facility's policy and procedure, resident representative and staff interviews, the facility failed to assist with necessary podiatry follow up appointments for 1 (Resident #81) of 5 sampled residents reviewed.
July 1, 2021Standard inspection · 5 citations
  1. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on medical record review, interview, and observation, the facility failed to develop and implement an activity program consistent with resident preferences choices for 1 (Resident #73) of 28 residents sampled for activities.
  2. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on observation, review of facility policy and procedure, record review, and staff and resident interview, the facility failed to follow Physician orders and Therapy recommendations to provide and document daily restorative nursing care ordered for 1 (Resident #3) of 1 resident observed for restorative care.
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on observation, interview, policy and record review, the facility failed to ensure proper weight management for a high-risk resident by not properly assessment and following facility policy for weight monitoring.
  4. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on observation, resident interview, and staff interview, the facility failed to provide sufficient and consistent nursing staff to meet the needs of 6 residents (Resident #25, #34, #60, # 65, #111, and #482) of 6 residents sampled. The failure to maintain sufficient and consistent staffing, resulted in the inability of nursing staff to respond to call lights and provide nursing related services to the residents in order to maintain the highest practicable physical, mental, and psychosocial well-being.
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 27, 2021
    Inspectors wroteBased on medical record review, interview, and policy review, the facility failed to ensure residents, receiving continuous positive airway pressure (CPaP) oxygen therapy per a machine, implemented preventive measures to lessen the development of a respiratory infection and the transmission of communicable diseases for 1 (Residents #73) of 2 residents sampled using a CPaP machine.

Fire safety inspections

11 fire safety citations on file: 9 on March 16, 2023, 2 on July 1, 2021.

Every fire safety citation11 citations
  1. F
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 16, 2023 · Corrected (the home has a date of correction)
  2. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 16, 2023 · Corrected (the home has a date of correction)
  3. F
    Install properly constructed and protected linen or trash chutes.
    K 541 · March 16, 2023 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 16, 2023 · Corrected (the home has a date of correction)
  5. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 16, 2023 · Corrected (the home has a date of correction)
  6. F
    Have proper power supply for life support equipment.
    K 915 · March 16, 2023 · Corrected (the home has a date of correction)
  7. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 16, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
    K 929 · March 16, 2023 · Corrected (the home has a date of correction)
  9. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 16, 2023 · Corrected (the home has a date of correction)
  10. F
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · July 1, 2021 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 1, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 16, 2025Fine $32,139

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeFloridaUnited States
All nursing staff (RN, LPN and aides)5.603.823.86
Registered nurses1.420.730.69
All nursing staff on weekends5.213.493.42
Nurse aides3.56
Licensed practical nurses0.63
Nursing staff turnover (share who left in a year)44.2%41.4%45.8%
Registered nurse turnover41.8%46.0%42.9%
Administrators who left1

CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 5.76 on weekdays and 5.21 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.80 in April to June 2025 to 5.60 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.601.425.765.21 1.8%0 of 90153
Oct to Dec 20255.881.506.005.57 1.8%0 of 92139
Jul to Sep 20256.811.857.026.28 6.6%0 of 92133
Apr to Jun 20256.801.747.056.18 10.1%0 of 91128
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Florida, Jan to Mar 20263.760.703.903.441.1%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeFloridaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.98.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.70.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.10.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.52.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.71.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.59.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.84.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.98.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.626.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.09.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.11.8

Owners and operators

Legal business name: THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION, INC. CMS links this home to The Christian and Missionary Alliance, a group of 2 nursing homes averaging 4.5 stars overall.

NameRoleTypeShareSince
The Christian and Missionary Alliance5% or greater indirect ownership interestOrganization100%06/01/1972
Anderson, WandaCorporate directorIndividual01/01/2008
Baldes, KenCorporate directorIndividual01/01/2001
Burdzy, JonCorporate directorIndividual01/01/2020
Candelore, MicheleCorporate directorIndividual10/01/2024
Cass, PaulCorporate directorIndividual01/01/2002
Christman, ChanleyCorporate directorIndividual05/01/2011
Davidson, JohnCorporate directorIndividual11/01/1995
Dewitt, CharlesCorporate directorIndividual01/01/1990
Duss, DonnaCorporate directorIndividual01/01/1994
Dys, JeremyCorporate directorIndividual01/01/2020
Flanders, TomCorporate directorIndividual01/01/2022
Glenn, JamesCorporate directorIndividual01/01/1991
Hibbard, JayCorporate directorIndividual10/01/2009
Ofarrell, MarkCorporate directorIndividual01/01/1994
Scales, MichaelCorporate directorIndividual11/01/2002
Vassar, TashaCorporate directorIndividual06/04/2017
White, ArchieCorporate directorIndividual01/01/2008
Rainey, LewisCorporate officerIndividual01/06/2020
Schappell, MartinCorporate officerIndividual03/21/2016
Candelore, MicheleOperational/managerial controlIndividual10/01/2024
Huisman, HenryOperational/managerial controlIndividual03/31/2025
Rainey, LewisOperational/managerial controlIndividual01/06/2020
Schappell, MartinOperational/managerial controlIndividual03/21/2016
Aegis Therapies, Inc.Adp of the SNFOrganization10/01/2021
Polaris Health LLCAdp of the SNFOrganization03/25/2025
Staffmd, LLCAdp of the SNFOrganization01/07/2025
The Christian and Missionary AllianceAdp of the SNFOrganization03/23/1967
Candelore, MicheleAdp of the SNFIndividual07/31/2025
Huisman, HenryAdp of the SNFIndividual03/31/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on June 24, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on May 22, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on January 16, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on March 16, 2023: "Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

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Common questions

What is Larsen Health Center's Medicare star rating?
CMS rates Larsen Health Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Larsen Health Center get at its last inspection?
3 health deficiencies at the standard inspection on May 22, 2025. The Florida average is 7.1.
Has Larsen Health Center been fined?
Yes. CMS lists 1 fine totaling $32,139 in the last three years.
Does Larsen Health Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Larsen Health Center?
CMS lists 30 owners and managers, and links the home to The Christian and Missionary Alliance. Legal business name: THE CHRISTIAN & MISSIONARY ALLIANCE FOUNDATION, INC.

Sources

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