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The Preserve

14750 Hope Center Loop, Fort Myers, FL 33912 · Lee County · (239) 574-0078

75 certified beds, about 70 residents a day · Non profit - Corporation · Medicare and Medicaid since 2020

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 106137 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 2, 2025, inspectors cited 0 health deficiencies (the Florida average is 7.1, the national average 9.2).

None of its 8 health citations since February 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.65 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.

33.8% of nursing staff left within the year CMS measured (Florida average 41.4%).

CMS links it to Volunteers of America Senior Living, an affiliated group of 6 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
October 2, 2025Standard inspection · 0 citations
January 16, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 3, 2025
    Inspectors wroteBased on resident's family interview, staff interviews and record review the facility failed to ensure 1 (Resident #2) of 3 grievances reviewed had documentation of the steps taken to investigate the grievance, a summary of the pertinent findings or conclusion regarding the complainant's concern(s), a statement as to whether the complaint was confirmed or not confirmed, and the complainant was given a summary of the pertinent findings or conclusions regarding their concern(s).
November 16, 2023Standard inspection · 3 citations
  1. 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) December 21, 2023
    Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to accurately transcribe medication orders upon admission for 1 (Resident #118) of 6 residents reviewed for physicians orders.
  2. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2023
    Inspectors wroteBased on observation, interviews, record review, and facility policy review, the facility failed to accurately transcribe physician's admitting pain medication orders on admission, resulting in ineffective pain control for 1 (Resident #118) of 6 residents sampled for accuracy of physician's orders.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2023
    Inspectors wroteBased on observations, record reviews, interviews, and facility policy review, the facility failed to ensure the medication error rate was less than 5%. This was evidenced by two medication errors out of 26 opportunities, resulting in a medication error rate of 7.69%.
February 17, 2022Standard inspection · 4 citations
  1. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2022
    Inspectors wroteBased on observations, record review and staff and resident interviews, the facility failed to ensure urinary catheters were maintained in a safe and sanitary manner for 3 (Resident #16, #32 and #37) of 3 residents sampled with indwelling urinary catheter.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2022
    Inspectors wroteBased on clinical record review and staff interview, the facility failed to ensure the MDS (Minimum Data Set) assessment accurately reflected the resident status for 2 (Resident #21 and #45) of 2 sampled residents reviewed for vision and behavior. Inaccurate MDS assessments can result in a resident not receiving appropriate health care.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2022
    Inspectors wroteBased on observation, record review, staff, and resident interviews the facility failed to ensure 1 (Resident #21) of 2 sampled residents with impaired vision receive appropriate treatment and assistance with meals.
  4. D
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2022
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure sufficient dietary staff to carry out the functions of the food and the nutrition services effectively in serving meals for 3 residents (Resident #12, Resident #20, and Resident #364) of 16 residents surveyed for dietary services.

Fire safety inspections

3 fire safety citations on file: 1 on October 2, 2025, 1 on November 16, 2023, 1 on February 17, 2022.

Every fire safety citation3 citations
  1. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · October 2, 2025 · Corrected (the home has a date of correction)
  2. D
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · November 16, 2023 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · February 17, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

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)4.653.823.86
Registered nurses1.080.730.69
All nursing staff on weekends4.133.493.42
Nurse aides2.70
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)33.8%41.4%45.8%
Registered nurse turnover36.8%46.0%42.9%
Administrators who left2

CMS expects 3.93 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 4.85 on weekdays and 4.13 on weekends, 15% 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 4.91 in April to June 2025 to 4.65 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.651.084.854.13 0.0%0 of 9070
Oct to Dec 20254.891.205.114.32 0.2%0 of 9267
Jul to Sep 20254.941.195.184.33 0.4%0 of 9263
Apr to Jun 20254.911.125.084.48 0.9%0 of 9165
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.

Staff pay reports

Staff pay at this home

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.

Official wage estimates for Florida

JobMedianMiddle halfEmployed
Florida, all employers
CNAs (nursing assistants)$18.03$17.33 to $20.3496,960
LPNs and LVNs$29.70$28.14 to $31.1138,620
Registered nurses$40.48$37.82 to $48.64229,940
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
17.48.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.40.71.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.52.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.19.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.64.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.38.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.226.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.09.112.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Preserve's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (71.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

71.3% this home

Better than 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. 465 eligible stays.

Potentially preventable readmissions

9.4% 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. 459 eligible stays.

Infections that led to a hospital stay

7.8% 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. 303 eligible stays.

Self-care and mobility at discharge

75.9% 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. 249 residents counted.

Falls with major injury

1.3% 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. 313 residents counted.

New or worsened pressure ulcers

2.0% 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. 313 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 12 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.

Owners and operators

Legal business name: VOA LEE COUNTY HEALTH CARE FACILITY, INC.. CMS links this home to Volunteers of America Senior Living, a group of 6 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Voa Lee County Health Care Facility, Inc.5% or greater direct ownership interestOrganization100%10/13/2015
Arnold, PattiCorporate directorIndividual07/01/2016
Bloom, ShawnCorporate directorIndividual07/01/2017
Erickson, KarenCorporate directorIndividual07/01/2022
Hackett, KarenCorporate directorIndividual07/01/2023
Knapp, KeithCorporate directorIndividual07/01/2016
Mullen, BethCorporate directorIndividual07/01/2023
Perkins, DerrickCorporate directorIndividual07/01/2019
Peterson, JeanneCorporate directorIndividual07/01/2017
Rase, NancyCorporate directorIndividual07/01/2016
Sheridan, PatrickCorporate directorIndividual07/01/2023
Vigee, VorisCorporate directorIndividual07/01/2022
Budzynski, JosephCorporate officerIndividual04/02/2012
Gavin, NancyCorporate officerIndividual11/11/2011
King, MichaelCorporate officerIndividual07/01/2010
Nutz, FaithCorporate officerIndividual09/01/2018
Keller, RyanOperational/managerial controlIndividual01/20/2025
Mahadevan, AnandOperational/managerial controlIndividual06/01/2020
Richard, SarahOperational/managerial controlIndividual03/04/2024
Soczynski, PaulOperational/managerial controlIndividual01/20/2025
Voa Lee County Health Care Facility, Inc.Adp of the SNFOrganization12/18/2017
Gavin, NancyAdp of the SNFIndividual10/13/2015
Keller, RyanAdp of the SNFIndividual01/20/2025
Mahadevan, AnandAdp of the SNFIndividual01/31/2025
Nutz, FaithAdp of the SNFIndividual09/01/2018
Richard, SarahAdp of the SNFIndividual03/04/2024
Soczynski, PaulAdp of the SNFIndividual01/20/2025

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 4 problems in this area, most recently on November 16, 2023: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on January 16, 2025: "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 16, 2023: "Ensure medication error rates are not 5 percent or greater."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on February 17, 2022: "Ensure each resident receives an accurate assessment."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Florida contacts for a concern about a nursing home

These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.

Common questions

What is The Preserve's Medicare star rating?
CMS rates The Preserve 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Preserve get at its last inspection?
0 health deficiencies at the standard inspection on October 2, 2025. The Florida average is 7.1.
Has The Preserve been fined?
CMS lists no fines in the last three years.
Does The Preserve 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 The Preserve?
CMS lists 27 owners and managers, and links the home to Volunteers of America Senior Living. Legal business name: VOA LEE COUNTY HEALTH CARE FACILITY, INC..

Sources

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