3250 Winkler Avenue Extension, Fort Myers, FL 33916 · Lee County · (239) 939-4993
120 certified beds, about 117 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105882 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 24, 2025, inspectors cited 13 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 43 health citations since April 2021, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 1 fine totaling $178,937 in the last three years; the largest was $178,937, and the latest is dated February 16, 2024.
Nurses and nurse aides worked 3.28 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
18.6% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Florida Institute for Long-Term Care, an affiliated group of 17 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 43 health citations on file.
Inspectors wroteBased on interviews, record review, and review of facility policy, the facility failed to ensure that one resident (Resident #1) of 3 residents reviewed was free from neglect when staff did not recognize, act upon, and report a critical change in condition in a timely manner. This failure resulted in a significant delay in emergency medical intervention for a resident experiencing severe hyperglycemia, metabolic acidosis, and suspected diabetic ketoacidosis (DKA).
Inspectors wroteBased on record review, resident representative and staff interview the facility failed to ensure all refunds due the resident representative were refunded within 30 days of discharge for 1(Resident #1) of 1 resident as required.
Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to ensure medications were administered in accordance with professional standards of practice for 1 (Resident #12) of 3 sampled residents by leaving prescribed medications at the bedside without ensuring ingestion. This practice has the potential to result in medication errors, including missed doses, and incorrect administration.
Inspectors wroteBased on observation and interview, the facility failed to provide a safe, clean, comfortable and home-like environment for residents, staff and the public.
Inspectors wroteBased on observation, review of facility policy and procedure, record review and staff interviews, the facility failed to treat 5 (Resident's #94, #26, #3, #220 and #221) of 5 residents observed with respect and dignity during in room meal tray administration.
Inspectors wroteBased on interview and record review, the facility failed to ensure the physician signed the State of Florida Do Not Resuscitate (DNR) order in a timely fashion for 3 residents (#39, #72, and #78) of 3 reviewed who chose a DNR status. Failure to have the physician sign the Florida DNR order. leaves the resident at risk of receiving cardiopulmonary resuscitation (CPR) against their wishes during transfer by Emergency Medical Services (EMS).
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement an effective Infection Prevention and Control Program (IPCP) for 5 (Residents #111, #25, #27, #68, and #216) of 5 residents sampled for Infection control practices putting the residents at risk for transmission of multidrug-resistant organisms (MDROs).
Inspectors wroteBased on record review, observation, and interview, the facility failed to update/revise the comprehensive care plan related to pressure injuries for 1 Resident (#68) of 3 residents reviewed with pressure injuries.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure residents receive accurate assessments for 1 Resident (#68) of 3 residents reviewed.
Inspectors wroteBased on record review, staff interviews, and observations, the facility failed to complete a PASRR Level II referral for 1 (Resident #43) resident who demonstrated the return of a serious mental illness. This resulted in a lack of appropriate psychiatric assessment and increased risk of unmet care needs.
Inspectors wroteBased on interview and record review, the facility failed to develop a comprehensive care plan reflective of the resident's choice of code status for 1 (Resident #78) of 3 residents reviewed for advanced directives care planning.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that 1 (Resident #54) of 1 residents reviewed for activities received services designed to meet their interests, physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, review of facility policy and procedures and family and staff interviews, the facility failed to ensure the physician was notified and the residents spouse was properly trained to administer medications for 1 (Resident #93) of 5 residents reviewed for medication observation.
Inspectors wroteBased on observation, review of clinical records and resident and staff interviews, the facility failed to assist in making an appointment with a practitioner specializing in the treatment of vision impairments and failed to ensure the resident's glasses were in good repair for 1 (Resident #50) of 1 resident reviewed for vision loss.
Inspectors wroteBased on record review, interview, and observation, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services and prevention of new ulcers from developing for 1 Resident (#68) of 3 residents reviewed.
Inspectors wroteBased on record review, interview, and observation, the facility failed to offer a therapeutic diet for 1 (Resident #60) of 2 reviewed for nutrition.
Inspectors wroteBased on record review and interview, the facility failed to ensure licensed nurses have the specific competencies and skill sets to provide nursing and related services to care for residents needs for 2 (Residents #1 and #2) of 3 residents reviewed for medication orders.
Inspectors wroteBased upon interview and record review, the facility failed to ensure residents were free from significant medication errors by not administering medications in accordance with prescribers' orders for 2 (Resident #1 and #2) of 3 residents reviewed for medication orders.
Inspectors wroteBased on observations, record review, review of policies and procedures, and staff interviews, the facility failed to protect the residents' right to be free from neglect by failing to ensure full body mechanical lifts were in safe operating condition, failing to ensure staff followed safety protocol when using mechanical lifts, and failure to ensure staff responsible for the inspection and maintenance of mechanical lifts was knowledgeable and competent to perform the job duties. Resident #1 was dependent on staff and required the use of a mechanical lift for transfer. On 1/22/24 Resident #1 fell from the full body mechanical lift during transfer. The motor of the lift used to transfer Resident #1 had been removed since July 2023, preventing the legs of the base to remain locked into position during the transfer. [...]
Inspectors wroteBased on observation, record review, review of facility's policies and procedures, and staff interviews, the facility failed to implement processes to prevent accidents by failing to ensure staff followed manufacturer's safety recommendations during transfer with mechanical lift, and failing to ensure mechanical lifts were in safe operating condition. On 1/22/24 staff used a full body mechanical lift to transfer Resident #1. The motor of the lift had been removed making the locking mechanism inoperable. Resident #1 fell from the lift, sustained cuts to the left arm, complained of head trauma and pain all over. Resident #1 required an emergent transfer to an acute care hospital for evaluation and treatment. [...]
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to implement processes to ensure resident equipment was in safe operating condition. On 1/22/24 Staff used a full body mechanical lift to transfer Resident #1. Resident #1 fell from the mechanical lift, sustained cuts, complained of head trauma and generalized pain requiring an emergent transfer to an acute care hospital. The motor of the lift had been removed since July 2023 causing the legs of the base to not lock to ensure a safe transfer. Staff responsible for the inspection and maintenance of the mechanical lifts did not have the training and competency to ensure the mechanical lifts were in safe operating condition. [...]
Inspectors wroteBased on observation, record review, and interviews, the facility's Administration failed to utilize resources effectively to protect the residents right to be free from neglect by failing to ensure staff competency in the areas of inspecting, identifying, and removing unsafe resident equipment from use, and safe transfer techniques with mechanical lifts. On 1/22/24 Staff used a full body mechanical lift to transfer Resident #1. The motor of the lift had been removed since July 2023 causing the legs of the base to not lock to ensure a safe transfer. Resident #1 fell from the mechanical lift, sustained cuts, complained of head trauma and generalized pain requiring an emergent transfer to an acute care hospital. [...]
Inspectors wroteBased on observation, records review, and staff interviews the facility failed to ensure that staff were routinely monitored to ensure the safe use of mechanical lifts to transfer residents for 5 of 58 sampled Certified Nursing Assistants (Staff A, Staff B, Staff C, Staff H, and Staff I), and 2 of 17 sampled Registered Nurses (RN) (Staff K and Assistant Director of Nursing) RNs.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety. This had the potential to effect 105 residents who resided in the facility. Review of Food and Nutrition Services Manual - Topic: Storage (Effective January 2021. Refrigerator storage: 1. store perishable foods in refrigerator and/or foods marked keep refrigerated: by the manufacturer 7. Discard leftovers per use by date. 8. Discard refrigerated leftovers after 72 hours. Maintain food temperature at 41 degrees Fahrenheit (F) or less Review of policy and procedure for Dish Machine Temperature Log. Policy: To monitor dish machine temperatures and chemical saturation for both high and low temperature machines at each meal prior to dishwashing to assure proper cleaning and sanitizing of dishes Procedure: 2. [...]
Inspectors wroteBased on staff interview and policy review the facility failed to maintain an antibiotic stewardship program that includes antibiotic use protocols and system to monitor antibiotic use.
Inspectors wroteBased on observation and staff interview, the facility failed to provide the necessary repairs to maintain the building in a safe and comfortable environment for residents and visitors.
Inspectors wroteBased on interview and record review the facility failed to ensure a process was in place to assess parameters of nutritional status by not monitoring resident's weights on admission and thereafter for 6 ( Residents #91, #94, #96, #253, #351, and #402) admitted in past 30 days of 6 residents reviewed. This had the potential to affect all 84 residents residing in the facility.
Inspectors wroteBased on observation, review of policy and procedure, review of the Center for Disease Control and staff interview, the facility failed to ensure all staff followed infection prevention measures to prevent the spread of disease-causing organism when caring for 3 (Resident #3, #31, and #351) of 3 sampled residents reviewed on contact precaution.
Inspectors wroteBased on record review, observation, resident and staff interviews, the facility failed to provide care in a dignified manner by dressing a resident in a hospital gown instead of regular clothes which resulted in feelings of embarrassment for 1(Resident #91) of 2 residents reviewed for dignity.
Inspectors wroteBased on record review and resident interviews, the facility failed to document, investigate and communicate resolution of a grievance voiced by the spouse of 1(Resident #91) of 4 residents reviewed for grievances.
Inspectors wroteBased on observation, review of the clinical record, review of facility policy and resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 2 (Resident #7, and #49) of 3 residents reviewed for activities of daily living.
Inspectors wroteBased on observation, review of facility policy, clinical record review, and staff interviews, the facility failed to implement meaningful activity programs for 2 (Resident #48 and #302) of 2 residents reviewed with dementia on the secured Memory Care Unit. A lack of structured activities has the potential to cause boredom, agitation, and anxiety.
Inspectors wroteFacility failed to provide appropriate supervision to prevent falls for 1 resident (Resident #57) of four surveyed for falls.
Inspectors wroteBased on staff interview and record review the facility failed to ensure competency and performance reviews are completed every 12 months for 2 (Staff B and Staff BB) of 6 staff sampled for performance review and competencies.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to secure medications in a locked storage area consistent with state or federal requirements and professional standards of practice for 2 (Resident #6 and #65) of 2 residents reviewed for medication storage.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to accommodate residents with food allergies/intolerances for 1 (Resident #65) of 1 resident reviewed.
Inspectors wroteBased on observation, review of facility policies, and staff interviews, the facility failed to maintain an effective pest control program and failed to provide a sanitary environment free from pests.
Inspectors wroteBased on interview and record review, the facility failed to post hours for licensed and unlicensed nursing staff on a daily basis as required by regulation.
Inspectors wroteBased on observation, record review, review of policies and procedures, and staff interview, the facility failed to implement meaningful and empowerment activity programs to meet the assessed needs of 8 (Resident #5, #19, #39, #41, #58, #60, #62, and #64) of 8 residents identified with emotional and psychological needs. The lack of an individualized activity program has the potential to cause social isolation, boredom, agitation, and frustration.
Inspectors wroteBased on record review, resident and staff interview the facility failed to have documentation of description of grievances, investigation and prompt interventions for 4 (Resident #19, #34, #64 and #202) of 4 residents who voiced grievances.
Inspectors wroteBased on observation, record review, review of the facility's abuse and neglect policy, residents and staff interviews, the facility failed to implement their policy and procedure and document thorough investigation of resident complaints of staff treatment for 4 (Resident #19, #34, #64, and #202) of 4 residents with documented grievances reported to management.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide oxygen therapy, in accordance with physician orders, for 2 (Residents #24 and #60) of 2 residents sampled for oxygen administration. Failure to follow prescribed oxygen therapy may result in inadequate oxygen treatment or an increased risk of side effects and complications.
Inspectors wroteBased on observation, review of facility policy and procedures, and staff interviews the facility failed to ensure timely access to locked emergency-controlled substance medications located in 1 of 2 medication storage rooms. The facility also failed to have a system to audit and reconcile the disposition of discharged controlled substances and failed to ensure secured and locked medication carts for 1 of 6 carts at the facility.
8 fire safety citations on file: 8 on April 24, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| February 16, 2024 | Fine | $178,937 |
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) | 3.28 | 3.82 | 3.86 |
| Registered nurses | 0.64 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.08 | 3.49 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.59 | ||
| Nursing staff turnover (share who left in a year) | 18.6% | 41.4% | 45.8% |
| Registered nurse turnover | 27.8% | 46.0% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.53 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 3.35 on weekdays and 3.08 on weekends, 8% 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 3.41 in April to June 2025 to 3.28 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 | 3.28 | 0.64 | 3.35 | 3.08 | 0.0% | 0 of 90 | 117 |
| Oct to Dec 2025 | 3.25 | 0.64 | 3.31 | 3.09 | 0.0% | 0 of 92 | 116 |
| Jul to Sep 2025 | 3.35 | 0.63 | 3.42 | 3.18 | 0.0% | 0 of 92 | 114 |
| Apr to Jun 2025 | 3.41 | 0.63 | 3.51 | 3.16 | 0.0% | 0 of 91 | 115 |
| 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 | 7.7 | 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 | 0.8 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.9 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.6 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.4 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Winkler Court's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
58.0% 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. 251 eligible stays.
8.8% 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. 303 eligible stays.
7.3% 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. 169 eligible stays.
49.0% 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. 100 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. 173 residents counted.
3.4% 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. 173 residents counted.
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. 14 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: FI-WINKLER COURT, LLC. CMS links this home to Florida Institute for Long-Term Care, a group of 17 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Florida Institute for Long Term Care LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/23/2002 |
| Jaffe, Howard | Corporate officer | Individual | 01/01/2012 | |
| Katz-Hall, Kathy | Corporate officer | Individual | 01/01/2012 | |
| Mullarkey, James | Corporate officer | Individual | 01/01/2012 | |
| Richmond, Penny | Corporate officer | Individual | 01/01/2012 | |
| Aegir Health Management LLC | Operational/managerial control | Organization | 09/01/2009 | |
| Consulting Support Services, LLC | Operational/managerial control | Organization | 06/28/2011 | |
| Facility Support Company, LLC | Operational/managerial control | Organization | 12/13/2010 | |
| Kane Financial Services, LLC | Operational/managerial control | Organization | 06/06/2012 | |
| Boswell, Sally | Operational/managerial control | Individual | 01/19/2021 | |
| Conzelman, Tina | Operational/managerial control | Individual | 09/20/2022 | |
| Aegir Health Management LLC | Adp of the SNF | Organization | 09/01/2009 | |
| Consulting Support Services, LLC | Adp of the SNF | Organization | 06/28/2011 | |
| Facility Support Company, LLC | Adp of the SNF | Organization | 12/13/2010 | |
| Kane Financial Services, LLC | Adp of the SNF | Organization | 06/06/2012 | |
| Select Rehabilitation, LLC | Adp of the SNF | Organization | 08/19/2016 | |
| Boswell, Sally | Adp of the SNF | Individual | 01/19/2021 | |
| Conzelman, Tina | Adp of the SNF | Individual | 09/20/2022 |
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.
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.