The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
THE PRESERVE
FORT MYERS, FL · Medicare-certified · 75 beds
In good standing
Non-profitChain member
5 of 5 overall
THE PRESERVE (FORT MYERS, FL) has a 5 out of 5 overall rating, with 4 out of 5 for health inspections and staffing and 5 out of 5 for quality measures. It reported 4.89 nurse hours per resident per day, above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.8904 hrs/resident/day
Quality measures
Last inspection: October 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8904.
Staffing detail
- Registered nurses
- 1.20
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.86
- Weekend nursing
- 4.32
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 37%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
11.5%12.5%Worsening
Residents with a fall causing major injury
5.7%5.6%No change
Residents with pressure ulcers (bedsores)
10.2%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.7%3.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.8%17.9%Worsening
Residents whose ability to walk got worse
—6.2%—
Long-stay residents on antianxiety or sleep medication
11.1%7.1%Improving
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
23.8%31.5%Worsening
Residents with depressive symptoms
0%3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.6%—
Short-stay residents given the pneumonia vaccine
99.3%98.9%No change
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited February 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The home failed to protect residents’ right to complain without fear and did not ensure grievances were handled promptly. Cited January 2025 — isolated incident, potential for harm.
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F-Tag 585 — 42 CFR §483.10 — S/S: D
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: D
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $25,155 in total fines.
- $25,155
Federal fine
May 31, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of VOLUNTEERS OF AMERICA SENIOR LIVING · 6 homes · 3.2 stars avg
- Occupancy
- 66.9 residents on an average day (89% of 75 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.