Aspire at Evans
3735 Evans Ave, Fort Myers, FL 33901 · Lee County · 120 certified beds · avg 111 residents/day · certified since Dec 14, 1998
Part of chain: AVIATA HEALTH GROUP (50 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 7, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 12, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 12, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 12, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 21, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 26, 2026 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 26, 2026 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Sep 5, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Sep 5, 2025 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Jul 7, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 12, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 12, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Jun 12, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Aug 21, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 21, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 2, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Oct 24, 2022 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Oct 24, 2022 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 10, 2021 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 10, 2021 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 10 | 0 | E |
| 2022 | 3 | 0 | E |
| 2024 | 12 | 1 | G ▲ |
| 2025 | 8 | 2 | G ▲ |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $50,028, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 12, 2025 | Fine | $29,819 |
| Aug 21, 2024 | Fine | $10,033 |
| Aug 21, 2024 | Fine | $10,176 |
| Aug 21, 2024 | Payment Denial | 17 days from Oct 31, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Florida avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.91 | 4.03 | 3.95 | top 47% in Florida; top 43% in the U.S. |
| Registered Nurse hours | 0.32 | 0.76 | 0.69 | bottom 2% in Florida; bottom 12% in the U.S. |
| Weekend total nurse staffing | 3.75 | 3.68 | 3.50 | top 31% in Florida; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.53 | 0.48 | bottom 17% in Florida; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 41.4 | 45.8 | bottom 47% in Florida; top 44% in the U.S. |
| RN turnover (%) | 85.0 | 46.0 | 42.9 | bottom 2% in Florida; bottom 3% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.31, RN 0.27, weekend 3.17. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Evans Parent LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 11/02/2023 |
| Lee Evans Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/02/2023 |
| Aspire Mgt LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/02/2023 |
| Dagan, Amitai | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Freund, Nochum | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2023 |
| Freund, Nochum | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/02/2023 |
| Goldberger, Abraham | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Goldberger, Faigy | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Herskowitz, Eliezer | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Herskowitz, Yaakov | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Shoman, Edwin | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/26/2024 |
| Shoman, Edwin | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2024 |
| Sipra, Sajid | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/16/2023 |
| Sipra, Sajid | Individual | ADP of the SNF | NOT APPLICABLE | 11/16/2023 |
| Travitsky, Aaron | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Page Rehabilitation and Healthcare Center | 1.1 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Lee Memorial Hospital Skilled Nursing Unit | 1.6 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Cedarbrook Health and Rehabilitation Center | 1.7 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | |
| Winkler Court | 2.3 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Fort Myers Rehabilitation and Nursing Center | 2.7 mi | Fort Myers, FL | ★★☆☆☆ | 2/5 | |
| Ambassador Healthcare at College Park | 4.3 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Eagleridge Health and Rehabilitation Center | 4.5 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | abuse |
| Gulf Coast Medical Center Skilled Nursing Unit | 4.7 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Rehab & Healthcare Center of Cape Coral | 5.0 mi | Cape Coral, FL | ★☆☆☆☆ | 1/5 | |
| Aviata at North Fort Myers | 5.7 mi | N Ft Myers, FL | ★★★☆☆ | 2/5 | |
| The Preserve | 6.9 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Gulf Coast Village | 7.2 mi | Cape Coral, FL | —/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 106000.