Douglas Jacobson State Veterans Nursing Home
21281 Grayton Terrace, Port Charlotte, FL 33954 · Charlotte County · 120 certified beds · avg 112 residents/day · certified since Jun 7, 2004
Part of chain: FLORIDA DEPARTMENT OF VETERANS' AFFAIRS (7 facilities, chain avg rating 3.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · Feb 11, 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: Mar 11, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 29, 2024 · 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: Nov 25, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 29, 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: Nov 25, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 6, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
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: Nov 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 2, 2023 · F-0689
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: Jul 2, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jul 16, 2025 | D · Potential for 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 25, 2025 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Jun 25, 2025 | D · Potential for 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 |
| Feb 11, 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 |
| Oct 29, 2024 | ▲ 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 |
| Oct 29, 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 |
| Sep 6, 2024 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Sep 6, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 6, 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. |
| Sep 6, 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. |
| Sep 6, 2024 | 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. |
| Sep 6, 2024 | E · Potential for harm, repeated | 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 |
| Sep 6, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Jun 2, 2023 | ▲ 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. |
| Jun 2, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jun 2, 2023 | 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. |
| Jun 2, 2023 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Oct 7, 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. |
| Oct 7, 2021 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 2 | 0 | D |
| 2023 | 4 | 1 | G ▲ |
| 2024 | 9 | 3 | G ▲ |
| 2025 | 5 | 1 | G ▲ |
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)
7 fines totaling $114,162, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 25, 2025 | Fine | $7,660 |
| Jun 25, 2025 | Fine | $8,490 |
| Jun 25, 2025 | Fine | $18,425 |
| Feb 11, 2025 | Fine | $46,937 |
| Sep 6, 2024 | Fine | $5,346 |
| Sep 6, 2024 | Fine | $11,333 |
| Sep 6, 2024 | Fine | $15,971 |
| Sep 6, 2024 | Payment Denial | 34 days from Oct 22, 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) | 5.51 | 4.03 | 3.95 | top 5% in Florida; top 7% in the U.S. |
| Registered Nurse hours | 1.37 | 0.76 | 0.69 | top 7% in Florida; top 6% in the U.S. |
| Weekend total nurse staffing | 4.66 | 3.68 | 3.50 | top 7% in Florida; top 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.53 | 0.48 | top 17% in Florida; top 13% in the U.S. |
| Total nursing staff turnover (%) | 52.1 | 41.4 | 45.8 | bottom 22% in Florida; bottom 32% in the U.S. |
| RN turnover (%) | 32.0 | 46.0 | 42.9 | top 24% in Florida; top 33% 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 4.67, RN 1.16, weekend 3.95. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carter, Alfred | Individual | Corporate Director | NOT APPLICABLE | 11/28/2011 |
| Gaylord, Brandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Mallard, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/18/2016 |
| Williams, Keith | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Wurster, Joceylyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2022 |
| Wurster, Joceylyn | Individual | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
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?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "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 |
|---|---|---|---|---|---|
| Village Place Healthcare and Rehabilitation Center | 2.4 mi | Port Charlotte, FL | ★★☆☆☆ | 1/5 | |
| Sun Harbor Healthcare | 3.1 mi | Port Charlotte, FL | ★★★★☆ | 3/5 | |
| Charlotte Bay Rehab and Care Center | 4.2 mi | Port Charlotte, FL | ★☆☆☆☆ | 1/5 | |
| Port Charlotte Rehabilitation Center | 4.2 mi | Port Charlotte, FL | ★☆☆☆☆ | 1/5 | |
| Harbour Health Center | 4.2 mi | Port Charlotte, FL | ★★★★★ | 4/5 | |
| Solaris Healthcare Charlotte Harbor | 4.3 mi | Port Charlotte, FL | ★★★★☆ | 3/5 | |
| Life Care Center of Punta Gorda | 7.5 mi | Punta Gorda, FL | ★★★☆☆ | 2/5 | |
| North Port Rehabilitation and Nursing Center | 8.9 mi | North Port, FL | ★★☆☆☆ | 2/5 | |
| Aviata at Englewood | 15.1 mi | Englewood, FL | ★★☆☆☆ | 2/5 | abuse |
| Sunset Lake Healthcare and Rehabilitation Center | 18.5 mi | Venice, FL | ★★☆☆☆ | 1/5 | |
| Capri Health and Rehabilitation Center | 19.8 mi | Venice, FL | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106059.