Larsen Health Center
13880 Shell Point Plaza, Fort Myers, FL 33908 · Lee County · 180 certified beds · avg 153 residents/day · certified since Aug 4, 1997
Part of chain: THE CHRISTIAN AND MISSIONARY ALLIANCE (2 facilities, chain avg rating 4.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Jan 16, 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: Feb 14, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 16, 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: Apr 16, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Jun 24, 2026 | D · Potential for 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 |
| May 22, 2025 | 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. |
| May 22, 2025 | 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. |
| May 22, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 16, 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 |
| Mar 16, 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. |
| Mar 16, 2023 | 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. |
| Mar 16, 2023 | E · Potential for harm, repeated | 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 16, 2023 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Mar 16, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Mar 16, 2023 | 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. |
| Mar 16, 2023 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Jul 1, 2021 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 1, 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. |
| Jul 1, 2021 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 1, 2021 | 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. |
| Jul 1, 2021 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | D |
| 2023 | 7 | 1 | G ▲ |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
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)
1 fine totaling $32,139.
| Date | Type | Amount / length |
|---|---|---|
| Jan 16, 2025 | Fine | $32,139 |
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) | 6.06 | 4.03 | 3.95 | top 3% in Florida; top 4% in the U.S. |
| Registered Nurse hours | 1.53 | 0.76 | 0.69 | top 3% in Florida; top 4% in the U.S. |
| Weekend total nurse staffing | 5.64 | 3.68 | 3.50 | top 2% in Florida; top 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.08 | 0.53 | 0.48 | top 6% in Florida; top 5% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 41.4 | 45.8 | bottom 42% in Florida; top 48% in the U.S. |
| RN turnover (%) | 41.8 | 46.0 | 42.9 | top 42% in Florida; bottom 49% 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 5.60, RN 1.42, weekend 5.21. 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: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| The Christian and Missionary Alliance | Organization | 5% or Greater Indirect Ownership Interest | 100% | 06/01/1972 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2021 |
| Anderson, Wanda | Individual | Corporate Director | NOT APPLICABLE | 01/01/2008 |
| Baldes, Ken | Individual | Corporate Director | NOT APPLICABLE | 01/01/2001 |
| Burdzy, Jon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Candelore, Michele | Individual | Corporate Director | NOT APPLICABLE | 10/01/2024 |
| Candelore, Michele | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2024 |
| Candelore, Michele | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Cass, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/01/2002 |
| Christman, Chanley | Individual | Corporate Director | NOT APPLICABLE | 05/01/2011 |
| Davidson, John | Individual | Corporate Director | NOT APPLICABLE | 11/01/1995 |
| Dewitt, Charles | Individual | Corporate Director | NOT APPLICABLE | 01/01/1990 |
| Duss, Donna | Individual | Corporate Director | NOT APPLICABLE | 01/01/1994 |
| Dys, Jeremy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Flanders, Tom | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Glenn, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/1991 |
| Hibbard, Jay | Individual | Corporate Director | NOT APPLICABLE | 10/01/2009 |
| Huisman, Henry | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Huisman, Henry | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Ofarrell, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/1994 |
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?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "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 |
|---|---|---|---|---|---|
| Lodge at Cypress Cove, the | 4.1 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Healthpark Care Center | 4.4 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Ambassador Healthcare at College Park | 7.0 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Rehab & Healthcare Center of Cape Coral | 8.0 mi | Cape Coral, FL | ★☆☆☆☆ | 1/5 | |
| Fort Myers Rehabilitation and Nursing Center | 8.5 mi | Fort Myers, FL | ★★☆☆☆ | 2/5 | |
| Gulf Coast Medical Center Skilled Nursing Unit | 8.9 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Cedarbrook Health and Rehabilitation Center | 9.1 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | |
| Gulf Coast Village | 9.2 mi | Cape Coral, FL | —/5 | SFF | |
| The Preserve | 9.3 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Page Rehabilitation and Healthcare Center | 9.6 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Eagleridge Health and Rehabilitation Center | 9.9 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | abuse |
| Aspire at Evans | 10.8 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 105966.