The Preserve
14750 Hope Center Loop, Fort Myers, FL 33912 · Lee County · 75 certified beds · avg 70 residents/day · certified since Apr 9, 2020
Part of chain: VOLUNTEERS OF AMERICA SENIOR LIVING (6 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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.
All citations in the current public record (8)
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 |
|---|---|---|
| Jan 16, 2025 | 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. · from a complaint |
| Nov 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. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Feb 17, 2022 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 17, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 17, 2022 | 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. |
| Feb 17, 2022 | D · Potential for harm, one-off | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 4 | 0 | E |
| 2023 | 3 | 0 | D |
| 2025 | 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)
No fines or payment denials in the published 3-year window.
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) | 4.53 | 4.03 | 3.95 | top 15% in Florida; top 22% in the U.S. |
| Registered Nurse hours | 1.05 | 0.76 | 0.69 | top 16% in Florida; top 14% in the U.S. |
| Weekend total nurse staffing | 4.03 | 3.68 | 3.50 | top 18% in Florida; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.77 | 0.53 | 0.48 | top 17% in Florida; top 13% in the U.S. |
| Total nursing staff turnover (%) | 33.8 | 41.4 | 45.8 | top 30% in Florida; top 21% in the U.S. |
| RN turnover (%) | 36.8 | 46.0 | 42.9 | top 32% in Florida; top 41% 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 4.65, RN 1.08, weekend 4.13. Staffing rating: 4/5.
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: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Voa Lee County Health Care Facility, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/13/2015 |
| Arnold, Patti | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Bloom, Shawn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Budzynski, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 04/02/2012 |
| Erickson, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Gavin, Nancy | Individual | Corporate Officer | NOT APPLICABLE | 11/11/2011 |
| Gavin, Nancy | Individual | ADP of the SNF | NOT APPLICABLE | 10/13/2015 |
| Hackett, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Keller, Ryan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2025 |
| Keller, Ryan | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2025 |
| King, Michael | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2010 |
| Knapp, Keith | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Mahadevan, Anand | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2020 |
| Mahadevan, Anand | Individual | ADP of the SNF | NOT APPLICABLE | 01/31/2025 |
| Mullen, Beth | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Nutz, Faith | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2018 |
| Nutz, Faith | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2018 |
| Perkins, Derrick | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Peterson, Jeanne | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Rase, Nancy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "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 |
|---|---|---|---|---|---|
| Gulf Coast Medical Center Skilled Nursing Unit | 2.3 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Eagleridge Health and Rehabilitation Center | 2.5 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | abuse |
| Ambassador Healthcare at College Park | 4.4 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Fort Myers Rehabilitation and Nursing Center | 4.8 mi | Fort Myers, FL | ★★☆☆☆ | 2/5 | |
| Healthpark Care Center | 5.0 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Lodge at Cypress Cove, the | 5.2 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Life Care Center of Estero | 6.2 mi | Estero, FL | ★★★★★ | 4/5 | |
| Page Rehabilitation and Healthcare Center | 6.3 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Cedarbrook Health and Rehabilitation Center | 6.3 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | |
| Aspire at Evans | 6.9 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Winkler Court | 8.4 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Lee Memorial Hospital Skilled Nursing Unit | 8.5 mi | Fort Myers, FL | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 106137.