Winkler Court
3250 Winkler Avenue Extension, Fort Myers, FL 33916 · Lee County · 120 certified beds · avg 117 residents/day · certified since Apr 12, 1995
Part of chain: FLORIDA INSTITUTE FOR LONG-TERM CARE (17 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, repeated · Feb 16, 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 16, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Feb 16, 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 (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 16, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Feb 16, 2024 · F-0908 · triggered by a complaint
The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Why it matters: Broken essential equipment can directly endanger residents' health, comfort, and safety.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 16, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Feb 16, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 16, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (43)
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 |
|---|---|---|
| May 14, 2026 | 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 |
| Mar 5, 2026 | 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. · from a complaint |
| Mar 5, 2026 | 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. · from a complaint |
| Apr 24, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Apr 24, 2025 | E · Potential for harm, repeated | 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. |
| Apr 24, 2025 | E · Potential for harm, repeated | 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. |
| Apr 24, 2025 | E · Potential for harm, repeated | 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 24, 2025 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Apr 24, 2025 | 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. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 24, 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. |
| Apr 24, 2025 | 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. |
| Apr 24, 2025 | 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. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 24, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 24, 2025 | 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. |
| Sep 6, 2024 | E · Potential for harm, repeated | 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 |
| Sep 6, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Feb 16, 2024 | ▲ K · Immediate jeopardy, repeated | 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 16, 2024 | ▲ K · Immediate jeopardy, 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 |
| Feb 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Feb 16, 2024 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Feb 16, 2024 | E · Potential for harm, repeated | 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 |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Nov 3, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | E · Potential for harm, repeated | 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. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | 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. |
| Nov 3, 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. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | 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. |
| Nov 3, 2022 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Nov 3, 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. |
| Nov 3, 2022 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Nov 3, 2022 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Nov 3, 2022 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 8, 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. |
| Apr 8, 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. |
| Apr 8, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Apr 8, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 8, 2021 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (15 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | E |
| 2022 | 15 | 0 | F |
| 2024 | 7 | 4 | K ▲ |
| 2025 | 13 | 0 | F |
| 2026 | 3 | 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 $178,937.
| Date | Type | Amount / length |
|---|---|---|
| Feb 16, 2024 | Fine | $178,937 |
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) | 3.56 | 4.03 | 3.95 | bottom 20% in Florida; bottom 39% in the U.S. |
| Registered Nurse hours | 0.70 | 0.76 | 0.69 | top 46% in Florida; top 37% in the U.S. |
| Weekend total nurse staffing | 3.34 | 3.68 | 3.50 | bottom 27% in Florida; bottom 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.53 | 0.48 | top 33% in Florida; top 25% in the U.S. |
| Total nursing staff turnover (%) | 18.6 | 41.4 | 45.8 | top 5% in Florida; top 2% in the U.S. |
| RN turnover (%) | 27.8 | 46.0 | 42.9 | top 17% in Florida; top 25% 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 3.28, RN 0.64, weekend 3.08. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Florida Institute for Long Term Care LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 12/23/2002 |
| Aegir Health Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2009 |
| Aegir Health Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2009 |
| Boswell, Sally | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2021 |
| Boswell, Sally | Individual | ADP of the SNF | NOT APPLICABLE | 01/19/2021 |
| Consulting Support Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/28/2011 |
| Consulting Support Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/28/2011 |
| Conzelman, Tina | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/20/2022 |
| Conzelman, Tina | Individual | ADP of the SNF | NOT APPLICABLE | 09/20/2022 |
| Facility Support Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/13/2010 |
| Facility Support Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/13/2010 |
| Jaffe, Howard | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Kane Financial Services, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/06/2012 |
| Kane Financial Services, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/06/2012 |
| Katz-Hall, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Mullarkey, James | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Richmond, Penny | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Select Rehabilitation, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/19/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Aspire at Evans | 2.3 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Lee Memorial Hospital Skilled Nursing Unit | 2.4 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Page Rehabilitation and Healthcare Center | 3.5 mi | Fort Myers, FL | ★★☆☆☆ | 1/5 | |
| Cedarbrook Health and Rehabilitation Center | 4.1 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | |
| Fort Myers Rehabilitation and Nursing Center | 4.9 mi | Fort Myers, FL | ★★☆☆☆ | 2/5 | |
| Eagleridge Health and Rehabilitation Center | 5.9 mi | Fort Myers, FL | ★★★☆☆ | 2/5 | abuse |
| Aviata at North Fort Myers | 5.9 mi | N Ft Myers, FL | ★★★☆☆ | 2/5 | |
| Gulf Coast Medical Center Skilled Nursing Unit | 6.3 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Ambassador Healthcare at College Park | 6.5 mi | Fort Myers, FL | ★☆☆☆☆ | 1/5 | |
| Rehab & Healthcare Center of Cape Coral | 6.9 mi | Cape Coral, FL | ★☆☆☆☆ | 1/5 | |
| The Preserve | 8.4 mi | Fort Myers, FL | ★★★★★ | 5/5 | |
| Gulf Coast Village | 8.7 mi | Cape Coral, FL | —/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 105882.