Nursing HomeMedicaid Investigative

Aspire at Evans

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3735 Evans Ave, Winkler · Fort Myers, FL 33901|120 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

2.3/5

based on 3 Google reviews

(239) 277-3977 Directions

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6/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Abuse citation on record
Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (18 vs median 6.0)

Bottom 25% in FL · Below recommended RN staffing · Worst in AVIATA HEALTH GROUP chain · $50,028 in fines · Abuse citation

Source: Medicare data

What this means for your family

Given the recent, serious allegations regarding patient safety during physical therapy, we strongly advise conducting an in-person tour and requesting a detailed safety protocol review. Families should also verify that the facility's contact information is accurate and that administrative billing processes are transparent before committing to care.

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.35hrs

46%

Registered nurses for medical care

Total Nursing

3.37hrs

82%

All nurses + aides combined

Staff Turnover

43%

Lower is better (< 30% = good)

RN Turnover

85%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

3/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility6.0%

Better than Avg

Here

6.0%

19.4%

11.5%

Lee

17.4%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.9%

Better than Avg

Here

1.9%

12.1%

4.1%

Lee

3.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better

This Facility6.3%

Better than Avg

Here

6.3%

15.3%

10.6%

Lee

16.1%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility9.6%

Mixed vs Avgs

Here

9.6%

15.4%

8.7%

Lee

17.3%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility90.4%

Worse than Avg

Here

90.4%

93.4%

98.1%

Lee

95.4%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility8.7%

Better than Avg

Here

8.7%

14.4%

9.1%

Lee

15.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility79.8%

Worse than Avg

Here

79.8%

81.8%

94.8%

Lee

88.3%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility81.0%

Mixed vs Avgs

Here

81.0%

79.7%

94.7%

Lee

89.6%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility3.3%

Worse than Avg

Here

3.3%

1.6%

1.5%

Lee

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

20deficiencies

4penalties

Well above state avg (7.3)

21 complaint-triggered

$50,028 in fines

ASPIRE AT EVANS has significant concerns with multiple families filing complaints about abuse protection, leading to recent repeat violations in 2025. The facility struggles with recurring issues in resident safety, activities programming, and maintaining a clean environment including pest control problems. While all 54 deficiencies show correction dates, the pattern of complaint-driven investigations and repeated problems in core care areas warrants careful consideration before visiting.

Feb 26, 2026Complaint2 findings

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Sep 5, 2025Complaint2 findings

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Jul 7, 2025Complaint1 finding

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jun 12, 2025Complaint4 findings

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 9, 2025Complaint1 finding

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Aug 21, 2024Complaint1 finding

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Jun 12, 2025

$29,819

Fine

Aug 21, 2024

$10,033

Fine

Aug 21, 2024

$10,176

Payment Denial

Aug 21, 2024

17-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aspire at Evans

Organization Type

for profit

Chain Affiliation

Chain Name

Aviata Health Group

Chain Size

52 facilities nationwide

Chain avg rating: 2.1/5 · Rank 37 of 52 (Worst)

Ownership & Management

Owners

Evans Parent LLC

Owner · Organization

Lee Evans Holdco LLC

Owner (parent company) · Organization

Dagan, Amitai