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Nursing HomeMedicaid Investigative

Charlotte Bay Rehab and Care Center

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

4033 Beaver Lane, Port Charlotte, FL 33952164 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 200 Google reviews

5
4
3
2
1
Charlotte Bay Rehab and Care Center Nursing Home in Port Charlotte, FL — Street View
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5/ 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)
  • Above-median deficiencies (8 vs median 6.0)

Bottom 25% in FL · Meets national RN staffing standard · Worst in EXCELSIOR CARE GROUP chain · $274,053 in fines · Abuse citation

Source: Medicare data

What this means for your family

South Port Square is highly regarded for its independent living lifestyle and beautiful campus, but families should exercise extreme caution regarding the skilled nursing and rehab units. If considering this facility for a loved one needing medical care, insist on a tour of the nursing unit, ask specifically about current nurse-to-patient ratios, and establish a clear communication plan with the nursing supervisor before admission.

Google Reviews

Google Reviews

200 reviews on Google
South Port Square is a large, well-landscaped continuing care retirement community that receives high praise for its beautiful grounds, active social environment, and friendly staff in independent living. However, the facility faces significant, recurring criticism regarding its skilled nursing and rehab sections, specifically concerning understaffing, slow response times, and poor communication with families during medical emergencies.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean8.0Activities9.0Meds3.0Memory3.0Comms3.0Value4.0

Strengths

  • Beautiful, well-maintained campus and grounds
  • Active social calendar and amenities
  • Friendly and welcoming staff in independent living
  • Strong rehab therapy team (noted in several positive reviews)

Concerns

  • Understaffing in nursing and memory care (mentioned by 7 reviewers)
  • Poor communication regarding medical status and emergencies (mentioned by 5 reviewers)
  • Slow response times for call lights and basic assistance (mentioned by 4 reviewers)
  • Inadequate parking for visitors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'17(4)'19(3)'21(12)'23(59)'25(62)'26(18)

Distribution · 204 analyzed

5
157
4
10
3
8
2
5
1
24
10 reviews posted between Jun 3, 2022Jun 4, 2022 · 10 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you have a very active social calendar; could you walk me through what a typical day looks like for a resident in your care?
  • 2Given the high volume of residents here, how do you ensure that staff are able to respond promptly when a resident presses their call light for assistance?
  • 3We appreciate that you are very active in responding to family feedback online; what is your process for keeping families updated on their loved one's medical status or any changes in their care plan?
  • 4With 164 residents on campus, how do you manage staffing levels during peak hours to ensure that every resident receives timely support with daily needs?
  • 5I understand that medication management is a critical part of care; could you explain your internal process for ensuring accuracy and consistency for residents?
  • 6Since we noticed some challenges with parking during our arrival, what is the best time of day for us to visit to ensure we can easily access the facility to see our family member?

Personalized based on this facility's data


Key Review Excerpts

The therapy team was outstanding. Their positive energy, teamwork, and laughter made a huge difference in helping our loved ones feel comfortable and motivated.

Skilled nursing family member · 2025★★★★★

I had been complaining for 3 days that something was wrong with my husband. Thank God that the nurse he had yesterday had seen my husband when he first came in and agreed something was wrong.

Rehab patient's wife · 2023☆☆☆☆

When visiting memory care today 7/22, there were only 2 staff members with the residents. I realize it is Saturday, but when 1 staff member left to eat, I only saw 1 staff with the residents.

Memory care family member · 2023★★★★★
Source: 200 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.59hrs
87%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
FL
11.5%
Charlotte
13.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.3%
FL
10.6%
Charlotte
12.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.8%
Mixed vs Avgs
Here
3.8%
US
12.1%
FL
4.1%
Charlotte
2.9%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
14.4%
FL
9.1%
Charlotte
9.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Mixed vs Avgs
Here
99.4%
US
93.4%
FL
98.1%
Charlotte
99.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
19.5%
FL
15.0%
Charlotte
14.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
79.8%
FL
94.7%
Charlotte
89.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
FL
94.8%
Charlotte
95.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
FL
1.5%
Charlotte
3.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (7.3)
11 complaint-triggered
$274,053 in fines

This facility has concerning patterns with families filing complaints that triggered 10 of the 29 total deficiencies, including serious issues with abuse protection and nursing competencies. The most recurring problems involve accident prevention and safety hazards (appearing in multiple surveys), basic daily care assistance, and medication management issues. While all deficiencies show correction dates, the persistent safety concerns across multiple years and the high number of family-reported problems suggest ongoing care quality challenges that warrant careful consideration during any visit.

Mar 17, 2026Complaint
1
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Mar 22, 2025Complaint
3
0600Immediate jeopardy · 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.

0726Immediate jeopardy · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0835Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Feb 25, 2025Complaint
1
0689Potential for 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.

Jan 30, 2025Routine
3
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Jan 30, 2025Complaint
2
0690Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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.

Feb 7, 2024Complaint
3
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Federal Penalties

Fine

Jan 30, 2025

$8,788

Fine

Jan 30, 2025

$265,265

Ownership & Operations

Who Operates This Facility

Owner / Operator

Charlotte Bay Rehab and Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Excelsior Care Group

Chain Size

33 facilities nationwide

Chain avg rating: 2.6/5 · Rank 29 of 32 (Worst)

Ownership & Management

Owners

Port Charlotte Care Member LLC

Owner · Organization

100%

Flnho Capital Group LLC

Owner (parent company) · Organization

10%

Key personnel

Soltis, ErinW-2 Managing EmployeeLeifer, JoelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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