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Nursing HomeMedicaid Top Rated

The Preserve

Strong Medicare quality ratings; families often praise highly effective and professional pt/ot therapy team. Still worth an in-person visit.

14750 Hope Center Loop, Fort Myers, FL 3391275 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 48 Google reviews

5
4
3
2
1

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What this means for your family

The Preserve offers an excellent, state-of-the-art rehabilitation program that many families highly recommend for recovery. However, given the recurring reports of neglect and slow response times from nursing aides, we strongly advise families to conduct frequent, unannounced visits to monitor the quality of daily care and hygiene for their loved ones.

Google Reviews

Google Reviews

48 reviews on Google
The Preserve is widely praised for its modern, clean facility and a highly effective rehabilitation therapy team that many residents credit for their successful recovery. While many families report excellent, compassionate care, there are serious, recurring reports from some families regarding neglect, poor communication, and understaffing, particularly concerning basic hygiene and response times for call lights.

Quality Themes

Tap a score for details
Food7.0Staff7.0Clean9.0Activities5.0Meds6.0Memory8.0Comms5.0Value6.0

Strengths

  • Highly effective and professional PT/OT therapy team
  • Clean, modern, and well-maintained physical facility
  • Welcoming and attentive nursing and CNA staff
  • Private rooms with quality amenities

Concerns

  • Slow response times for call lights and basic assistance (mentioned by 3 reviewers)
  • Inconsistent quality of care and hygiene (e.g., soiled diapers, UTI issues) (mentioned by 3 reviewers)
  • Lack of communication from management (mentioned by 2 reviewers)
  • Limited social activities for residents (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'19(1)5.04.6'21(10)4.24.2'23(5)4.04.9'25(9)3.8'26(6)

Distribution · 50 analyzed

5
38
4
5
3
0
2
1
1
6

How They Respond to Reviews

85%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how does that commitment to communication translate into how you keep families updated on their loved one's daily health status?
  • 2The physical facility is beautiful and well-maintained, but I’m curious about the daily social calendar—what kind of structured activities or engagement opportunities are available to keep residents active and social?
  • 3Given that your therapy team is so highly regarded, how do you ensure that the same level of professional attention and consistency is applied to daily personal care and hygiene needs?
  • 4When a resident needs assistance, what is the standard protocol for responding to call lights, and how do you ensure that response times remain consistent throughout the day and night?
  • 5Since you maintain a 4-star CMS rating for staffing, how do you manage shift transitions to ensure that residents receive attentive care without any gaps in communication or service?
  • 6In the event of a sudden medical change or emergency, what is the process for notifying family members, and how quickly can we expect to be involved in the care planning process?

Personalized based on this facility's data


Key Review Excerpts

The Preserve is easily the best rehabilitation facility I have been in and this is NOT my first rehab. The physical facility is quite nice with large rooms equipped with big flat screen TVs. The nurses and CNAs are friendly and helpful.

Rehab patient · 2024★★★★

My father was in the memory care unit for almost 2 years. Jen and the staff truly loved and took care of him. At first, he resisted going into any facility. But quickly he felt cared for and a connection to the other residents and the people taking care of him.

Memory care family member · 2026★★★★★

The property is beautiful, and that’s where the illusion ends... My father was treated horribly there, with 45-90 minute wait times for his calls for help, verbal abuse from the staff, and refusal of care, including leaving him in soiled diapers for a full day.

Long-term resident's family · 2021☆☆☆☆
Source: 48 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.20hrs
OK
Registered nurses for medical care
Total Nursing
4.89hrs
OK
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
37%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
FL
4.1%
Lee
3.1%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.8%
Better than Avg
Here
10.8%
US
19.5%
FL
15.0%
Lee
21.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
15.3%
FL
10.6%
Lee
16.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
19.4%
FL
11.5%
Lee
17.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.0%
Mixed vs Avgs
Here
10.0%
US
15.4%
FL
8.7%
Lee
17.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
FL
98.1%
Lee
95.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
79.7%
FL
94.7%
Lee
89.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
FL
94.8%
Lee
88.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
FL
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

0deficiencies
1penalties
Well below state avg (7.3)
3 complaint-triggered
$25,155 in fines
Clean record — no deficiencies

Families have filed complaints that led to deficiencies, including issues with pressure ulcer care and appropriate treatment according to residents' preferences. The facility shows recurring problems with quality of care, medication management, and fire safety systems across multiple surveys from 2022 to 2025. While all deficiencies have correction dates, the pattern of ongoing issues in core care areas warrants careful consideration during your visit.

Oct 2, 2025Routine
1
0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Jan 16, 2025Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Nov 16, 2023Routine
4
0342Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

May 31, 2023Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 17, 2022Routine
5
0690Potential for harm · PatternCorrected

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0802Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Federal Penalties

Fine

May 31, 2023

$25,155

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Preserve

Organization Type

nonprofit

Chain Affiliation

Chain Name

Volunteers of America Senior Living

Chain Size

6 facilities nationwide

Ownership & Management

Owners

Voa Lee County Health Care Facility, INC.

Owner · Organization

100%

Key personnel

Arnold, PattiOfficer / DirectorBloom, ShawnOfficer / DirectorErickson, KarenOfficer / DirectorHackett, KarenOfficer / DirectorKnapp, KeithOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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