13880 Shell Point Plaza, Fort Myers, FL 33908
(239) 466-1111 · The Christian and Missionary Alliance
| Ownership | Non profit - Corporation | Certified beds | 180 |
|---|---|---|---|
| Estimated occupancy | 84.9% | Latest inspection | 2025-05-22 |
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 4 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 31.0 points | 65.5 points | 38.5 points |
| Total nurse staffing | 5.60 hours/day | 4.11 hours/day | 3.63 hours/day |
| RN staffing | 1.42 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 44.2% | 34.3% | 41.8% |
| Latest health deficiencies | 4 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Immediate-jeopardy citations: 0
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-22Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-22Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-22Immediate-jeopardy citations: 0
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-16Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-16Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-16Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Deficient, Provider has date of correction 2023-04-16Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2023-04-16Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-16Provide appropriate foot care.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-04-16Immediate-jeopardy citations: 0
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-24Provide 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.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-24Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-09-24Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2021-09-27Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2021-09-27Reported averages, not a real-time staffing schedule.
These group measures do not predict an individual resident’s experience.
What is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning| Reported measure | Value |
|---|---|
| Nurse aide hours | 3.55627 |
| Lpn hours | 0.62783 |
| Rn hours | 1.41607 |
| Reported total hours | 5.60016 |
| Weekend total hours | 5.20876 |
| Weekend rn hours | 1.085 |
| Adjusted total hours | 6.06271 |
| Total turnover percent | 44.2 |
| Rn turnover percent | 41.8 |
| Administrators left | 1 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
| Date | Type | Amount |
|---|---|---|
| 2025-01-16 | Fine | $32,139.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
2
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Name | Role | Share |
|---|---|---|
| THE CHRISTIAN AND MISSIONARY ALLIANCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| ANDERSON, WANDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| BALDES, KEN | CORPORATE DIRECTOR | NOT APPLICABLE |
| BURDZY, JON | CORPORATE DIRECTOR | NOT APPLICABLE |
| CANDELORE, MICHELE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CASS, PAUL | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHRISTMAN, CHANLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAVIDSON, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEWITT, CHARLES | CORPORATE DIRECTOR | NOT APPLICABLE |
| DUSS, DONNA | CORPORATE DIRECTOR | NOT APPLICABLE |
| DYS, JEREMY | CORPORATE DIRECTOR | NOT APPLICABLE |
| FLANDERS, TOM | CORPORATE DIRECTOR | NOT APPLICABLE |
| GLENN, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| HIBBARD, JAY | CORPORATE DIRECTOR | NOT APPLICABLE |
| OFARRELL, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| SCALES, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| VASSAR, TASHA | CORPORATE DIRECTOR | NOT APPLICABLE |
| WHITE, ARCHIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| RAINEY, LEWIS | CORPORATE OFFICER | NOT APPLICABLE |
| SCHAPPELL, MARTIN | CORPORATE OFFICER | NOT APPLICABLE |
| CANDELORE, MICHELE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HUISMAN, HENRY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RAINEY, LEWIS | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SCHAPPELL, MARTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AEGIS THERAPIES, INC. | ADP OF THE SNF | NOT APPLICABLE |
| POLARIS HEALTH LLC | ADP OF THE SNF | NOT APPLICABLE |
| STAFFMD, LLC | ADP OF THE SNF | NOT APPLICABLE |
| THE CHRISTIAN AND MISSIONARY ALLIANCE | ADP OF THE SNF | NOT APPLICABLE |
| CANDELORE, MICHELE | ADP OF THE SNF | NOT APPLICABLE |
| HUISMAN, HENRY | ADP OF THE SNF | NOT APPLICABLE |
Educational information, not medical or legal advice. Data & methodology