Tag 0921 · Severity F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2025-06-03Non-profit
Winkler Court
3250 Winkler Avenue Extension, Fort Myers, FL 33916
(239) 939-4993 · Florida Institute for Long-Term Care
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | Non profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 97.5% | Latest inspection | 2025-04-24 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 195.0 points
Total nurse staffing
Facility: 3.28 hours/day
RN staffing
Facility: 0.64 hours/day
Staff turnover
Facility: 18.6%
Latest health deficiencies
Facility: 16 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 195.0 points | 65.5 points | 38.5 points |
| Total nurse staffing | 3.28 hours/day | 4.11 hours/day | 3.63 hours/day |
| RN staffing | 0.64 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 18.6% | 34.3% | 41.8% |
| Latest health deficiencies | 16 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-04-24
16 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0550 · Severity E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0578 · Severity E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0636 · Severity D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0644 · Severity D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0656 · Severity D
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 2025-06-03Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0685 · Severity D
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-03Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-06-032022-11-03
17 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0881 · Severity F
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0584 · Severity E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0692 · Severity E
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0550 · Severity D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0565 · Severity D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0677 · Severity D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0689 · Severity D
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 2022-12-03Tag 0730 · Severity D
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0806 · Severity D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0925 · Severity D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Deficient, Provider has date of correction 2022-12-03Tag 0732 · Severity B
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-12-032021-04-08
10 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-08Tag 0585 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-05-08Tag 0607 · Severity D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction 2021-05-08Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-05-08Tag 0755 · Severity D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-05-08Staffing composition
2.04 hours/dayNurse aide
0.59 hours/dayLPN
0.64 hours/dayRN
- Total staffing
- 3.28 hours/day
- County median
- 4.11 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.08 hours/day
- Staff turnover
- 18.6%
- RN turnover
- 27.8%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.3 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.7 per 1,000 days20250101-20251231
Emergency-department visits
0.5 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
4.2%worseFlorida: 2.2% · County: 3.6%2025Q2-2026Q1
Pressure ulcers
4.0%betterFlorida: 4.2% · County: 3.2%2025Q2-2026Q1
Urinary tract infections
0.8%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
3.9%betterFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryWhat 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
Facility Details
- County
- Lee County
- Certified beds
- 120
- Average daily residents
- 117
- Ownership
- Non profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1995-04-12
- CCN
- 105882
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.03912 |
| Lpn hours | 0.59275 |
| Rn hours | 0.64324 |
| Reported total hours | 3.2751 |
| Weekend total hours | 3.0798 |
| Weekend rn hours | 0.57964 |
| Adjusted total hours | 3.55543 |
| Total turnover percent | 18.6 |
| Rn turnover percent | 27.8 |
| Administrators left | Not reported by CMS |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$178,937.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-02-16 | Fine | $178,937.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
16Health citations
8Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
4
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.
Keep all essential equipment working safely.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| FLORIDA INSTITUTE FOR LONG TERM CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| JAFFE, HOWARD | CORPORATE OFFICER | NOT APPLICABLE |
| KATZ-HALL, KATHY | CORPORATE OFFICER | NOT APPLICABLE |
| MULLARKEY, JAMES | CORPORATE OFFICER | NOT APPLICABLE |
| RICHMOND, PENNY | CORPORATE OFFICER | NOT APPLICABLE |
| AEGIR HEALTH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BOSWELL, SALLY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CONZELMAN, TINA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AEGIR HEALTH MANAGEMENT LLC | ADP OF THE SNF | NOT APPLICABLE |
| CONSULTING SUPPORT SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| FACILITY SUPPORT COMPANY, LLC | ADP OF THE SNF | NOT APPLICABLE |
| KANE FINANCIAL SERVICES, LLC | ADP OF THE SNF | NOT APPLICABLE |
| SELECT REHABILITATION, LLC | ADP OF THE SNF | NOT APPLICABLE |
| BOSWELL, SALLY | ADP OF THE SNF | NOT APPLICABLE |
| CONZELMAN, TINA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology