N Ft Myers, FL

Aviata At North Fort Myers

1-star overall rating with 2-star inspections with $14,120 in total fines with 11 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

991 Pondella Rd, N Ft Myers, FL

(239) 995-8809

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

104

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aviata Health Group

Operator or chain grouping

Approved since

1985-06-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

52 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.05

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

8,174

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9846

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.86% · Performance 22.98% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.78

Baseline 5.85% · Performance 7.30% · Measure score 1.78 · Achievement 1.78 · Improvement 0

Total nurse turnover

7.32

Baseline 60.40% · Performance 33.75% · Measure score 7.32 · Achievement 7.32 · Improvement 7

Adjusted total nurse staffing

1.93

Baseline 3.80 hours · Performance 3.63 hours · Measure score 1.93 · Achievement 1.93 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.01%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 122 · Observed rate 13.11% · Lower 95% interval 7.8%
Discharge to community	41.23%	50.57% 9.3 pts worse	Worse than the National Rate · Eligible stays 97 · Observed rate 31.96% · Lower 95% interval 32.51%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	95.21%	95.27% 0.1 pts worse	Numerator 159 · Denominator 167
Falls with major injury	0.6%	0.77% 0.2 pts better	Numerator 1 · Denominator 167
Discharge self-care score	65.42%	53.69% 11.7 pts better	Numerator 70 · Denominator 107
Discharge mobility score	54.21%	50.94% 3.3 pts better	Numerator 58 · Denominator 107
Pressure ulcers or injuries, new or worsened	1.2%	2.29% 1.1 pts better	Numerator 2 · Denominator 167 · Adjusted rate 1.03%
Healthcare-associated infections requiring hospitalization	7.3%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 8.54% · Lower 95% interval 3.79%
Staff COVID-19 vaccination coverage	10.98%	8.2% 2.8 pts better	Numerator 9 · Denominator 82
Staff flu vaccination coverage	35.37%	42% 6.6 pts worse	Numerator 29 · Denominator 82
Discharge function score	64.49%	56.45% 8 pts better	Numerator 69 · Denominator 107
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 47 · Denominator 47
Transfer of health information to patient	91.67%	96.28% 4.6 pts worse	Numerator 66 · Denominator 72
Resident COVID-19 vaccinations up to date	6.45%	25.2% 18.8 pts worse	Numerator 6 · Denominator 93

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.2 0.2 pts worse	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.1%	97.8% 3.7 pts worse	93.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 92.6% · Q3 91.8% · Q4 96.4% · 4Q avg 94.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	99.2% 0.3 pts worse	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	2.6% 1.4 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.7% · Q3 4.1% · Q4 4.8% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	3.7% 2.7 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	6.6%	5.9% 0.7 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 5.0% · Q3 6.7% · Q4 8.5% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.3%	15.7% 6.4 pts better	19.6% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 6.1% · Q3 8.2% · Q4 13.7% · 4Q avg 9.3%
Percentage of long-stay residents who received an antipsychotic medication	5.6%	9.8% 4.2 pts better	16.7% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.8% · Q3 2.1% · Q4 5.2% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	11.8%	11.7% 0.1 pts worse	16.3% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 15.0% · Q3 28.9% · Q4 4.5% · 4Q avg 11.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.7%	9.8% 2.9 pts worse	14.9% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 17.7% · Q3 10.5% · Q4 10.1% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.4% 0.4 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.8% 0.5 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.3%	12.5% 5.8 pts worse	19.8% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 19.3% · Q3 12.1% · Q4 11.8% · 4Q avg 18.3%
Percentage of long-stay residents with pressure ulcers	2.2%	5.1% 2.9 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 2.1% · Q3 1.7% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.5%	94.3% 9.8 pts worse	81.7% 2.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.6% · Q2 79.8% · Q3 83.9% · Q4 89.6% · 4Q avg 84.5%
Percentage of short-stay residents who had an outpatient emergency department visit	6.3%	9.3% 3 pts better	12.0% 5.7 pts better	Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 6.7% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.5% 0.4 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 1.6% · Q4 0.9% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	86.1%	94.7% 8.6 pts worse	79.7% 6.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.1%	26.2% 2.9 pts worse	23.9% 5.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 31.5% · Expected 25.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-13 · Fire 2024-03-13

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-05-04 · Fire 2022-05-04

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2020-11-06 · Fire 2020-11-06

10 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-13

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2024-04-12

F · Potential for more than minimal harm 2024-03-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-12

F · Potential for more than minimal harm 2024-03-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-12

F · Potential for more than minimal harm 2022-05-04

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-06-04

D · Potential for more than minimal harm 2022-05-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-06-04

F · Potential for more than minimal harm 2020-11-06

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2020-12-06

F · Potential for more than minimal harm 2020-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-12-06

F · Potential for more than minimal harm 2020-11-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2020-12-06

F · Potential for more than minimal harm 2020-11-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-12-06

F · Potential for more than minimal harm 2020-11-06

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2020-12-06

F · Potential for more than minimal harm 2020-11-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-12-06

E · Potential for more than minimal harm 2020-11-06

K251 · Egress Deficiencies

Fire Safety

Conform to length requirements for dead end corridors.

Corrected 2020-12-06

C · Minimal harm 2020-11-06

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2020-12-06

C · Minimal harm 2020-11-06

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2020-12-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-10-22

F925 · Environmental Deficiencies

Health

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

Corrected 2025-12-23

E · Potential for more than minimal harm 2025-10-22

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-12-23

E · Potential for more than minimal harm 2024-11-14

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-17

D · Potential for more than minimal harm 2024-11-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-07-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-04-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-24

E · Potential for more than minimal harm 2024-03-13

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-04-12

E · Potential for more than minimal harm 2024-03-13

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-13

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-13

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-12

D · Potential for more than minimal harm 2024-03-13

F925 · Environmental Deficiencies

Health

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

Corrected 2024-04-12

G · Actual harm 2022-05-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-04

F · Potential for more than minimal harm 2022-05-04

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-06-04

E · Potential for more than minimal harm 2022-05-04

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-06-04

E · Potential for more than minimal harm 2022-05-04

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-06-04

D · Potential for more than minimal harm 2022-05-04

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-06-04

D · Potential for more than minimal harm 2022-05-04

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-04

G · Actual harm 2020-11-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-12-06

G · Actual harm 2020-11-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-12-06

E · Potential for more than minimal harm 2020-11-06

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2020-12-06

E · Potential for more than minimal harm 2020-11-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2020-12-06