Federal inspection record · CMS data as of October 1, 2026

Douglas Jacobson State Veterans Nursing Home

21281 Grayton Terrace, Port Charlotte, FL · (941) 613-0919

CMS overall rating

3 of 5

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Certified beds
120
Residents per day
114
Ownership
Government
Chain
Florida Department Of Veterans' Affairs
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 7, 2004

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Florida homes

Douglas Jacobson State Veterans Nursing Home carries 67 inspection points. That is fewer than 27% of Florida's 691 rated homes.

5★4★3★2★1★+21 homes above 238.505102550100200inspection points → fewer is better on the leftThis home · 67 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Florida: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–8 pts
  • 4★ 8–25 pts
  • 3★ 25–46 pts
  • 2★ 46–85 pts
  • 1★ over 85 pts

Bars show every rated home in Florida by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

20 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 5 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (5)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 11, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 11, 2025

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 29, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 25, 2024

  3. G

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

    October 29, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 25, 2024

  4. G

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 6, 2024 · Complaint inspection · Resident Rights · F580 · Corrected November 6, 2024

  5. G

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

    June 2, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected July 2, 2023

Everything else, by area of care

Quality of Life and Care6E
  1. E

    Provide activities to meet all resident's needs.

    September 6, 2024 · Standard · F679 · Corrected November 6, 2024

  2. E

    Ensure the activities program is directed by a qualified professional.

    September 6, 2024 · Standard · F680 · Corrected November 6, 2024

  3. E

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

    September 6, 2024 · Complaint · F689 · Corrected November 6, 2024

  4. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    June 2, 2023 · Standard · F740 · Corrected July 2, 2023

  5. D

    Try 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.

    October 7, 2021 · Standard · F700 · Corrected November 7, 2021

  6. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    October 7, 2021 · Standard · F744 · Corrected November 7, 2021

Resident Rights3D
  1. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    August 21, 2025 · Complaint · F557 · Corrected September 21, 2025

  2. D

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

    September 6, 2024 · Standard · F582 · Corrected November 6, 2024

  3. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    June 2, 2023 · Standard · F565 · Corrected July 2, 2023

Freedom from Abuse, Neglect, and Exploitation3E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 16, 2025 · Complaint · F600 · Corrected August 16, 2025

  2. E

    Protect each resident from the wrongful use of the resident's belongings or money.

    June 25, 2025 · Complaint · F602 · Corrected August 16, 2025

  3. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 25, 2025 · Complaint · F600 · Corrected August 16, 2025

Nursing and Physician Services2D
  1. D

    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.

    September 6, 2024 · Complaint · F726 · Corrected November 6, 2024

  2. D

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    June 2, 2023 · Standard · F725 · Corrected July 2, 2023

Resident Assessment and Care Planning1E
  1. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 6, 2024 · Standard · F657 · Corrected November 6, 2024

Inspection history

  1. 2024-09-06

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2023-06-02

    11 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  3. 2021-10-07

    4 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 36 min of nursing staff time a day, 1 h 7 min of it from a registered nurse.

This home

4 h 36 min

Florida average

3 h 51 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 26% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$139,652 in federal fines on record over the past three years.

DatePenaltyAmount
2026-09-03Fine$12,745
2026-09-03Fine$12,745
2025-06-25Fine$7,660
2025-06-25Fine$8,490
2025-06-25Fine$18,425
2025-02-11Fine$46,937
2024-09-06Fine$5,346
2024-09-06Fine$11,333
2024-09-06Fine$15,971
2024-09-06Payment Denial · 34 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better1.12.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts worse2.91.11.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better100.0%98.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better100.0%99.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse3.8%2.5%3.2%
Percentage of long-stay residents who have depressive symptoms4.4 pts better1.0%5.4%13.5%
Percentage of long-stay residents who lose too much weight0.7 pts better4.8%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.6 pts worse23.5%13.9%19.5%
Percentage of long-stay residents who received an antipsychotic medication17.3 pts worse26.0%8.7%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.5 pts worse16.9%8.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts worse13.4%8.3%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts worse2.2%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection4.1 pts worse4.7%0.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse19.0%9.5%18.3%
Percentage of long-stay residents with pressure ulcers1.2 pts worse5.6%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better100.0%95.6%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication8.9 pts worse10.3%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.6 pts worse95.7%96.3%80.1%

·

Who owns and runs it

6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Carter, AlfredCorporate Director · Individual0%6 facilities
Gaylord, BrandyOperational/Managerial Control · Individual0%1 facilities
Mallard, LindsayOperational/Managerial Control · Individual0%3 facilities
Williams, KeithAdp Of The SNF · Individual0%1 facilities
Wurster, JoceylynOperational/Managerial Control · Individual0%1 facilities
Wurster, JoceylynAdp Of The SNF · Individual0%1 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. E

    Provide properly protected cooking facilities.

    September 6, 2024 · K324 · Corrected October 6, 2024

  2. F

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

    June 2, 2023 · K345 · Corrected July 2, 2023

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    October 7, 2021 · K353 · Corrected November 7, 2021

  4. D

    Install corridor and hallway doors that block smoke.

    October 7, 2021 · K363 · Corrected November 7, 2021

Emergency Preparedness3F
  1. F

    Develop and maintain an Emergency Preparedness Program (EP).

    June 2, 2023 · E4 · Corrected August 30, 2023

  2. D

    List the names and contact information of those in the facility.

    June 2, 2023 · E30 · Corrected July 2, 2023

  3. D

    Provide emergency officials' contact information.

    June 2, 2023 · E31 · Corrected July 2, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

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

    June 2, 2023 · K918 · Corrected July 2, 2023

  2. F

    Ensure proper usage of power strips and extension cords.

    June 2, 2023 · K920 · Corrected July 2, 2023

  3. F

    Have proper medical gas storage and administration areas.

    October 7, 2021 · K923 · Corrected November 7, 2021

Miscellaneous2F
  1. F

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

    September 6, 2024 · K761 · Corrected October 6, 2024

  2. F

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

    June 2, 2023 · K761 · Corrected August 30, 2023

Egress1F
  1. F

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

    September 6, 2024 · K291 · Corrected October 6, 2024

·

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