Federal inspection record · CMS data as of October 1, 2026
Life Care Center Of Estero
3850 Williams Road, Estero, FL · (239) 495-4000
- CMS high-performer trophy
- Certified beds
- 155
- Residents per day
- 145
- Ownership
- For-Profit
- Chain
- Life Care Centers Of America
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 23, 2003
1
How this home got 5 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Florida.
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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.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Life Care Center Of Estero carries 24 inspection points. That is fewer than 68% of Florida's 691 rated homes.
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
10 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights2D
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Quality of Life and Care2E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 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.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1D
- 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.
Inspection history
2026-01-29
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2023-10-19
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2021-12-09
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 55 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
3 h 55 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 18% of nursing staff and 21% 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
$8,034 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-09 | Fine | $4,017 |
| 2024-07-09 | Fine | $4,017 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 0.9 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better | 99.8% | 98.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 100.0% | 99.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 3.4% | 2.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 0.0% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.7% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.3 pts worse | 24.2% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts worse | 9.1% | 8.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.6 pts worse | 11.0% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 5.7% | 8.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.0% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 4.3% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 1.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better | 99.8% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 8.3% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better | 0.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 98.4% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 27.3% | 25.8% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bianca, Vincent | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bianca, Vincent | Adp Of The SNF · Individual | 0% | 1 facilities |
| Breuler, James | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Breuler, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Breuler, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cross, Cindy | Corporate Officer · Individual | 0% | 183 facilities |
| Developers Investment Company Ii, Inc | Direct Ownership Interest · Organization | 0% | 18 facilities |
| Developers Investment Company Ii, Inc | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Fletcher, Todd | Operational/Managerial Control · Individual | 0% | 165 facilities |
| Hand, Cheryl | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Hand, Cheryl | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Henry, Terry | Corporate Officer · Individual | 0% | 159 facilities |
| Lay, Lisa | Corporate Officer · Individual | 0% | 166 facilities |
| Lee County Medical Investors | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Lee County Medical Investors | Adp Of The SNF · Organization | 0% | 1 facilities |
| Life Care Centers Of America, Inc. | Operational/Managerial Control · Organization | 0% | 194 facilities |
| Life Care Centers Of America, Inc. | Adp Of The SNF · Organization | 0% | 194 facilities |
| Preston, Aaron | Managing Control - Governing Body · Individual | 0% | 18 facilities |
| Preston, Aaron | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Preston, Aubrey | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Preston, Forrest | Indirect Ownership Interest · Individual | 0% | 170 facilities |
| Swanker, Richard | Corporate Officer · Individual | 0% | 168 facilities |
| Thurmond, Joan | Corporate Officer · Individual | 0% | 191 facilities |
| Ziegler, James | Operational/Managerial Control · Individual | 0% | 165 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- D
Provide properly protected cooking facilities.
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The Preserve
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