Federal inspection record · CMS data as of October 1, 2026
Winkler Court
3250 Winkler Avenue Extension, Fort Myers, FL · (239) 939-4993
- Certified beds
- 120
- Residents per day
- 117
- Ownership
- Non-Profit
- Chain
- Florida Institute For Long-Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 12, 1995
1
How this home got 2 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.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Florida homes
Winkler Court carries 210 inspection points. That is fewer than 4% 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
44 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.
Harm and immediate-jeopardy citations (5)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Keep all essential equipment working safely.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights7E
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
- 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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 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.
Pharmacy Service4E
- 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.
- E
Ensure that residents are free from significant medication errors.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning4D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services4E
- E
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.
- E
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.
- D
Observe each nurse aide's job performance and give regular training.
- B
Post nurse staffing information every day.
Infection Control3F
- E
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental2F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspection history
2025-04-24
17 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-11-03
15 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2021-04-08
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 20 min
Florida average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 19% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
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
$178,937 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-16 | Fine | $178,937 |
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 days0.9 pts better | 1.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better | 0.5 | 1.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts better | 100.0% | 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 symptoms4.1 pts better | 1.3% | 5.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 3.0% | 5.5% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.3 pts better | 9.6% | 13.9% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.6 pts better | 4.1% | 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 worsened2.2 pts better | 6.2% | 8.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts worse | 9.6% | 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 infection0.3 pts better | 0.3% | 0.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 5.0% | 9.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.6% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 100.0% | 95.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts worse | 10.8% | 8.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.7 pts better | 100.0% | 96.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.6 pts better | 18.2% | 25.8% | 23.4% |
·
Who owns and runs it
18 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 |
|---|---|---|---|
| Florida Institute For Long Term Care LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 17 facilities |
| Aegir Health Management LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Aegir Health Management LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Boswell, Sally | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Boswell, Sally | Adp Of The SNF · Individual | 0% | 2 facilities |
| Consulting Support Services, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Consulting Support Services, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Conzelman, Tina | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Conzelman, Tina | Adp Of The SNF · Individual | 0% | 2 facilities |
| Facility Support Company, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Facility Support Company, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Jaffe, Howard | Corporate Officer · Individual | 0% | 37 facilities |
| Kane Financial Services, LLC | Operational/Managerial Control · Organization | 0% | 37 facilities |
| Kane Financial Services, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Katz-Hall, Kathy | Corporate Officer · Individual | 0% | 18 facilities |
| Mullarkey, James | Corporate Officer · Individual | 0% | 18 facilities |
| Richmond, Penny | Corporate Officer · Individual | 0% | 25 facilities |
| Select Rehabilitation, LLC | Adp Of The SNF · Organization | 0% | 59 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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