Skilled nursing · Fort Myers, FL

The Preserve

14750 HOPE CENTER LOOP, Fort Myers, FL 33912

5 / 5CMS 75 bedsCapacity May 2026Inspected

PALMELLE

Top 27%

Federal · State

Solid

The Palmelle read

Solid. The Preserve carries a Palmelle Clarity Score of 73 out of 100, derived from federal CMS Care Compare data plus Florida state records. Health inspection rating sits at 4-star, staffing at 4-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at 7.8 percent, below the 14 percent national median. Long-stay sedative prescribing is at 15.5 percent, in line with the 15 percent national median. RN coverage is 1.2 hours per resident per day. Nurse turnover 35 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Florida DPH

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In their own words

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

Low antipsychotic prescribing

This

7.8%

National

14%

Below national median. Suggests staff manages behaviors with non-medication approaches.

High registered-nurse coverage

This

1.20

National

0.78

More RN time per resident than national average. Earlier catch on medical issues.

Worth asking about

Falls with major injury

This

5.6%

National

1.6%

Above national median. Ask about fall-prevention protocols and individual risk assessment.

Federal CMS + Florida state data

The full inspection record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★4 / 5

Staffing★★★★★4 / 5

Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This

1.2

Nat

0.78

Total nurse hours / resident, daily

This

4.89

Nat

3.62

Annual nurse turnover

This

35%

Nat

53%

Annual RN turnover

This

36%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

7.8%

Nat

14%

Sedative / sleep med

This

15.5%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

5.6%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$25,155 in fines (1)

Identity & licensing

CMS ID106137

OwnershipNon profit - Corporation

ChainIndependent

Beds75

Avg residents67

Citations · last 36 months

Flagged by CMS data
This facility has received 1 federal fine(s) but still shows a 5.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Falls with major injury rate is 5.6% — above the national median of about 3%. A spike usually means call lights aren't getting answered fast enough or the facility is short on aides during transfer-heavy hours like mealtimes. Worth asking how long the call-light response window is during evening shifts.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antipsychotic rate is just 8% — well below the national median of about 14%. This facility is treating behavior and dementia symptoms with engagement, environmental design, and personalized routines instead of prescriptions. That's hard to do and rare to find.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Registered nurse coverage is 1.20 hours per resident per day — well above the recommended minimum of 0.75 and on par with high-end facilities. More RN time means complex medical changes get caught before they become emergency room trips.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Florida DPH · Last reconciled Jun 3, 2026

Questions families ask

Common questions.

What is the CMS rating for The Preserve?

The Preserve has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 4 of 5 on health inspection, 4 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Preserve been cited for resident harm?

It has $25,155 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 4 concerns on the latest reconcile. The full record for The Preserve appears in the record section above.

Does The Preserve use antipsychotic medications?

7.8 percent of long-stay residents at The Preserve are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 15.5 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Preserve's Palmelle Clarity Score?

The Preserve has a Palmelle Clarity Score of 73 out of 100, putting it above the national median. The score is a composite of federal CMS and Florida state inspection data. Higher is better.

How can I tour or contact The Preserve?

The Preserve is located at 14750 HOPE CENTER LOOP, Fort Myers, FL 33912. Phone: (239) 574-0078. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Preserve a special focus facility?

The Preserve is not on the federal Special Focus Facility list, but it does have $25,155 in federal fines on record. See the penalties and status section above.

What does F-689 mean on The Preserve's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Preserve has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Preserve compare to other Fort Myers skilled nursing facilities?

The Preserve holds a Palmelle Clarity Score of 73. Browse the full Fort Myers directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at The Preserve?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on The Preserve and two other facilities on your shortlist.

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