Aspire at Evans

3735 Evans Ave · Fort Myers, FL · 33901 · 2392773977

120 certified beds For profit - Corporation Chain: Aviata Health Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $50,028 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$50,028 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 42
Staffing 20% 59
Federal penalties 15% 25
Trend 10% 24
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.373.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day3.17≈ weekday level
Nursing turnover / year43%median 45%
Fines (3-yr window)3 · $50,028

Inspection citations (38 in the current record)

  • Potential for harm · E February 26, 2026 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected March 20, 2026 · Quality of Life and Care

  • Potential for harm · D September 5, 2025 · found via complaint

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

    Corrected October 5, 2025 · Nursing and Physician Services

  • Potential for harm · E September 5, 2025 · found via complaint

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

    Corrected December 10, 2025 · Environmental

  • Actual harm · G July 7, 2025 · found via complaint

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

    Corrected July 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G June 12, 2025 · found via complaint

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

    Corrected July 12, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 12, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected July 12, 2025 · Resident Rights

  • Potential for harm · E June 12, 2025 · found via complaint

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected July 12, 2025 · Resident Rights

  • Potential for harm · D June 12, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 12, 2025 · Quality of Life and Care

  • Potential for harm · E January 9, 2025 · found via complaint

    Provide enough food/fluids to maintain a resident's health.

    Corrected February 9, 2025 · Quality of Life and Care

  • Actual harm · G August 21, 2024 · found via complaint

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

    Corrected September 20, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 20, 2024 · Resident Rights

  • Potential for harm · D August 21, 2024

    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 September 20, 2024 · Resident Rights

  • Potential for harm · D August 21, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 21, 2024

    Provide activities to meet all resident's needs.

    Corrected September 20, 2024 · Quality of Life and Care

  • Potential for harm · E August 21, 2024

    Ensure the activities program is directed by a qualified professional.

    Corrected September 20, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024

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

    Corrected September 20, 2024 · Quality of Life and Care

  • Potential for harm · D August 21, 2024

    Provide or obtain dental services for each resident.

    Corrected September 20, 2024 · Quality of Life and Care

  • Potential for harm · F August 21, 2024

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

    Corrected September 20, 2024 · Nutrition and Dietary

  • Potential for harm · D August 21, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 20, 2024 · Infection Control

  • Potential for harm · E August 21, 2024

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected September 20, 2024 · Nursing and Physician Services

  • Potential for harm · D April 2, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 30, 2024 · Quality of Life and Care

  • Potential for harm · E July 18, 2023 · found via complaint

    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 August 18, 2023 · Resident Rights

  • Potential for harm · D July 18, 2023 · found via complaint

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

    Corrected August 18, 2023 · Quality of Life and Care

  • Potential for harm · E July 18, 2023 · found via complaint

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

    Corrected August 18, 2023 · Environmental

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 12, 2025Fine$29,819
August 21, 2024Fine$10,033
August 21, 2024Fine$10,176
August 21, 2024Payment Denial17 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 106000 · certified since December 14, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.