Douglas Jacobson State Veterans Nursing Home
21281 Grayton Terrace · Port Charlotte, FL · 33954 · 9416130919
120 certified beds Government - State Chain: Florida Department of Veterans' Affairs
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $121,010 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
$121,010 in federal fines in the last 24 months
6 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.10 | 0.55–0.75 |
| Weekend hours / resident-day | 4.27 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 6 · $121,010 |
Inspection citations (20 in the current record)
-
Potential for harm · D August 21, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 21, 2025 · Resident Rights
-
Potential for harm · D July 16, 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 August 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 25, 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 August 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 25, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G February 11, 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 March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G October 29, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 25, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G October 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2024 · Quality of Life and Care
-
Actual harm · G September 6, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 6, 2024 · Resident Rights
-
Potential for harm · D September 6, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 6, 2024 · Resident Rights
-
Potential for harm · E September 6, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 6, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E September 6, 2024
Provide activities to meet all resident's needs.
Corrected November 6, 2024 · Quality of Life and Care
-
Potential for harm · E September 6, 2024
Ensure the activities program is directed by a qualified professional.
Corrected November 6, 2024 · Quality of Life and Care
-
Potential for harm · E September 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 6, 2024 · Quality of Life and Care
-
Potential for harm · D September 6, 2024 · found via complaint
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.
Corrected November 6, 2024 · Nursing and Physician Services
-
Actual harm · G June 2, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 2, 2023 · Quality of Life and Care
-
Potential for harm · D June 2, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 2, 2023 · Resident Rights
-
Potential for harm · D June 2, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 2, 2023 · Nursing and Physician Services
-
Potential for harm · D June 2, 2023
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 2, 2023 · Quality of Life and Care
-
Potential for harm · D October 7, 2021
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.
Corrected November 7, 2021 · Quality of Life and Care
-
Potential for harm · D October 7, 2021
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 7, 2021 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2025 | Fine | $7,660 |
| June 25, 2025 | Fine | $8,490 |
| February 11, 2025 | Fine | $72,210 |
| September 6, 2024 | Fine | $5,346 |
| September 6, 2024 | Fine | $11,333 |
| September 6, 2024 | Fine | $15,971 |
| September 6, 2024 | Payment Denial | 34 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 106059 · certified since June 7, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.