Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Larsen Health Center during CMS and state inspections, most recent first.
A resident with dementia and depression was physically restrained by staff during care, violating their right to refuse. Despite the resident's combative behavior, staff proceeded with care, resulting in a hand injury. The facility's investigation confirmed the actions as physical abuse, highlighting a failure to adhere to policies respecting resident rights.
The facility failed to follow individualized care plans for safe resident transfers, leading to injuries. A resident requiring two-person assistance was transferred by one CNA, resulting in skin tears. Another resident, needing a mechanical lift, was left unattended and fell, sustaining a laceration. A third resident reported rough handling during a transfer, resulting in bruises. The new administration recognized a lack of follow-through but had no documented performance improvements.
The facility failed to address medication errors and improper transfers, leading to injuries. A nurse falsified medication records, and required narcotic counts were not performed. Additionally, residents were injured due to improper transfers by CNAs, with no documentation of corrective actions or performance improvement measures.
Failure to Respect Resident's Right to Refuse Care Leads to Abuse
Penalty
Summary
The facility failed to protect a resident's right to refuse care, resulting in an incident of physical abuse. The resident, who had dementia and major depressive disorder, exhibited agitated and aggressive behaviors during care. Despite the resident's resistance, staff members proceeded with care, leading to an injury on the resident's hand. The facility's policy clearly stated that residents have the right to refuse care, and staff are required to respect this right and reapproach at a later time if necessary. On the evening of the incident, the resident was found in the dining room with feces on her body and clothes removed. Staff attempted to clean the resident, who became combative, kicking and swinging her arms. Multiple staff members were involved in restraining the resident to provide care, which was against the facility's policy. The resident's hand was later found to be bruised and swollen, prompting an investigation into the incident. Interviews with staff revealed inconsistencies in their accounts of the event. Some staff members claimed they did not hold the resident down, while others admitted to restraining the resident to provide care. The facility's investigation concluded that the actions of the staff constituted physical abuse and violated the resident's right to refuse care. The Chief Nursing Officer acknowledged that the staff's decision to restrain the resident was inappropriate and did not respect the resident's rights.
Improper Resident Transfers Result in Injuries
Penalty
Summary
The facility failed to ensure staff followed the individualized care plans for the safe transfer of three residents, resulting in injuries and the need for higher-level care. Resident #1, who required two-person assistance for transfers, was improperly transferred by a single CNA, resulting in skin tears and a trip to the emergency room for sutures. The CNA involved claimed that the resident was typically transferred by one person, despite the care plan indicating otherwise. Resident #2, who required a mechanical lift with two-person assistance, was left unattended on the edge of the bed by a CNA, leading to a fall and a laceration on the forehead. The CNA left the resident to retrieve the lift, which was against the care plan instructions. Resident #3 reported being roughly handled during a transfer, resulting in bruises on her hand. The investigation revealed that the CNA had improperly used a hoyer lift alone, contrary to the care plan that required two-person assistance. The CNA provided false information about the assistance received during the transfer. The new Administrator acknowledged that the previous administration lacked follow-through on these issues and was in the process of implementing basic education on Quality Assurance Performance Improvement (QAPI). However, there was no documentation of performance improvement or audits being conducted in response to these incidents.
Failure to Address Medication Errors and Improper Transfers
Penalty
Summary
The facility failed to initiate performance improvement actions after identifying adverse incidents involving medication errors and improper transfers. In one case, a registered nurse falsified a medical administration record by signing off on doses of a controlled substance that were not administered to a resident. This discrepancy was discovered when another nurse attempted to administer a subsequent dose and found the previous doses still in the medication pack. The Director of Nursing confirmed that a required narcotic count was not performed during a staff change, and the necessary documentation was missing. Additionally, the facility did not address incidents involving improper transfers of residents, resulting in injuries. One resident sustained lacerations requiring stitches after being transferred by a single CNA, despite needing a two-person assist. Another resident fell and sustained a forehead laceration when a CNA left them unattended while retrieving a Hoyer lift, contrary to their care plan. A third resident reported rough handling during a transfer, resulting in a bruise. The facility's investigation files lacked documentation of presenting these incidents to the Quality Assurance Performance Improvement committee, identifying root causes, implementing improvements, or auditing for success.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fort Myers
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lodge At Cypress Cove, The | 4.1 mi | ★★★★★ | 3 | 0 |
| Healthpark Care Center | 4.4 mi | ★★★★★ | 0 | 0 |
| Ambassador Healthcare At College Park | 7 mi | ★★★★★ | 11 | 2 |
| Rehab & Healthcare Center Of Cape Coral | 8 mi | ★★★★★ | 0 | 0 |
| Fort Myers Rehabilitation And Nursing Center | 8.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.