CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1060572026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Life Care Center Of Estero

3850 Williams Road · Estero, FL 33928 · Lee County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds155CMS provider file
Recent citation rows19current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-2912026-01-295
Cycle 22023-10-1952023-10-192
Cycle 32021-12-0942021-12-092
02 / CITATION DETAIL

19 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-29 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-02-28
2026-01-29 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-03-09
2026-01-29 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-03-09
2026-01-29 · FIREK0908Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

Correction field: Deficient, Provider has date of correction · 2026-03-09
2026-01-29 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2026-03-09
2026-01-29 · FIREK0920Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-03-09
2024-07-09 · HEALTHF0622Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Correction field: Deficient, Provider has date of correction · 2024-08-09 · complaint
2024-07-09 · HEALTHF0626Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Correction field: Deficient, Provider has date of correction · 2024-08-09 · complaint
2024-07-09 · HEALTHF0925Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-08-09 · complaint
2023-10-19 · HEALTHF0657Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · HEALTHF0690Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · HEALTHF0700Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · HEALTHF0806Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · FIREK0325Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2023-10-19 · FIREK0902Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.

Correction field: Deficient, Provider has date of correction · 2023-11-19
2021-12-09 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2022-01-09
2021-12-09 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2022-01-09
2021-12-09 · FIREK0929Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Correction field: Deficient, Provider has date of correction · 2022-01-09
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-07-09Fine$4,0170
2024-07-09Fine$4,0170
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • DEVELOPERS INVESTMENT COMPANY II, INCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 06/24/2002
  • PRESTON, FORRESTIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 06/24/2002
  • BREULER, JAMESIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 04/07/2003
  • HAND, CHERYLIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 08/31/2009
  • PRESTON, AARONIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 11/01/2018
  • CROSS, CINDYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/30/2002
  • HENRY, TERRYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/16/1999
  • LAY, LISAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 02/09/2018
  • SWANKER, RICHARDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/01/2011
  • THURMOND, JOANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/30/2002
  • DEVELOPERS INVESTMENT COMPANY II, INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/10/2010
  • LEE COUNTY MEDICAL INVESTORSOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/26/2003
  • LIFE CARE CENTERS OF AMERICA, INC.Organization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/30/2002
  • BIANCA, VINCENTIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/19/2019
  • BREULER, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/07/2003
  • FLETCHER, TODDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/13/2024
  • HAND, CHERYLIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/31/2009
  • PRESTON, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/2018

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.84per resident day
RN hours1.10per resident day
Weekend nurse hours3.46per resident day
Staff turnover20.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Florida ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.