Ambassador Healthcare at College Park

13755 Golf Club Pkwy · Fort Myers, FL · 33919 · 2394822848

107 certified beds For profit - Corporation Chain: Excelsior Care Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $96,105 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

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

$96,105 in federal fines in the last 24 months

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

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 26
Serious harm & abuse 20% 12
Staffing 20% 70
Federal penalties 15% 48
Trend 10% 43
Context 5% 85

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.593.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day3.36≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)2 · $96,105

Inspection citations (35 in the current record)

  • Immediate jeopardy · J February 13, 2026 · found via complaint

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

    Corrected March 5, 2026 · Quality of Life and Care

  • Immediate jeopardy · J February 13, 2026 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected March 5, 2026 · Administration

  • Potential for harm · D February 13, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 5, 2026 · Resident Assessment and Care Planning

  • Actual harm · G April 30, 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 May 22, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G April 30, 2025 · found via complaint

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

    Corrected May 22, 2025 · Quality of Life and Care

  • Potential for harm · D July 8, 2024 · found via complaint

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

    Corrected August 1, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected February 11, 2024 · Resident Rights

  • Potential for harm · D January 11, 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 February 11, 2024 · Resident Rights

  • Potential for harm · D January 11, 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 February 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2024

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

    Corrected February 11, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

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

    Corrected February 11, 2024 · Quality of Life and Care

  • Potential for harm · E January 11, 2024

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

    Corrected February 11, 2024 · Quality of Life and Care

  • Potential for harm · D January 11, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 11, 2024 · Quality of Life and Care

  • Potential for harm · E January 11, 2024

    Observe each nurse aide's job performance and give regular training.

    Corrected February 11, 2024 · Nursing and Physician Services

  • Potential for harm · E January 11, 2024

    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.

    Corrected February 11, 2024 · Pharmacy Service

  • Potential for harm · E January 11, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 11, 2024 · Nutrition and Dietary

  • Potential for harm · E January 11, 2024

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

    Corrected February 11, 2024 · Nutrition and Dietary

  • Potential for harm · F January 11, 2024

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

    Corrected February 11, 2024 · Nutrition and Dietary

  • Potential for harm · E January 11, 2024 · found via complaint

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

    Corrected February 11, 2024 · Quality of Life and Care

  • Potential for harm · E June 21, 2023 · found via complaint

    Provide appropriate foot care.

    Corrected July 16, 2023 · Quality of Life and Care

  • Actual harm · G April 7, 2022

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

    Corrected May 7, 2022 · Quality of Life and Care

  • Potential for harm · D April 7, 2022

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 7, 2022 · Resident Rights

  • Potential for harm · D April 7, 2022

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 7, 2022 · Resident Rights

  • Potential for harm · D April 7, 2022

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

    Corrected May 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 7, 2022

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 7, 2022 · Freedom from Abuse, Neglect, and Exploitation

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

Federal penalties

DateTypeAmount / length
February 13, 2026Fine$17,675
April 30, 2025Fine$78,430

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105387 · certified since July 27, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.