Aspire At Evans
ASPIRE AT EVANS in FORT MYERS, FL — inspection on September 5, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Based on record review, and staff interviews, the facility failed to ensure a licensed nurse was designated to serve as charge nurse on all shifts.
This failure resulted in the inability of nursing staff to know who would provide oversite for patient care, ensure safety and compliance and serve as a leader to support staff on the evening shifts.The findings included:On 9/4/25 a review of the daily assignment sheets from 8/31/25 to 9/3/25 on the three nursing units revealed no documented Charge Nurse was assigned on the 3:00 p.m., to 11:00 p.m., or 11:00 p.m., to 7:00 a.m. shifts. On 9/5/25 at 8:45 a.m., in an interview the Director of Nursing (DON) said there is no charge nurse at night, all the nurses are in charge and work together.
There is an assigned Weekend Supervisor here 12 hours each weekend day.
There is not an assigned charge nurse at night. On 9/5/25 at 8:55 a.m., in an interview the Assistant Director of Nursing (ADON) said I spoke with the Administrator, and he wanted me to tell you when a Registered Nurse (RN) is on duty at night, they are automatically the Supervisor for the night, and it is written on the assignment sheet. On 9/5/25 at 9:50 a.m., in an interview Licensed Practical Nurse (LPN) Staff I said she did not know who the evening or night supervisor was.
She said it should be in the schedule. I know there is a Unit Manager during the day and a weekend supervisor, but I honestly don't know how you would know who the supervisor is. On 9/5/25 at 9:56 a.m., in an interview LPN Staff J said she did not know of a night supervisor. I know there is a weekend supervisor, but at night, I don't know how to know that. On 9/5/25 at 10:04 a.m., in an interview the Administrator said the Supervisor is listed on the daily assignment sheets.
This writer showed him the daily assignment sheets from the three nursing units that did not document who was in charge on any unit.
He said, I would have to ask the Director of Nursing (DON). On 9/5/25 at 10:10 a.m., in an interview the DON said going forward we will put a C next to the nurse assigned to be a charge nurse.
The DON confirmed there was currently not a licensed nurse assigned to be the supervisor on the evening shifts.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Aspire at Evans
3735 Evans Ave Fort Myers, FL 33901
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility Pest Sighting Log located on each of the three nursing units documented:On the 300 unit the following was reported: 6/16/25 roaches, staff breakroom. 8/6/25 roaches in rooms.On the 100 unit the following was reported: Roaches observed on 7/24/25, 8/1/25, 8/2/25, 8/6/25, 8/19/25, 8/21/25, 9/1/25, 9/2/25 in resident rooms.On the 200 unit the following was reported: 7/16/25 ants in bed, 7/28/25 ants in Director of Nursing office, 8/11/25 ants in bed, 8/14/25 roaches in rehab gym, 8/16/25 roaches in rooms, 8/18/25 roaches in rooms, 8/19/25 roaches in activity room and on my desk and coming out of each table in the C wing dining room. On 9/2/25 ants in rooms crawling on the beds and in drawers. On 9/4/25 ants and roaches seen in rooms.
Review of the pest control logs from [NAME] Exterminators:On 9/2/25- Exterior rodent station, roof rats-gnawing.
Rodent droppings were found.
Interior of the building documented no activity for roaches and ants.On 8/11/25- Bed bug treatment for room on B Wing.
The exterminator provided a Bed bug Customer Preparation Checklist. A service agreement was signed on 8/4/25 to treat bed bugs in Wing B.On 8/5/25 the interior of the facility was treated for roaches with no activity noted.On 7/31/25 documented Having issues with roaches and fruit flies in kitchen. On 9/4/25 at 12:04 p.m., in an interview with the Maintenance Director, he said he was aware of the bug problem and pest control comes every other Tuesday and he reports it. He was informed of the bugs observed during the tour of the facility today. He said, I have the staff write down in the pest log when and where they see them and the pest control will check the logs. I check them daily but there is nothing I can do; we have nothing to spray them with. If I call the pest control, they will come if they can, sometimes they are booked up and can't come.
Facility ID: