The home failed to provide safe, appropriate pain management for a resident who needed it. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Nursing home report
CEDARBROOK HEALTH AND REHABILITATION CENTER
FORT MYERS, FL · Medicare-certified · 120 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
CEDARBROOK HEALTH AND REHABILITATION CENTER in Fort Myers has a 3-star overall rating, with a 2-star health inspection rating and 3-star staffing rating, but a 5-star quality measure rating. It reports 3.41 nursing hours per resident per day versus the 4.1 federal benchmark, and it has had $16,801 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4103 hrs/resident/day
Quality measures
Last inspection: November 15, 2024Penalties, last 24 months: $16,801recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4103.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.09
- Weekend nursing
- 3.14
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 78%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.7%11.4%Worsening
Residents with a fall causing major injury
0%4.5%Worsening
Residents with pressure ulcers (bedsores)
5%2.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.6%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%9.2%Worsening
Residents whose ability to walk got worse
0%5%Worsening
Long-stay residents on antianxiety or sleep medication
13.7%14.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.4%25%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.8%100%Improving
Short-stay residents given the seasonal flu vaccine
—94.5%—
Short-stay residents given the pneumonia vaccine
90.8%74.3%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited June 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited June 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $16,801 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,801 in total fines.
- $16,801
Federal fine
Nov 15, 2024
Operator & ownership
Recent ownership change · May 5, 2023
Now operated by Cedarbrook Health and Rehabilitation Center, previously Promedica Skilled Nursing and Rehabilitation (ft. Myers West).
- Ownership
- For profit - Corporation
- Chain
- Part of ASTON HEALTH · 38 homes · 2.6 stars avg
- Occupancy
- 115.2 residents on an average day (96% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.