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
3 of 5 overall
CEDARBROOK HEALTH AND REHABILITATION CENTER in Fort Myers has a 3-star overall rating, with weak health inspection and staffing scores (2 stars each) despite a 5-star quality measure rating. It reports 3.36 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $16,801 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3624 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 3.3624.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.68
- Nurse aides
- 2.05
- Weekend nursing
- 3.13
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 78%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5%Steady
Residents with a fall causing major injury
1.5%Steady
Residents with pressure ulcers (bedsores)
4.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
9.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.6%Improving
Residents whose ability to walk got worse
5%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.2%Worsening
Residents with new or worsening incontinence
22.3%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.2%Worsening
Short-stay residents given the seasonal flu vaccine
94.5%Steady
Short-stay residents given the pneumonia vaccine
87%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
- Ownership
- For profit - Corporation
- Chain
- Part of ASTON HEALTH · 38 homes · 2.6 stars avg
- Occupancy
- 107.9 residents on an average day (90% 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.