The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
LEHIGH ACRES HEALTHCARE & REHAB CENTER
LEHIGH ACRES, FL · Medicare-certified · 128 beds
Needs attention
Special Focus candidateFor-profitChain member
2 of 5 overall
Lehigh Acres Healthcare & Rehab Center has a 2-star overall rating, with a 1-star health inspection rating, 3-star staffing, and 5-star quality measures. It is a Special Focus Facility candidate/flagged for special focus, had $132,889 in fines in the last 24 months, and reported nurse staffing of 3.80 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.8047 hrs/resident/day
Quality measures
Last inspection: August 25, 2025Penalties, last 24 months: $132,889special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8047.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.20
- Weekend nursing
- 3.40
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 59%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.8%Improving
Residents with a fall causing major injury
4%Worsening
Residents with pressure ulcers (bedsores)
4%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
9.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
2.1%Worsening
Residents whose ability to walk got worse
1.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
1.5%Improving
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
2.9%Worsening
Residents with depressive symptoms
3.4%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
99.8%Steady
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: K
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have a hospital transfer agreement to ensure residents could be moved quickly to a hospital when they needed medical care. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 843 — 42 CFR §483.70(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $71,435 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $61,454 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $132,889 in total fines.
- $71,435
Federal fine
Jun 21, 2025
- $61,454
Federal fine
Aug 24, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of GOLD FL TRUST II · 36 homes · 3.3 stars avg
- Occupancy
- 116.3 residents on an average day (91% of 128 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.