Tag 0697 · Severity G
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14For-profit
Cedarbrook Health and Rehabilitation Center
1600 Matthew Drive, Fort Myers, FL 33907
(239) 275-6067 · Aston Health
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Corporation | Certified beds | 120 |
|---|---|---|---|
| Estimated occupancy | 96.0% | Latest inspection | 2024-11-15 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 3 of 5
Health-inspection score
Facility: 64.0 points
Total nurse staffing
Facility: 3.41 hours/day
RN staffing
Facility: 0.70 hours/day
Staff turnover
Facility: 69.5%
Latest health deficiencies
Facility: 10 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 3 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 64.0 points | 65.5 points | 38.5 points |
| Total nurse staffing | 3.41 hours/day | 4.11 hours/day | 3.63 hours/day |
| RN staffing | 0.70 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 69.5% | 34.3% | 41.8% |
| Latest health deficiencies | 10 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2024-11-15
10 deficiencies
Highest severity: G
Immediate-jeopardy citations: 0
Tag 0677 · Severity E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0725 · Severity E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0580 · Severity D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0636 · Severity D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0679 · Severity D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0694 · Severity D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0800 · Severity D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2024-12-14Tag 0584 · Severity E
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2024-12-142023-02-09
12 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 0677 · Severity E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0679 · Severity E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0755 · Severity E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0584 · Severity D
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.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-03-28Tag 0656 · Severity D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0684 · Severity D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0688 · Severity D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0690 · Severity D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0695 · Severity D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-03-17Tag 0806 · Severity D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2023-03-172021-06-10
8 deficiencies
Highest severity: F
Immediate-jeopardy citations: 0
Tag 0812 · Severity F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0908 · Severity F
Keep all essential equipment working safely.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0921 · Severity F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0561 · Severity D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0565 · Severity D
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0676 · Severity D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-10Tag 0761 · Severity D
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.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2021-07-10Staffing composition
2.09 hours/dayNurse aide
0.62 hours/dayLPN
0.70 hours/dayRN
- Total staffing
- 3.41 hours/day
- County median
- 4.11 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.14 hours/day
- Staff turnover
- 69.5%
- RN turnover
- 78.1%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
0.9 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.7 per 1,000 days20250101-20251231
Emergency-department visits
0.6 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
2.1%similarFlorida: 2.2% · County: 3.6%2025Q2-2026Q1
Pressure ulcers
3.4%betterFlorida: 4.2% · County: 3.2%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
6.6%betterFlorida: 7.0% · County: 7.0%2025Q2-2026Q1
These group measures do not predict an individual resident’s experience.
Questions to ask
Use these prompts during a tour or phone call
What changes were made after inspectors reported actual harm during the 2024-11-15 inspection?
Suggested because of: latest actual harmWhat is driving staff turnover, and what is being done to retain nurses and aides?
Suggested because of: staff turnoverWhat operational changes followed the facility's most recent penalty?
Suggested because of: penaltiesHow will the care plan be developed, reviewed, and shared with our family?
Suggested because of: general care planning
Facility Details
- County
- Lee County
- Certified beds
- 120
- Average daily residents
- 115.2
- Ownership
- For profit - Corporation
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1991-04-25
- CCN
- 105723
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.09365 |
| Lpn hours | 0.61519 |
| Rn hours | 0.70142 |
| Reported total hours | 3.41026 |
| Weekend total hours | 3.13665 |
| Weekend rn hours | 0.58451 |
| Adjusted total hours | 3.73636 |
| Total turnover percent | 69.5 |
| Rn turnover percent | 78.1 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$16,801.00Total fines
1Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2024-11-15 | Fine | $16,801.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
10Health citations
11Fire safety citations
Health counts describe the latest rating cycle. Fire counts cover supplied fire-safety records.
Serious Deficiencies
FL counts scope/severity G–L as serious deficiencies. Immediate jeopardy is J–L; these are not interchangeable.
1
Provide safe, appropriate pain management for a resident who requires such services.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| CEDARBROOK REHAB HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BF CEDARBROOK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| LF CEDARBROOK TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% |
| ATKINSTALL, ALICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| AVILES, URSULA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARTINEZ IRIZARRY, ALFONSO | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOLTIS, ERIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILDES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRIEDMAN, LEOPOLD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE |
| ASTON HEALTHCARE LLC | ADP OF THE SNF | NOT APPLICABLE |
| MARTINEZ IRIZARRY, ALFONSO | ADP OF THE SNF | NOT APPLICABLE |
| SOLTIS, ERIN | ADP OF THE SNF | NOT APPLICABLE |
| WILDES, DONNA | ADP OF THE SNF | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology