Tag 0689 · Severity K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-07-25For-profit
Lehigh Acres Healthcare & Rehab Center
1550 Lee Boulevard, Lehigh Acres, FL 33936
(239) 369-2194 · Gold Fl Trust II
At a glance
CMS data snapshot: 2026-08-01 · Sources and limitations
| Ownership | For profit - Limited Liability company | Certified beds | 128 |
|---|---|---|---|
| Estimated occupancy | 95.3% | Latest inspection | 2025-06-21 |
County and Florida comparison
Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 2 of 5
Health-inspection score
Facility: 328.3 points
Total nurse staffing
Facility: 4.08 hours/day
RN staffing
Facility: 0.65 hours/day
Staff turnover
Facility: 43.2%
Latest health deficiencies
Facility: 9 deficiencies
View data table
| Metric | Facility | County | Florida |
|---|---|---|---|
| Overall rating | 2 of 5 | 3 of 5 | 3 of 5 |
| Health-inspection score | 328.3 points | 65.5 points | 38.5 points |
| Total nurse staffing | 4.08 hours/day | 4.11 hours/day | 3.63 hours/day |
| RN staffing | 0.65 hours/day | 0.80 hours/day | 0.62 hours/day |
| Staff turnover | 43.2% | 34.3% | 41.8% |
| Latest health deficiencies | 9 deficiencies | 6 deficiencies | 6 deficiencies |
Comparisons describe CMS data; they are not recommendations.
Inspection history
2025-06-21
9 deficiencies
Highest severity: K
Immediate-jeopardy citations: 3
Tag 0726 · Severity K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2025-07-25Tag 0835 · Severity K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Deficient, Provider has date of correction 2025-07-25Tag 0880 · Severity E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2025-07-25Tag 0677 · Severity D
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 2025-07-25Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-07-25Tag 0692 · Severity D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2025-07-25Tag 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 2025-07-252023-10-26
11 deficiencies
Highest severity: E
Immediate-jeopardy citations: 0
Tag 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 2023-11-26Tag 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 2023-11-26Tag 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 2023-11-26Tag 0686 · Severity D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-26Tag 0698 · Severity D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2023-11-26Tag 0730 · Severity D
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2023-11-26Tag 0759 · Severity D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-11-262022-02-10
9 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 2022-03-10Tag 0880 · Severity F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Deficient, Provider has date of correction 2022-05-05Tag 0759 · Severity E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2022-03-10Tag 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 2022-03-10Tag 0641 · Severity D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-03-10Tag 0685 · Severity D
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-10Tag 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 2022-03-10Tag 0791 · Severity D
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-03-10Tag 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 2022-03-10Staffing composition
2.50 hours/dayNurse aide
0.92 hours/dayLPN
0.65 hours/dayRN
- Total staffing
- 4.08 hours/day
- County median
- 4.11 hours/day
- Florida median
- 3.63 hours/day
- Weekend total
- 3.53 hours/day
- Staff turnover
- 43.2%
- RN turnover
- 60.7%
Reported averages, not a real-time staffing schedule.
Resident outcomes
Lower is generally better
Hospitalizations
1.5 per 1,000 daysbetterFlorida: 2.1 per 1,000 days · County: 1.7 per 1,000 days20250101-20251231
Emergency-department visits
0.4 per 1,000 daysbetterFlorida: 1.0 per 1,000 days · County: 1.1 per 1,000 days20250101-20251231
Falls with major injury
5.2%worseFlorida: 2.2% · County: 3.6%2025Q2-2026Q1
Pressure ulcers
3.9%betterFlorida: 4.2% · County: 3.2%2025Q2-2026Q1
Urinary tract infections
0.0%unavailableFlorida: 0.0% · County: 0.3%2025Q2-2026Q1
Antipsychotic medication use
7.4%worseFlorida: 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 improvements is the facility making in response to its Special Focus status?
Suggested because of: special focusWhat changes were made after inspectors reported actual harm during the 2025-08-25 inspection?
Suggested because of: latest actual harmWhat fall-prevention program is used, and how are families notified after a fall?
Suggested because of: falls major injuryHow are antipsychotic medications reviewed, reduced when appropriate, and discussed with families?
Suggested because of: antipsychotic useWhat operational changes followed the facility's most recent penalty?
Suggested because of: penalties
Facility Details
- County
- Lee County
- Certified beds
- 128
- Average daily residents
- 122
- Ownership
- For profit - Limited Liability company
- Provider type
- Medicare and Medicaid
- In hospital
- No
- Date certified
- 1986-01-07
- CCN
- 105522
Staffing Data
| Reported measure | Value |
|---|---|
| Nurse aide hours | 2.50215 |
| Lpn hours | 0.91996 |
| Rn hours | 0.65416 |
| Reported total hours | 4.07626 |
| Weekend total hours | 3.53188 |
| Weekend rn hours | 0.40166 |
| Adjusted total hours | 3.89398 |
| Total turnover percent | 43.2 |
| Rn turnover percent | 60.7 |
| Administrators left | 0 |
Hours are per resident per day; turnover values are percentages. Missing values are not zero.
Penalties & Enforcement
$149,609.00Total fines
3Number of fines
0Payment denials
| Date | Type | Amount |
|---|---|---|
| 2025-08-25 | Fine | $16,720.00 |
| 2025-06-21 | Fine | $71,435.00 |
| 2024-08-24 | Fine | $61,454.00 |
Totals reflect the supplied CMS records, not a lifetime total.
Citations
9Health citations
5Fire 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.
6
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ownership & Operators
| Name | Role | Share |
|---|---|---|
| LEHIGH ACRES SNF HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| FL MASTER OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% |
| STANFIELD, DAWN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| SHELBY, JACK | CORPORATE OFFICER | NOT APPLICABLE |
Helpful resources
Educational information, not medical or legal advice. Data & methodology