CMS abuse icon on record. Review the underlying findings and current information with CMS and the facility. · CMS Special Focus status: SFF Candidate
For-profit

Naples Health and Rehabilitation Center

2900 12Th Street N, Naples, FL 34103

(239) 261-2554 · Simcha Hyman & Naftali Zanziper

1CMS overall rating · out of 5

At a glance

CMS data snapshot: 2026-08-01 · Sources and limitations
1 of 5Overall
1 of 5Health inspections
3 of 5Staffing
4 of 5Resident quality
OwnershipFor profit - Limited Liability companyCertified beds120
Estimated occupancy91.0%Latest inspection2026-03-06

County and Florida comparison

Navy: facility · Teal: county · Gray: Florida
Overall rating
Facility: 1 of 5
worse
Health-inspection score
Facility: 351.3 points
worse
Total nurse staffing
Facility: 3.65 hours/day
similar
RN staffing
Facility: 0.55 hours/day
worse
Staff turnover
Facility: 43.0%
similar
Latest health deficiencies
Facility: 11 deficiencies
worse
View data table
MetricFacilityCountyFlorida
Overall rating1 of 53 of 53 of 5
Health-inspection score351.3 points57.0 points38.5 points
Total nurse staffing3.65 hours/day3.99 hours/day3.63 hours/day
RN staffing0.55 hours/day1.37 hours/day0.62 hours/day
Staff turnover43.0%31.1%41.8%
Latest health deficiencies11 deficiencies5 deficiencies6 deficiencies

Comparisons describe CMS data; they are not recommendations.

Inspection history

2026-03-06
11 deficiencies
Highest severity: J

Immediate-jeopardy citations: 3

Tag 0689 · Severity J

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 2026-03-27

Tag 0835 · Severity J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies · Deficient, Provider has date of correction 2026-03-27

Tag 0926 · Severity J

Have policies on smoking.

Environmental Deficiencies · Deficient, Provider has date of correction 2026-03-27

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 2026-03-27

Tag 0761 · Severity E

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 2026-03-27

Tag 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 2026-03-27

Tag 0585 · Severity D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2026-03-27

Tag 0644 · Severity D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2026-03-27

Tag 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 2026-03-27
2023-11-30
17 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0558 · Severity E

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30

Tag 0585 · Severity E

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30

Tag 0645 · Severity E

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2023-12-30

Tag 0690 · Severity E

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 2023-12-30

Tag 0760 · Severity E

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · Deficient, Provider has date of correction 2023-12-30

Tag 0761 · Severity E

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 2023-12-30

Tag 0583 · Severity D

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2023-12-30

Tag 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 2023-12-30

Tag 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 2023-12-30

Tag 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 2023-12-30

Tag 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 2024-01-17

Tag 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 2023-12-30
2022-01-06
19 deficiencies
Highest severity: E

Immediate-jeopardy citations: 0

Tag 0585 · Severity E

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0623 · Severity E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0655 · Severity E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0554 · Severity D

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0578 · Severity D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0657 · Severity D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 0679 · Severity D

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies · Deficient, Provider has date of correction 2022-02-06

Tag 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 2022-02-06

Tag 0689 · Severity D

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 2022-02-06

Tag 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 2022-02-06

Tag 0921 · Severity D

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 2022-02-06

Tag 0947 · Severity D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction 2022-02-06

Staffing composition

2.27 hours/dayNurse aide
0.83 hours/dayLPN
0.55 hours/dayRN
Total staffing
3.65 hours/day
County median
3.99 hours/day
Florida median
3.63 hours/day
Weekend total
3.38 hours/day
Staff turnover
43.0%
RN turnover
82.4%

Reported averages, not a real-time staffing schedule.

Resident outcomes

Lower is generally better

Hospitalizations

Not reported: cms footnoteunavailableFlorida: 2.1 per 1,000 days · County: 2.3 per 1,000 days
20250101-20251231

Emergency-department visits

Not reported: cms footnoteunavailableFlorida: 1.0 per 1,000 days · County: 1.2 per 1,000 days
20250101-20251231

Falls with major injury

3.8%worseFlorida: 2.2% · County: 3.3%
2025Q2-2026Q1

Pressure ulcers

5.6%worseFlorida: 4.2% · County: 5.0%
2025Q2-2026Q1

Urinary tract infections

1.2%unavailableFlorida: 0.0% · County: 0.7%
2025Q2-2026Q1

Antipsychotic medication use

6.3%betterFlorida: 7.0% · County: 6.3%
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
  1. What improvements is the facility making in response to its Special Focus status?

    Suggested because of: special focus
  2. What corrective actions and resident protections were put in place after the issue associated with the CMS abuse flag?

    Suggested because of: abuse icon
  3. How many RNs are typically on site during days, nights, and weekends?

    Suggested because of: rn staffing
  4. What fall-prevention program is used, and how are families notified after a fall?

    Suggested because of: falls major injury
  5. How does the care team prevent and treat pressure injuries?

    Suggested because of: pressure ulcers

Facility Details

County
Collier County
Certified beds
120
Average daily residents
109.2
Ownership
For profit - Limited Liability company
Provider type
Medicare and Medicaid
In hospital
No
Date certified
1983-06-01
CCN
105439

Staffing Data

Reported measureValue
Nurse aide hours2.27051
Lpn hours0.82888
Rn hours0.54893
Reported total hours3.64832
Weekend total hours3.3831
Weekend rn hours0.44183
Adjusted total hours4.31116
Total turnover percent43
Rn turnover percent82.4
Administrators left1

Hours are per resident per day; turnover values are percentages. Missing values are not zero.

Penalties & Enforcement

$172,682.00Total fines
3Number of fines
0Payment denials
DateTypeAmount
2025-04-10Fine$19,256.00
2024-03-28Fine$35,426.00
2023-08-25Fine$118,000.00

Totals reflect the supplied CMS records, not a lifetime total.

Citations

11Health 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.

8

2026-03-06 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-03-06 · J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2026-03-06 · J

Have policies on smoking.

2024-03-28 · G

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2023-08-25 · 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.

2023-08-25 · J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-08-25 · J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-08-25 · J

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Ownership & Operators

NameRoleShare
SPENCER, EVERTONW-2 MANAGING EMPLOYEENOT APPLICABLE
GORELICK, BATYACORPORATE OFFICERNOT APPLICABLE

Helpful resources

Educational information, not medical or legal advice. Data & methodology