1600 Matthew Drive, Fort Myers, FL 33907 · Lee County · (239) 275-6067
120 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 105723 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 15, 2024, inspectors cited 10 health deficiencies (the Florida average is 7.1, the national average 9.2).
Of 30 health citations since June 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $16,801 in the last three years; the largest was $16,801, and the latest is dated November 15, 2024.
Nurses and nurse aides worked 3.41 hours per resident per day, against 3.82 across Florida and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
69.5% of nursing staff left within the year CMS measured (Florida average 41.4%).
CMS links it to Aston Health, an affiliated group of 38 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 30 health citations on file.
Inspectors wroteBased on interview, and record review the facility failed to obtain physician ordered medication and ensure timely administration of pain medications for 1 (Resident #318) of 5 residents sampled for medication regimen review, causing ongoing severe pain to the resident.
Inspectors wroteBased on observation, review of the clinical record, review of facility policy and procedure, residents, residents' family and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 5 (Residents #8, #51, #89, #95 and #317) of 10 residents reviewed for activities of daily living (ADL's).
Inspectors wroteBased on observations, Interviews, and record reviews the facility failed to provide sufficient staff to ensure call lights were answered in a timely manner for nine of nine residents surveyed (Resident #89, #213, #23, #13, #95, #8, #51, #317, and #18) and failed to provide showers, activities of daily living care, oral and nail care in a timely manner.
Inspectors wroteBased on record review, and interview the facility failed to notify the resident's representative of a dose reduction and discontinuation of antipsychotic medication for 1 (Resident #95) of 5 residents sampled for medication regimen review.
Inspectors wroteBased on interview and record review the facility failed to ensure the comprehensive assessment was accurate and reflected residents' activity preference for 2 (Residents #83 and #95) of 4 residents surveyed for activities.
Inspectors wroteBased on observation, clinical record review, resident representative and staff interviews, the facility failed to provide an ongoing, meaningful, resident centered activity program to support the interest and meet the physical, mental, and psychological well-being of 2 (Residents #95 and #8) of 7 residents reviewed for involvement in activities.
Inspectors wroteBased on observation, review of facility policy and procedures, record review and staff interviews, the facility failed to maintain urinary catheters in a safe and sanitary manner for 1(Resident #25) of 1 resident reviewed with an indwelling urinary catheter.
Inspectors wroteBased on observation, review of facility policy and procedures, review of the clinical record and resident and staff interview the facility failed to ensure 2 (Residents #67 and #89) of 2 residents receiving intravenous solution received appropriate care of the intravenous insertion site, including dressing changes and flushing the line.
Inspectors wroteBased on observation, review of facility policy and procedure, and staff interviews, the facility failed to maintain resident nebulizer machines (turns liquid medication into a mist that can be inhaled) in a sanitary manner for 2 (Resident #6 and #18) of 2 residents reviewed with a nebulizer.
Inspectors wroteBased on observations, record review and interviews, the facility failed to provide a diet to accommodate the documented gluten and lactose dietary restriction for 1 (Resident #13) of 2 residents reviewed for nutrition. The findings Included: Review of the clinical record revealed Resident #13 was admitted to the facility on [DATE]. Diagnoses included Type II Diabetes, Celiac Disease (immune reaction to eating gluten), and malnutrition. On 11/13/24 at 10:35 a.m., in an interview Resident #13 said she had Celiac Disease, and she is always being served oatmeal and grits. Resident #13 said she has told dietary staff she cannot eat oatmeal and grits. On 11/15/24 at 8:20 a.m., Resident #13's breakfast was observed. The resident's meal ticket said she was allergic to Gluten and Lactose. The meal ticket listed her dislikes as bread and Fish/Seafood. [...]
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to ensure a safe, clean, comfortable and sanitary environment for residents and failed to provide the necessary linens required for resident care.
Inspectors wroteBased on observation, review of the clinical record, and resident and staff interviews, the facility failed to provide the necessary care and services to maintain personal hygiene for 7(Resident #3, #6, #58, #75, #401, #404 and #405) of 29 residents reviewed for activities of daily living (ADLs).
Inspectors wroteBased on observations, interviews, records review the facility failed to provide activities to meet the interests of 8 (Resident #3, #6, #17, #42, #58, #68, #75, and #84) of 9 residents reviewed for activities. The lack of an ongoing activity program and lack of contact and interaction with the community could lead to a decline in residents' mental and psychosocial well-being.
Inspectors wroteBased on record review, policy review, staff and resident interviews, the facility failed to provide pharmacy services to ensure timely administration of medications in accordance with physician orders for 4 residents (#401, #402, #404, and #407) of 4 newly admitted residents reviewed.
Inspectors wroteBased on interviews and record reviews, the facility failed to honor the personal choice for time of day and frequency of showers for 1 resident (#53) of 7 resident reviewed for choices about showers.
Inspectors wroteBased on observations and interviews, the facility failed to maintain a clean, and safe environment in 1 (Memory Care Unit) of 6 units of the facility.
Inspectors wroteBased on observation, record review and staff interviews the facility failed to develop and implement a comprehensive, resident centered activity plan of care for 1(Resident #84) of 29 resident care plans reviewed.
Inspectors wroteBased on observation, record review, staff and resident interview, the facility failed to demonstrate effective coordination to ensure 1 resident (Resident #84) of 6 residents reviewed with wounds, received the appropriate preventive care and treatment. This failure can cause delayed wound healing and potential infection.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to provide the necessary care and services to prevent a decline in range of motion for 1 (Resident #58) of 3 residents reviewed for decline in range of motion.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to store the urinary catheter drainage bag in a sanitary manner for 2 (Residents #39 and #402) of 4 residents reviewed with urinary catheters.
Inspectors wroteBased on observation, record review and staff interview the facility failed to follow physician's orders for oxygen therapy for 2 (Resident #3 and #68) of 2 residents reviewed for oxygen administration. Failure to follow prescribed oxygen therapy may result in inadequate oxygen treatment or an increased risk of side effects and complications.
Inspectors wroteBased on clinical record review, observations, resident and staff interviews, the facility failed to document food allergy to ensure 1 (Resident #402) of 1 resident reviewed did not receive food items listed on allergy list.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain the kitchen and nourishment rooms in a clean, safe, and sanitary manner that is in good repair by not having clean surfaces in food preparation and storage areas, and not maintaining the ice machine in a manner to prevent potential contamination.
Inspectors wroteBased on observation, record review and interview the facility failed to maintain laundry room equipment, in safe operating condition.
Inspectors wroteBased on observation, resident, family, and staff interview, the facility failed to maintain a safe, sanitary, and comfortable environment, free from biological growth (bio growth) for residents, staff, and the public, by not having clean surfaces; not repairing damaged walls in resident rooms and bathrooms; and not storing resident personal care items in a sanitary manner. Not maintaining a sanitary environment has the potential for cross contamination and promotes bio growth.
Inspectors wroteBased on observation, review of facility policy, clinical record review, and resident and staff interview, the facility failed to provide the necessary services to maintain personal hygiene for 2 (Resident #54 and #95) of 4 sampled residents. reviewed for choices. This has the potential to cause skin breakdown, embarrassment, and frustration.
Inspectors wroteBased on a Resident Council meeting and staff interview the facility failed to ensure they acted promptly upon grievances and recommendations made by the Resident Council related to resident care and life in the facility.
Inspectors wroteBased on record review, policy review, resident and staff interview, the facility failed to provide an ambulation program as per restorative and plan of care to maintain abilities and prevent decline in ambulation for 1 (Resident #70) of 1 resident reviewed for Activities of Daily Living (ADL).
Inspectors wroteBased on observation, interview and record review, the facility to ensure the medication error rate was below 5.00%. Three licensed nurses on two different wings with 26 opportunities were observed. Three medication errors were identified resulting in a 11.54% error rate. The facility policy, Medication and Treatment Administration Guidelines (Updated 3/2018) specified, Medications are administered in accordance with standards of practice and state specific and federal guidelines . 1. On 6/9/21 at 8:15 a.m., Registered Nurse (RN) Staff A was observed to prepare 6 different medications for Resident #7 including 1 tablet of multiple vitamin and Polyethylene Glycol 3350 Powder 17 grams (gm). RN Staff A measured and poured the dose of Polyethylene Glycol 3350 Powder in a cup and mixed it with water. [...]
Inspectors wroteBased on observation, staff interview, and review of facility policy and procedure, the facility failed to identify and dispose of expired medications to prevent use in 2 (100 and 400 hall) of 3 medication carts and 1 (North wing) of 2 medication rooms. The facility failed to properly store and label medications for 3 (Residents #31, #89 and #349,) in 2 of 3 medication carts reviewed for proper storage and labeling of medications. This has the potential for expired medications to be administered to residents.
11 fire safety citations on file: 10 on February 9, 2023, 1 on June 10, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| November 15, 2024 | Fine | $16,801 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Florida | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.41 | 3.82 | 3.86 |
| Registered nurses | 0.70 | 0.73 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.49 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 0.62 | ||
| Nursing staff turnover (share who left in a year) | 69.5% | 41.4% | 45.8% |
| Registered nurse turnover | 78.1% | 46.0% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.52 on weekdays and 3.14 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.54 in April to June 2025 to 3.41 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.41 | 0.70 | 3.52 | 3.14 | 0.1% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.36 | 0.63 | 3.45 | 3.13 | 0.0% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.36 | 0.74 | 3.48 | 3.08 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 3.54 | 0.98 | 3.72 | 3.12 | 4.1% | 0 of 91 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Florida, Jan to Mar 2026 | 3.76 | 0.70 | 3.90 | 3.44 | 1.1% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Florida, all employers | |||
| CNAs (nursing assistants) | $18.03 | $17.33 to $20.34 | 96,960 |
| LPNs and LVNs | $29.70 | $28.14 to $31.11 | 38,620 |
| Registered nurses | $40.48 | $37.82 to $48.64 | 229,940 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Florida | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.3 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.8 | 9.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.4 | 4.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.6 | 8.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.1 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 9.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Cedarbrook Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.8% this home
No different from the national rate
US median of homes 51.5% · Florida: 169 better, 109 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 122 eligible stays.
13.0% this home
No different from the national rate
US median of homes 10.7% · Florida: 2 better, 35 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 131 eligible stays.
8.2% this home
No different from the national rate
US median of homes 7.1% · Florida: 6 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 68 eligible stays.
40.9% this home
Median of homes: Florida55.1% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 66 residents counted.
0.9% this home
Median of homes: Florida0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 114 residents counted.
2.4% this home
Median of homes: Florida1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 114 residents counted.
97.9% this home
Median of homes: Florida97.7% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 47 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CEDARBROOK OPERATIONS LLC. CMS links this home to Aston Health, a group of 38 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cedarbrook Rehab Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 05/05/2023 |
| Bf Cedarbrook Trust | 5% or greater indirect ownership interest | Organization | 50% | 05/05/2023 |
| Lf Cedarbrook Trust | 5% or greater indirect ownership interest | Organization | 50% | 05/05/2023 |
| Atkinstall, Alicia | Operational/managerial control | Individual | 09/24/2024 | |
| Aviles, Ursula | Operational/managerial control | Individual | 05/05/2023 | |
| Martinez Irizarry, Alfonso | Operational/managerial control | Individual | 02/01/2025 | |
| Soltis, Erin | Operational/managerial control | Individual | 06/24/2024 | |
| Wildes, Donna | Operational/managerial control | Individual | 08/28/2025 | |
| Friedman, Leopold | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/16/2025 | |
| Aston Healthcare LLC | Adp of the SNF | Organization | 05/05/2023 | |
| Martinez Irizarry, Alfonso | Adp of the SNF | Individual | 10/16/2025 | |
| Soltis, Erin | Adp of the SNF | Individual | 10/16/2025 | |
| Wildes, Donna | Adp of the SNF | Individual | 08/28/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its Florida inspection record.
These are the official offices in Florida. NursingHomeClear cannot take or act on complaints.