Cedarbrook Health and Rehabilitation Center
1600 Matthew Drive · Fort Myers, FL · 33907 · 2392756067
120 certified beds For profit - Corporation Chain: Aston Health
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (30 in the current record)
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Actual harm · G November 15, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · D November 15, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024
Provide activities to meet all resident's needs.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected December 14, 2024 · Nutrition and Dietary
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Potential for harm · E November 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · E November 15, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 14, 2024 · Nursing and Physician Services
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Potential for harm · E November 15, 2024 · found via complaint
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.
Corrected December 14, 2024 · Resident Rights
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Potential for harm · D February 9, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 17, 2023 · Resident Rights
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Potential for harm · D February 9, 2023
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.
Corrected March 28, 2023 · Resident Rights
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Potential for harm · D February 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 9, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · E February 9, 2023
Provide activities to meet all resident's needs.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · D February 9, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · D February 9, 2023
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.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · D February 9, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · D February 9, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 17, 2023 · Quality of Life and Care
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Potential for harm · E February 9, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2023 · Pharmacy Service
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Potential for harm · D February 9, 2023
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected March 17, 2023 · Nutrition and Dietary
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Potential for harm · D June 10, 2021
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 10, 2021 · Resident Rights
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Potential for harm · D June 10, 2021
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 10, 2021 · Resident Rights
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Potential for harm · D June 10, 2021
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 10, 2021 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 15, 2024 | Fine | $16,801 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105723 · certified since April 25, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.