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Nursing HomeMedicaid

Cedarbrook Health and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1600 Matthew Drive, Fort Myers, FL 33907120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 17 Google reviews

5
4
3
2
1
Cedarbrook Health and Rehabilitation Center Nursing Home in Fort Myers, FL — Street View
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What this means for your family

While the facility receives praise for its physical therapy and aesthetic appeal, the recent, consistent reports of medical neglect and hygiene issues are deeply concerning. We strongly advise families to conduct unannounced visits and closely monitor the administration of medical care if a loved one is admitted here.

Google Reviews

Google Reviews

17 reviews on Google
Cedarbrook Health and Rehabilitation Center presents a stark divide in experiences, with some reviewers praising the facility's cleanliness and the compassion of individual staff members during rehab stays. However, recent reports from families of long-term residents describe serious lapses in basic care, including hygiene neglect, failure to follow medical orders for tube feedings, and unresponsive staff. Potential families should be aware of these critical safety concerns, which contrast sharply with the facility's polished appearance.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean5.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Clean, well-maintained building
  • Effective physical therapy team
  • Compassionate individual nursing care

Concerns

  • Hygiene and sanitation neglect (mentioned by 2 reviewers)
  • Inadequate medical care and failure to follow physician orders (mentioned by 2 reviewers)
  • Unresponsive or disengaged staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.32025(12)1.02026(5)

Distribution · 17 analyzed

5
10
4
0
3
0
2
0
1
7

How They Respond to Reviews

71%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how does that process help your team improve the daily care experience for residents?
  • 2Given the recent focus on medication management, could you walk me through your current process for ensuring physician orders are accurately tracked and administered?
  • 3Some families have expressed concerns regarding hygiene and sanitation; what specific protocols do you have in place to ensure rooms and common areas remain consistently clean?
  • 4I see your physical therapy team is highly regarded; how do you integrate that therapy into the daily routine to ensure residents stay active and engaged?
  • 5How do you ensure that communication remains proactive and transparent between the nursing staff and family members, especially when there are changes in a resident's health status?
  • 6With a capacity of 120 residents, how does your staff stay connected and responsive to individual needs throughout the day and night?

Personalized based on this facility's data


Key Review Excerpts

There were instances where physician-ordered tube feedings were not administered according to the prescribed schedule, and there were occasions where she was left in urine

Family member of resident · 2026☆☆☆☆

My rehab went so well because of the amazing p.t. ppl, i requested to go back after my surgery in December. Coming up. The nurses were great. Place was clean and the kitchen very accommodating.

Rehab patient · 2025★★★★★

My brother-in-law was neglected, his room was always dirty, clothes always dirty or left in laundry with me tracking down, and the entire wing smelled of urine.

Family member of resident · 2025☆☆☆☆
Source: 17 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
84%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
68%
Lower is better (< 30% = good)
RN Turnover
78%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.6%
Better than Avg
Here
2.6%
US
14.4%
FL
9.1%
Lee
15.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.4%
FL
8.7%
Lee
17.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
FL
4.1%
Lee
3.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.0%
Better than Avg
Here
5.0%
US
15.3%
FL
10.6%
Lee
16.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
19.4%
FL
11.5%
Lee
17.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.5%
FL
15.0%
Lee
21.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.5%
Mixed vs Avgs
Here
94.5%
US
79.7%
FL
94.7%
Lee
89.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.0%
Mixed vs Avgs
Here
87.0%
US
81.8%
FL
94.8%
Lee
88.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
FL
1.5%
Lee
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
1penalties
Above state avg (7.3)
5 complaint-triggered
$16,801 in fines

Cedarbrook has persistent deficiencies across multiple surveys, with families filing complaints that triggered inspections in 2023 and 2024. The facility struggles most with basic daily care assistance, medication management, and maintaining a clean environment. Issues with daily living support and communication with families about resident incidents have recurred across multiple years, though the facility reports corrections after each citation.

Nov 15, 2024Routine
8
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nov 15, 2024Complaint
3
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

Apr 18, 2023Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Feb 9, 2023Routine
21
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0009Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0013Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop Emergency Preparedness policies and procedures.

0034Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0035Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0917Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jun 10, 2021Routine
9
0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Nov 15, 2024

$16,801

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cedarbrook Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Aston Health

Chain Size

38 facilities nationwide

Ownership & Management

Owners

Cedarbrook Rehab Holdings LLC

Owner · Organization

100%

Bf Cedarbrook Trust

Owner (parent company) · Organization

50%

Lf Cedarbrook Trust

Owner (parent company) · Organization

50%

Friedman, Leopold

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Atkinstall, AliciaManagerAviles, UrsulaManagerMartinez Irizarry, AlfonsoManagerSoltis, ErinManagerWildes, DonnaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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