Lehigh Acres Healthcare & Rehab Center
1550 Lee Boulevard · Lehigh Acres, FL · 33936 · 2393692194
128 certified beds For profit - Limited Liability company Chain: Gold Fl Trust II
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $132,889 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$132,889 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.80 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.78 | 0.55–0.75 |
| Weekend hours / resident-day | 3.40 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 2 · $132,889 |
Inspection citations (29 in the current record)
-
Actual harm · G August 25, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2025 · Quality of Life and Care
-
Immediate jeopardy · K June 21, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 25, 2025 · Quality of Life and Care
-
Immediate jeopardy · K June 21, 2025
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.
Corrected July 25, 2025 · Nursing and Physician Services
-
Immediate jeopardy · K June 21, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected July 25, 2025 · Administration
-
Potential for harm · D June 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 25, 2025 · Quality of Life and Care
-
Potential for harm · D June 21, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 25, 2025 · Quality of Life and Care
-
Potential for harm · D June 21, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 25, 2025 · Quality of Life and Care
-
Potential for harm · D June 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 25, 2025 · Quality of Life and Care
-
Potential for harm · E June 21, 2025
Provide and implement an infection prevention and control program.
Corrected July 25, 2025 · Infection Control
-
Immediate jeopardy · J August 24, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J August 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 18, 2024 · Quality of Life and Care
-
Potential for harm · D August 24, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F August 24, 2024 · found via complaint
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected September 18, 2024 · Administration
-
Potential for harm · D October 26, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 26, 2023 · Quality of Life and Care
-
Potential for harm · D October 26, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 26, 2023 · Quality of Life and Care
-
Potential for harm · D October 26, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected November 26, 2023 · Quality of Life and Care
-
Potential for harm · E October 26, 2023
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 26, 2023 · Nursing and Physician Services
-
Potential for harm · E October 26, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 26, 2023 · Pharmacy Service
-
Potential for harm · D October 26, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected November 26, 2023 · Pharmacy Service
-
Potential for harm · D October 26, 2023 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected November 26, 2023 · Nursing and Physician Services
-
Potential for harm · D February 10, 2022
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 10, 2022 · Resident Rights
-
Potential for harm · D February 10, 2022
Ensure each resident receives an accurate assessment.
Corrected March 10, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D February 10, 2022
Assist a resident in gaining access to vision and hearing services.
Corrected March 10, 2022 · Quality of Life and Care
-
Potential for harm · E February 10, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected March 10, 2022 · Pharmacy Service
-
Potential for harm · D February 10, 2022
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.
Corrected March 10, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 21, 2025 | Fine | $71,435 |
| August 24, 2024 | Fine | $61,454 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105522 · certified since January 7, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.