Naples Health and Rehabilitation Center

2900 12th Street N · Naples, FL · 34103 · 2392612554

120 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper

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: $19,256 in fines in the last 24 months.

The complete Safety Report — $19

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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.

Score breakdown

Inspection record 30% of score 13
Serious harm & abuse 20% 0
Staffing 20% 73
Federal penalties 15% 32
Trend 10% 70
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.953.48 min · 4.1 strong
RN hours / resident-day0.540.55–0.75
Weekend hours / resident-day3.68≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)3 · $172,682

Inspection citations (46 in the current record)

  • Immediate jeopardy · J March 6, 2026

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

    Corrected March 27, 2026 · Quality of Life and Care

  • Immediate jeopardy · J March 6, 2026

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

    Corrected March 27, 2026 · Administration

  • Immediate jeopardy · J March 6, 2026

    Have policies on smoking.

    Corrected March 27, 2026 · Environmental

  • Potential for harm · D March 6, 2026

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

    Corrected March 27, 2026 · Resident Rights

  • Potential for harm · D March 6, 2026

    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.

    Corrected March 27, 2026 · Resident Rights

  • Potential for harm · D March 6, 2026

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

    Corrected March 27, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2026

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

    Corrected March 27, 2026 · Quality of Life and Care

  • Potential for harm · E March 6, 2026

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

    Corrected March 27, 2026 · Nursing and Physician Services

  • Potential for harm · E March 6, 2026

    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 27, 2026 · Pharmacy Service

  • Potential for harm · D May 30, 2025 · found via complaint

    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.

    Corrected June 23, 2025 · Resident Rights

  • Potential for harm · D May 30, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected June 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 30, 2025 · found via complaint

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

    Corrected June 23, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected May 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E August 8, 2024 · found via complaint

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

    Corrected September 8, 2024 · Quality of Life and Care

  • Actual harm · G March 28, 2024 · found via complaint

    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.

    Corrected April 28, 2024 · Administration

  • Potential for harm · E November 30, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 30, 2023 · Resident Rights

  • Potential for harm · D November 30, 2023

    Keep residents' personal and medical records private and confidential.

    Corrected December 30, 2023 · Resident Rights

  • Potential for harm · E November 30, 2023

    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.

    Corrected December 30, 2023 · Resident Rights

  • Potential for harm · E November 30, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected December 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 30, 2023

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

    Corrected December 30, 2023 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

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

    Corrected December 30, 2023 · Quality of Life and Care

  • Potential for harm · E November 30, 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 December 30, 2023 · Quality of Life and Care

  • Potential for harm · D November 30, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 17, 2024 · Quality of Life and Care

  • Potential for harm · E November 30, 2023

    Ensure that residents are free from significant medication errors.

    Corrected December 30, 2023 · Pharmacy Service

  • Potential for harm · E November 30, 2023

    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 December 30, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
April 10, 2025Fine$19,256
March 28, 2024Fine$35,426
August 25, 2023Fine$118,000

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105439 · certified since June 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.