Naples, FL

Naples Health And Rehabilitation Center

1-star overall rating with 1-star inspections with $172,682 in total fines with 16 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

2900 12th Street N, Naples, FL

(239) 261-2554

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1983-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.72

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.79 · national 0.87

Aide hours / resident day

2.47

Nurse aide staffing · state 2.34 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.52 · national 1.54

Weekend hours

3.60

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.69

Weekend registered nurse coverage · state 0.53 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.87

CMS adjusted RN staffing hours

Adjusted total hours

4.70

CMS adjusted total nurse staffing hours

Case-mix index

1.13

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 42% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,068

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

34.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9882

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.61

Baseline 20.14% · Performance 21.15% · Measure score 0.61 · Achievement 0.61 · Improvement 0

Healthcare-associated infections

1.97

Baseline 5.45% · Performance 7.25% · Measure score 1.97 · Achievement 1.97 · Improvement 0

Total nurse turnover

6.17

Baseline 32.81% · Performance 38.46% · Measure score 6.17 · Achievement 6.17 · Improvement 0

Adjusted total nurse staffing

4.89

Baseline 4.16 hours · Performance 4.47 hours · Measure score 4.89 · Achievement 4.89 · Improvement 1.42

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.16%
10.72%
0.4 pts worse
No Different than the National Rate · Eligible stays 120 · Observed rate 13.33% · Lower 95% interval 8.29%
Discharge to community 34.2%
50.57%
16.4 pts worse
Worse than the National Rate · Eligible stays 65 · Observed rate 21.54% · Lower 95% interval 24.23%
Medicare spending per beneficiary 0.93
1.02
0.1 pts better
Drug regimen review with follow-up 87.1%
95.27%
8.2 pts worse
Numerator 81 · Denominator 93
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 93
Discharge self-care score 49.21%
53.69%
4.5 pts worse
Numerator 31 · Denominator 63
Discharge mobility score 47.62%
50.94%
3.3 pts worse
Numerator 30 · Denominator 63
Pressure ulcers or injuries, new or worsened 1.08%
2.29%
1.2 pts better
Numerator 1 · Denominator 93 · Adjusted rate 1.04%
Healthcare-associated infections requiring hospitalization 7.24%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 51 · Observed rate 9.8% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 87
Staff flu vaccination coverage 0%
42%
42 pts worse
Numerator 0 · Denominator 110
Discharge function score 61.9%
56.45%
5.4 pts better
Numerator 39 · Denominator 63
Transfer of health information to provider 95.56%
95.95%
0.4 pts worse
Numerator 43 · Denominator 45
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 11.54%
25.2%
13.7 pts worse
Numerator 6 · Denominator 52

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 4.0
2.1
1.9 pts worse
1.9
2.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 4.0 · Observed 3.9 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
1.2
1.2 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
97.8%
1.9 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.9% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
2.6%
0.2 pts worse
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.3% · Q3 3.4% · Q4 4.4% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.3%
3.7%
3.4 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight 2.9%
5.9%
3 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 5.9% · Q4 4.1% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 10.3%
15.7%
5.4 pts better
19.6%
9.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 6.1% · Q3 7.4% · Q4 8.0% · 4Q avg 10.3%
Percentage of long-stay residents who received an antipsychotic medication 11.9%
9.8%
2.1 pts worse
16.7%
4.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 15.0% · Q3 9.4% · Q4 8.6% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 12.3%
11.7%
0.6 pts worse
16.3%
4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 6.9% · Q3 10.6% · Q4 17.2% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.9%
9.8%
0.9 pts better
14.9%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 3.3% · Q3 6.6% · Q4 15.7% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.4%
0.2 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.0%
0.8%
1.2 pts worse
1.7%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 2.3% · Q4 2.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 12.5%
12.5%
About the same
19.8%
7.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 5.2% · Q3 17.4% · Q4 17.4% · 4Q avg 12.5%
Percentage of long-stay residents with pressure ulcers 5.7%
5.1%
0.6 pts worse
5.1%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.5% · Q3 9.6% · Q4 5.8% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.3%
94.3%
7 pts worse
81.7%
5.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 83.0% · Q2 87.7% · Q3 90.6% · Q4 86.8% · 4Q avg 87.3%
Percentage of short-stay residents who had an outpatient emergency department visit 7.4%
9.3%
1.9 pts better
12.0%
4.6 pts better
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 8.3% · Expected 12.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.5%
0.8 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.9%
94.7%
10.8 pts worse
79.7%
4.2 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 37.2%
26.2%
11 pts worse
23.9%
13.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 37.2% · Observed 40.0% · Expected 25.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-30 · Fire 2023-11-30

16 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2022-01-06 · Fire 2022-01-06

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-12-19 · Fire 2019-12-19

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-11-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-12-30

F · Potential for more than minimal harm 2022-01-06

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-01-13

F · Potential for more than minimal harm 2022-01-06

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-02-04

F · Potential for more than minimal harm 2022-01-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-02-03

E · Potential for more than minimal harm 2022-01-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-02-06

E · Potential for more than minimal harm 2022-01-06

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-16

D · Potential for more than minimal harm 2022-01-06

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-02-06

F · Potential for more than minimal harm 2019-12-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-17

C · Minimal harm 2019-12-19

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2020-01-17

C · Minimal harm 2019-12-19

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2020-01-17

C · Minimal harm 2019-12-19

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2020-01-17

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-30

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-05-30

F585 · Resident Rights Deficiencies

Health

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 2025-06-23

D · Potential for more than minimal harm 2025-05-30

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-06-23

D · Potential for more than minimal harm 2025-04-10

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-09

E · Potential for more than minimal harm 2024-08-08

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-08

G · Actual harm 2024-03-28

F849 · Administration Deficiencies

Health

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 2024-04-28

E · Potential for more than minimal harm 2023-11-30

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-12-30

E · Potential for more than minimal harm 2023-11-30

F585 · Resident Rights Deficiencies

Health

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 2023-12-30

E · Potential for more than minimal harm 2023-11-30

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-12-30

E · Potential for more than minimal harm 2023-11-30

F690 · Quality of Life and Care Deficiencies

Health

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 2023-12-30

E · Potential for more than minimal harm 2023-11-30

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-30

E · Potential for more than minimal harm 2023-11-30

F761 · Pharmacy Service Deficiencies

Health

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 2023-12-30

D · Potential for more than minimal harm 2023-11-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-11-30

F584 · Resident Rights Deficiencies

Health

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 2023-12-30

D · Potential for more than minimal harm 2023-11-30

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-11-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-30

D · Potential for more than minimal harm 2023-11-30

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-17

D · Potential for more than minimal harm 2023-11-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-30

K · Immediate jeopardy 2023-08-25

F726 · Nursing and Physician Services Deficiencies

Health

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 2023-09-26

J · Immediate jeopardy 2023-08-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-26

J · Immediate jeopardy 2023-08-25

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-26

J · Immediate jeopardy 2023-08-25

F835 · Administration Deficiencies

Health

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

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-08-25

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-08-25

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2023-09-26

D · Potential for more than minimal harm 2023-06-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-12

E · Potential for more than minimal harm 2022-01-06

F585 · Resident Rights Deficiencies

Health

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 2022-02-06

E · Potential for more than minimal harm 2022-01-06

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-02-06

E · Potential for more than minimal harm 2022-01-06

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F761 · Pharmacy Service Deficiencies

Health

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 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F921 · Environmental Deficiencies

Health

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

Corrected 2022-02-06

D · Potential for more than minimal harm 2022-01-06

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2022-02-06

F · Potential for more than minimal harm 2019-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-03-18

D · Potential for more than minimal harm 2019-12-19

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-18

D · Potential for more than minimal harm 2019-12-19

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2020-01-17

D · Potential for more than minimal harm 2019-12-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2020-01-17

D · Potential for more than minimal harm 2019-12-19

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2020-03-18

Penalties and ownership

What sits behind the stars

$19,256 2025-04-10

Fine

Fine · fine $19,256

Fine

$35,426 2024-03-28

Fine

Fine · fine $35,426

Fine

$118,000 2023-08-25

Fine

Fine · fine $118,000

Fine

Ownership

Hyman, Simcha

5% Or Greater Direct Ownership Interest · Individual

50% 25 facilities 2020-04-20
Zanziper, Naftali

5% Or Greater Direct Ownership Interest · Individual

50% 31 facilities 2020-04-20
Gorelick, Batya

Corporate Officer · Individual

0% 37 facilities 2020-04-20
Spencer, Everton

W-2 Managing Employee · Individual

0% 1 facilities 2020-04-20

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