Based on observation, interview and record review, the facility failed to ensure residents are free from the use of physical restraints as evidenced by the facility's staff inhibit seven (7) residents the freedom of movement by placing one resident in a recliner wedged between a wall and a column and placing a chair at the foot of the recliner to restrict the lowering of the foot of the recliners for all seven residents observed in recliners asleep in the common 3rd floor dining room. …
F604 citations in Florida
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F604 less often than its own record predicts
0.17 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F604 findings written in Florida, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review, the facility failed to ensure freedom from a physical restraint that inhibited movement and activity for 1 of 2 residents reviewed for restraints, of a total sample of 10 residents, (#1). The facility's failure to promote resident #1's rights to be treated with respect and dignity and to be free from abuse resulted in psychosocial harm. Using the reasonable person concept there was potential for outcomes such as continued agitation and anxiety, loss of dignity, dehumanization, and feelings of fear and imprisonment. Resident #1, a cognitively impaired resident, was inappropriately restrained in his wheelchair and he struggled to move freely and stand. …
Based on observation, record review, and interview, the facility did not ensure residents remained free from the use of physical restraints for one resident (#3) out of one resident observed. Resident #3 was repeatedly observed with pillows placed underneath the fitted sheet on both sides of the resident's body in a manner that restricted movement.Findings included: On 06/22/2026, at 9:52 a.m., Resident #3 was observed lying in bed with pillows placed underneath the fitted sheet on both sides of the body, extending from the shoulders to the waist. The resident was asleep and did not respond to knocking. Later that day, at 3:38 p.m., Resident #3 was again observed with pillows positioned beneath the fitted sheet from shoulders to waist. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 0.50× |
| 2024 | 0.25% | 0.68× |
| 2025 | 0.07% | 0.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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