F609 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F609 less often than its own record predicts
Versus expected share0.57×
0.57 times the national share — cited less often here than elsewhere.
Share of Florida citations1.41%
Of every deficiency written in Florida in 2025, this is the portion that was F609.
Florida1.41%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F609 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.
K · Immediate jeopardy, patternJanuary 24, 2024
Based on interviews, record review, and policy review the facility failed to ensure an allegations of neglect were reported related to not ensuring cardiopulmonary resuscitation (CPR) was provided according to policy and procedure for one resident (#1) out of three reviewed for the CPR process; not following up on critical lab results for one resident (#11) out of three reviewed for lab testing and not ensuring treatment and care was in place for one resident (#11) out of three reviewed for an immune deficiency syndrome.
This failure created a situation that resulted in a worsened condition and/or the likelihood for serious injury and or death and resulted in the determination of Immediate Jeopardy which began on [DATE]. …
Based on observation, interview, record and policy review; the facility failed to ensure reporting of 2 of 2 incidents involving events with major injuries both affecting 1 of 2 sampled residents (Resident #11) reviewed for accidents.
The findings included:
The facility's Abuse and Neglect Prohibition policy effective 10/24/22 and revised 8/2023 revealed, The center will report such allegations to the state, as per state/federal regulation. The center will report immediately but no later than 2 hours after forming the suspicion of the events that cause the allegation involve abuse or result in serious bodily injury. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on interview, and record review, the facility failed to report an alleged violation of neglect for 1 of 6 residents reviewed for code status, of a total sample of 9 residents, (#1). Findings: Cross reference F678. Resident #1 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy (impaired brain function), type 2 diabetes, essential hypertension, depression, other seizures, and bipolar disorder. Review of the Minimum Data Set Medicare 5-Day assessment with assessment reference date of [DATE] revealed resident #1 had a Brief Interview for Mental Status score of 10/15 which indicated he had moderate cognitive impairment. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction