Based on interview, and record review, the facility failed to implement and review physician's admission orders for 1 of 3 residents reviewed for admission orders, of a total sample of 5 residents, (#1). The facility did not verify, implement, or initiate expected treatments and prescribed medications consistent with the resident's medical status and as listed in the hospital discharge summary. The Interdisciplinary Team (IDT) failed to recognize that essential components of the admission orders to maintain a chronic condition, including critical medications were missing or not transcribed into the Electronic Medical Record (EMR). …
F635 citations in Florida
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F635 more often than its own record predicts
2.95 times the share F635 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F635.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F635 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 policy review, record review and interview, the facility failed to ensure that when residents are admitted to the facility that there are physician orders for the residents' immediate care for 1 of 1 sampled resident reviewed for dialysis, Resident #171. The findings included:Review of the facility Policy and Procedure for New Admissions issued 01/19 and revised 02/24 documents, in part, the following: the primary purpose of our admission policies is to establish uniform guidelines for personnel to follow in admitting residents to the facility. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 1.81× |
| 2024 | 0.08% | 1.70× |
| 2025 | 0.16% | 2.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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