Based on observation, record review and interview the facility failed to assess residents for the type of mechanical lift to be used for safe transfers for 1 of 5 sampled residents, (#1). Findings: Resident #1 was a [AGE] year old female with [DIAGNOSES REDACTED]. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] noted that the resident's cognition was severely impaired with inattention and disorganized thinking. The resident required total assistance with transfers with the help of 2 staff members and extensive assistance for locomotion both on and off the nursing unit. The resident was not steady with surface to surface transfers such as wheelchair to bed and was only stable with human assistance. …
F636 citations in Florida
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F636 less often than its own record predicts
0.79 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F636 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 timely complete Comprehensive Minimum Data Set (MDS) Assessments for 2 of 6 residents reviewed for Resident Assessment, of a total of 56 residents, (#77, #162).Findings:1. Review of the medical record revealed resident #77, an [AGE] year-old female was admitted to the facility on [DATE] and re-admitted from an acute care hospital on 1/15/25 with diagnoses that included dementia, malnutrition, gastrostomy (feeding tube) status, convulsions, and abnormality of gait (walking) and mobility.Resident #77's most recent MDS Comprehensive Annual Assessment with an Assessment Reference Date (ARD) of 12/27/25 showed a completion date of 1/13/26, 3 days late.2. …
Based on interview and record review the facility failed to ensure minimum data set assessments were completed and transmitted in a timely manner for 38 residents (Resident #2, 3, 4, 5, 6, 9, 8, 10, 11, 12,13, 14, 15, 23, 24, 25, 26, 27, 28, 29, 32, 33, 35, 36, 37, 39, 40, 41, 42, 43, 48, 49, 50, 51, 59, 109, 111) of 38 residents reviewed for resident assessment. Findings include: Resident records were reviewed to determine the completion and transmission status of sampled residents' minimum data set assessments. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.78× |
| 2024 | 0.38% | 1.32× |
| 2025 | 0.20% | 0.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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