F655 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F655 less often than its own record predicts
Versus expected share0.60×
0.60 times the national share — cited less often here than elsewhere.
Share of Florida citations0.39%
Of every deficiency written in Florida in 2025, this is the portion that was F655.
Florida0.39%
National0.66%
Share of all citations that were F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F655 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.
J · Immediate jeopardy, isolatedDecember 29, 2022
Based on interview and record review, the facility failed to develop a person-centered baseline care plan with appropriate interventions within 48 hours of admission, and failed to involve the resident representative to promote collaborative care and ensure the immediate health and safety needs were met for 1 of 6 residents reviewed for falls of a total sample of 8 residents, (#1). These failures contributed to unwitnessed falls, serious head injury, and the resident's subsequent death. There was likelihood resident #1 suffered pain as a result of her injuries and brain surgery prior to her death.
On Friday, [DATE], resident #1 arrived at the facility from the hospital. …
D · No harm, potential for more than minimal, isolatedJuly 16, 2026
Based on observation, interview, and record review, the facility failed to develop a person-centered Baseline Care Plan addressing smoking for 1 of 2 residents sampled for smoking, out of a total sample of 52 residents, (#45).Findings: Review of resident #45's medical record revealed she was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, pleural effusion, pneumonia, and anxiety disorder. Review of resident #45's medical record revealed a Brief Interview for Mental Status assessment completed on 7/03/26 showed a score of 15 out of 15, indicating intact cognition. On 7/15/26 at 10:44 AM, resident #45 stated she had been coughing at night but missed the physician that morning because she went to smoke at 9:30 AM. …
B · No harm, potential for minimal, patternDecember 12, 2024
Based on record review and interviews, the facility failed to ensure that the baseline care plans were completed within 48 hours for 3 of 5 sampled residents, Resident #36, Resident #508 and Resident #189.
The findings included:
1. Review of the clincial record for Resident #36 revealed an admitted [DATE]. Review of the baseline care plan for Resident #36 showed the baseline care plan was created (started by one staff member) on 11/01/24 and locked (completed by all required staff members) on 11/05/24.
2. Review of the clincial record for Resident #508 revealed an admitted [DATE]. Review of the baseline care plan for Resident #508 showed the baseline care plan was created (started by one staff member) on 11/29/24 and locked (completed by all required staff members) on 12/02/24.
3. …
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