F656 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F656 more often than its own record predicts
Versus expected share1.06×
1.06 times the share F656 takes of citations nationally.
Share of Florida citations3.66%
Of every deficiency written in Florida in 2025, this is the portion that was F656.
Florida3.66%
National3.44%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F656 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, patternAugust 8, 2025
Based on observations, interviews, and record review, the facility failed to ensure staff followed care plan interventions and perform accurate assessments on residents related to bed mobility assistance for three residents (#5, #6, and #7) out of three residents sampled.On 07/25/2025 Staff A, Certified Nursing Assistant (CNA), independently rolled Resident #5 onto her side in bed to perform incontinence care. Staff A, CNA left Resident #5 unattended in bed to collect supplies. …
Based on interview, observation, record, and policy reviews, the facility failed to implement care plan interventions for 4 residents (#1, #2, #5, and #11). Resident #11 was negatively impacted by the failure to implement the care plan to assist the resident in communicating his emotional, intellectual, physical, and social needs. The facility's failure to implement care plans related to adequate supervision for residents #1, #2, and #4 resulted in their ability to exit the facility for residents #1, #2, and #4 and for Resident #4 to cause physical injury to himself and others.Cross reference F600, F689.The findings include:Resident #1 and #2
A record review for Resident #1 included diagnoses of chronic kidney disease stage 3, hyperlipidemia, generalized anxiety, hypertension, Atrial… …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive care plan for 1 of 3 residents, Resident #105, reviewed for accidents. Findings include:During an observation on 08/31/26 at 12:48 AM, a single fall mat was observed on the floor at the right side of Resident #105's bed.During an observation on 09/01/26 at 12:48 AM, a single fall mat was observed on the floor at the right side of Resident #105's bed. Resident #105 was observed sitting in bed, eating lunch in an upright position.During an observation on 09/02/26 at 08:55 AM a single fall mat was observed on the floor at the right side of Resident #105's bed. …
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