Based on observations, record reviews, and interviews, the facility failed to provide ADL care for fingernails for 3 residents, (Resident #68, Resident #6, and Resident #1), who were sampled for ADLs. The failure to provide ADL care caused harm to 1 Resident, (Resident #68). The findings included: A review of the facility’s policy for Activities of Daily Living (ADLs) effective 04/01/2022, revealed the purpose was to ensure all residents’ needs were met in a manner that promoted their quality of life and preferences. The procedure section included that the facility would provide residents with the appropriate treatment and services to maintain hygiene. This included bathing, dressing, grooming, and oral care. …
F677 citations in Florida
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F677 more often than its own record predicts
1.04 times the share F677 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F677 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 observation, interview, and record review the facility failed to ensure necessary assistance with activities of daily living (ADL), specifically bathing and personal grooming for 2 of 3 residents, Residents #1 and #82, sampled for ADL care for dependent residents. Findings include: 1) Review of Resident #85's clinical record documented the resident was admitted on [DATE] with diagnosis to include quadriplegic (paralysis of all four limbs). During an observation on 8/24/2026 at 10:14 AM, Resident #85 was observed lying in bed. The resident's beard was overgrown and unkempt. During an interview on 8/24/2026 at 10:14 AM Resident #85 stated, I'm supposed to receive a bed bath three times weekly. I would be fortunate if I received a bed bath every few weeks. …
Based on a observation, record and documentation review and interview, it was determined the facility staff failed to provide adequate finger nail cleaning for 1 of 4 residents (Resident #1) reviewed who were not able to carry out Activities of Daily Living (ADL). The finding included: Clinical record review revealed Resident #1 was admitted to the facility on [DATE] with multiple [DIAGNOSES REDACTED]. Her significant change Minimum Data Set Assessment ((MDS) dated [DATE] documented she had a scored of 3 on the Brief Interview for Mental Status (BIMS) indicating she had significant cognitive impairment. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 2.39% | 0.86× |
| 2024 | 2.80% | 1.16× |
| 2025 | 2.35% | 1.04× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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