Based on observation, interview, and record review, the facility failed to coordinate and communicate effectively among the interdisciplinary team to ensure diabetic residents received continuity of care in accordance with professional standards of practice, the care plan, and resident choice to attain or maintain their highest practicable physical, mental and psychosocial wellbeing, (#1). This failure in care coordination resulted in a lack of proper blood glucose monitoring and treatment for 48 days, during which resident #1 developed sepsis and Hyperosmolar Hyperglycemic State (HHS), a life-threatening condition that could lead to organ failure, coma or death. The resident required emergency 911 transfer to the hospital and admission to the Intensive Care Unit (ICU), for 3 days. …
F684 citations in Florida
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F684 more often than its own record predicts
1.40 times the share F684 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F684 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 interviews and record review, the facility failed to provide care and treatment in accordance with professional standards and failed to send the resident to higher level of care, upon request for one (Resident #2) of two residents sampled. Resident #2 experienced a change of condition on [DATE] with a delay treatment according to professional standard of practice. Cross-reference F580. Findings included:Review of Resident #2's medical record revealed she was admitted to the facility on [DATE] and expired on [DATE]. Resident #2 had a primary diagnosis of heart failure, unspecified and additional diagnoses included type 2 diabetes mellitus with diabetic neuropathy, unspecified; essential (primary) hypertension; and hyperlipidemia, unspecified. …
Based on observation, interview and record review the facility failed to Implement resident-directed care and treatment consistent with the professional standards of practice in 1 (Resident #50) out of 6 Resident reviewed for quality of care.Findings include: During a medication administration observation on 09/02/2026 at 3:10PM, Staff O failed to flush the PICC(peripherally inserted central catheter) line with Normal Saline before administering an antibiotic into Resident #50's PICC line. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 4.59% | 1.27× |
| 2024 | 5.14% | 1.29× |
| 2025 | 6.02% | 1.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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