Based on observation, review of the medical record, incident logs, policy and procedure review, interviews with administration, nursing staff, Resident #17, the resident's physician, and the resident's representative, the facility failed to follow professional standards of practice to maintain the resident's highest practical and psychosocial well-being by not ensuring their Behavioral Health Services for Trauma Informed Care was followed for one resident (#17) of two residents reviewed for abuse. The facility failed to take actions and respond to a family member and cognitively intact resident's request for female caregivers only. …
F699 citations in Florida
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F699 more often than its own record predicts
1.29 times the share F699 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F699.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F699 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, record review, and interviews, the facility did not ensure the care plan was updated and individualized interventions were in place after a reportable adverse event, that resulted in re-traumatization, for one resident (#1) out of one resident reviewed.Findings included: On 10/21/25 at 10:58 a.m., an interview was conducted with Resident #1. She said an event occurred at the facility on 9/4/25. She said she had a bowel movement and relied on the staff to change her. She said around 5:00 or 6:00 p.m., on 9/4/25, she requested a female staff to assist with changing her. Resident #1 said she was told by a male staff the female staff member was busy, and she could wait until about 7:30 p.m. She said she was not comfortable with a male staff member changing her. …
Based on interview, and record review, the facility failed to ensure residents who were trauma survivors received culturally competent, trauma-informed care in accordance with professional standards of practice that accounted for residents' experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident for 2 of 2 residents with diagnosis of Post Traumatic Disorder (PTSD), from a total sample of 36 residents, (#11, and #1). Findings: 1. On 8/05/26 at 1:01 PM, resident #11 said he had past trauma related to his sister's phone call to him prior to her committing suicide. The resident stated he did not answer the call due to being at work and that still weighed heavy on him. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.15% | 0.68× |
| 2024 | 0.44% | 1.37× |
| 2025 | 0.43% | 1.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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