Based on observations, interviews, and record review, the facility failed to ensure sufficient nursing staff, with the appropriate competencies and skill sets, provided nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident on four out of four resident units in the facility. This failure resulted in a fracture of unknown origin, falls with major injury, lack of wound care according to physician orders, lack of medication administration according to physician orders, missed laboratory orders, lack of follow-up for critical diagnostic results, and Activities of Daily Living (ADL) care not being provided to residents per care plans. …
F725 citations in Florida
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F725 less often than its own record predicts
0.93 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F725 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, interviews, and photographic evidence, the facility failed to ensure sufficient nursing staff with appropriate competencies and skill sets to provide nursing services needed to meet Activity of Daily Living (ADL) needs for six (#4, 5, 7, 9, 16, 17, 18) of twenty one sampled residents. Applying a reasonable person's concept, the lack of sufficient nursing staff with appropriate competencies and skill sets to provide nursing services necessary to meet ADL needs, in order to attain or maintain physical, mental, and psychosocial well being, of Residents #4, 7, 9, 16, 17, and 18 experienced harm. …
Based on observation, interview, and record review, the facility failed to ensure they had sufficient staff to provide care as per physician orders and/or per care plans for 2 of 2 residents reviewed for wound care, (#5, and #2); 1 of 1 resident reviewed for tracheostomy care, (#2); and 1 of 1 resident reviewed for Intravenous (IV) lines, (#6), out of a total sample of 6 residents.Cross Reference F686, F694, F8671. Resident #5 was admitted to the facility on [DATE] after he sustained a fall at home and had surgery at an acute care hospital.Review of State Agency Medical Certification for Medicaid Long Term Care Services and Patient Transfer Form 5000-3008 dated 5/30/26, revealed resident #5 had a surgical fracture repair to his right hip. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.58% | 0.72× |
| 2024 | 0.85% | 1.06× |
| 2025 | 0.72% | 0.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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