F741 in Florida. Pick another state for the same tag.
Against expectation — 2024
Florida cites F741 less often than its own record predicts
Versus expected share0.55×
0.55 times the national share — cited less often here than elsewhere.
Share of Florida citations0.03%
Of every deficiency written in Florida in 2024, this is the portion that was F741.
Florida0.03%
National0.05%
Share of all citations that were F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F741 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.
J · Immediate jeopardy, isolatedJune 17, 2022
Based on observation, interview, and record review, the facility failed to ensure sufficient staff were assigned to the Memory Care Unit to adequately supervise and monitor the behaviors of physically and cognitively impaired residents to prevent falls with major injuries, for 1 of 5 residents reviewed for falls, of a total sample of 7 residents, (#1). This failure contributed to multiple unwitnessed falls, serious injuries, and the resident's subsequent death. There was likelihood resident #1 suffered excruciating pain as a result of her bone fractures, and she required sedation to control her symptoms of pain and extreme agitation at the end of her life. …
Based on interview and record review, the facility failed to ensure the Memory Care Unit had sufficient staff with appropriate competencies and skill sets to meet the needs and ensure the safety of 1 of 4 residents reviewed for behavioral symptoms, of a total sample of 10 residents, (#1).
The facility's failure to ensure there were adequate staff to supervise and monitor residents on the specialized Memory Care Unit; and failure to ensure staff demonstrated competencies related to recognizing behavior patterns and implementing appropriate approaches, resulted in psychosocial harm. …
D · No harm, potential for more than minimal, isolatedApril 2, 2026
Based on observation, record review and interviews, the facility failed to ensure nursing staff were competent, related to residents with behavioral health needs, as evidenced by the following: 1) accurately documenting behavior monitoring for three residents (#8, #62, and #80) out of three residents reviewed for behaviors; 2) supervising residents on the 300 (secured) unit for two residents (#61, and #34) out of two residents observed during dining; and 3) sufficient staffing to meet the needs of residents on the secured unit. Findings included:
1.
On 3/30/2026 at 9:46 a.m., an observation of the closed door of the shower room in the 300 (secured) unit revealed elevated voices, the sound of a loud smack, and a male voice stated, Ow, he slapped me. …
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