Based on interviews and record reviews, the facility failed to ensure that a resident with a history of trauma and/or post-traumatic stress disorder, received appropriate treatment and services to correct the assessed problem or to attain their highest practicable mental and psychosocial well-being, by failing to ensure an Agency nurse appropriately assessed a resident's change in condition, including agitation, restlessness, and numerous attempts to jump out of bed for one (Resident #191) resident with a history of post-traumatic stress disorder ([CONDITION(S)]), behaviors and suicidal ideation, out of four residents reviewed. The facility failed to ensure the Agency nurse recognized and addressed an emergent situation for a resident with [CONDITION(S)], which contributed to her death. …
F742 citations in Florida
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F742 less often than its own record predicts
0.27 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F742 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 reviews, the facility did not ensure one resident (#1) out of three residents reviewed received appropriate treatment and services for mental disorders to attain the highest practicable mental and psychosocial well-being.Findings included: Review of Resident #1's hospital medication discharge instructions, dated [DATE], showed the resident received Nuplazid 34 mg daily. Review of Resident #1's facility physician orders showed:-Nuplazid Oral Capsule 34 MG (Pimavanserin Tartrate). Give 1 capsule by mouth one time a day for delusions. Dated 11/30/25. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 1.04× |
| 2024 | 0.11% | 0.88× |
| 2025 | 0.03% | 0.27× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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