F835 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F835 more often than its own record predicts
Versus expected share2.56×
2.56 times the share F835 takes of citations nationally.
Share of Florida citations0.75%
Of every deficiency written in Florida in 2025, this is the portion that was F835.
Florida0.75%
National0.29%
Share of all citations that were F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F835 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, isolatedAugust 1, 2026
Based on interview and record review, the facility administration failed to ensure they were aware of the incident occurred to 1 of 4 reviewed residents, Resident #1, who was found unresponsive in the courtyard during inclement weather, had foam at the side of her mouth, was unresponsive, was applied ice/ice packs, and was transferred to a higher level of care. The facility's inactions and decisions of administering the facility contributed to the deficient practice and the deficient practice was not acted upon until a grievance was completed by Resident #1's Responsible Party three days post the incident.Findings include:Review of the Medical Director Services Agreement dated 3/9/2021 read, 3. …
Based on record review and interviews, the facility's administration failed to implement, provide and ensure an effective and efficient discharge process was in place for one resident (Resident #2) out of three sampled residents who were discharged . Resident #2 was transferred to the hospital on [DATE], and was not permitted to return to the facility he had lived in since [DATE]. Resident #2 was in the hospital from [DATE] to [DATE]. The resident was ready for discharge from the hospital on [DATE] and was not allowed to return to the facility due to not having a payor source. …
D · No harm, potential for more than minimal, isolatedJune 25, 2026
Based on observations, interviews, and record review, the facility failed to implement its process for inventorying and safeguarding resident personal belongings, resulting in missing items for two residents (#22 and #67) of two residents sampled.Findings included: On 6/24/26 at 9:39 a.m., Resident #67 stated he lost books and clothing during a move from the Delta Unit to the Alpha Unit. Record review showed he was admitted on [DATE] to the Delta Unit and transferred to the Alpha Unit on 10/11/24. Review of his quarterly Minimum Data Set (MDS) dated [DATE] documented a brief interview for mental status (BIMS) score of 11, indicating moderate cognitive impairment. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction