Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
of F836 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 202573
Every F836 citation surveyors wrote nationally that year.
Facilities cited71
Distinct nursing homes with at least one F836 finding.
The harm level
How severely F836 is cited
2.4% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K10.3%
L82.1%
Actual harm
G—
H—
I—
No harm, potential for more than minimal
D17245.5%
E9324.6%
F6116.1%
No harm, potential for minimal
A—
B123.2%
C318.2%
Every recorded F836 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F836 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
L · Immediate jeopardy, widespreadJanuary 19, 2026
Based on review of the Florida Administrative Code, National Fire Protection Association (NFPA) 101 and interview, the facility failed to comply with Federal, State, and Local Laws and Professional Standards by failing to have a functional fire suppression system since May 5, 2025. The facility must operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards and principles that apply to professionals providing services in such a facility. The findings include:A tour of the facility was conducted on 1/12/2026 by the Life Safety surveyor at 12:00 PM. …
Based on interview and record review, the facility failed to report an outbreak (two or more residents exhibiting symptoms of an illness) at the facility involving 11 of 106 residents (Residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11), and three of 157 staff members (Social Worker (SW), Certified Nurse Assistant (CNA) 1, and Licensed Vocational Nurse (LVN) 5), to the California Department of Public Health (CDPH) within 24 hours as mandated by regulations.
This failure resulted in the delay of the investigation by CDPH. The facility first learned about the infection on (MONTH) 2, (YEAR), and reported the infection to CDPH on (MONTH) 6, (YEAR), four days later. …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on interviews and record reviews, it was determined that the facility failed to ensure that a Registered Nurse (RN) was in the building to provide direct supervision to a Licensed Practical Nurse (LPN) while the LPN was administering medication through a peripherally inserted central catheter (PICC) line. This was evident for one (Complaint #3052373) of four complaints reviewed during the annual recertification survey.The findings include:On 6/23/26 at 1:29 PM, the Office of Healthcare Quality (OHCQ) received Complaint #3052373 from a family member of Resident #128. The complaint alleged that Licensed Practical Nurse (LPN) #3 administered antibiotics through the resident's PICC line. …
B · No harm, potential for minimal, patternJune 16, 2026
Based on interview and record review, the facility failed to meet State licensure requirements for Staff Development -Confidentiality of patient information as outlined in the California Code of Regulations, Title 22 when they failed to effectively provide an ongoing educational program to ensure staff possess the necessary skills and knowledge regarding the confidentiality and appropriate use of Protected Health Information (PHI).This failure resulted in a staff member accessing hospital records out of personal interest, not for patient care purposes and the breach of PHI.Findings:An investigation into a facility reported incident confirmed that a staff member admitted to using the facility computer to access her ex-husband's hospital records for personal reasons.The facility report… …
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