Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F838 less often than its own record predicts
Versus expected share0.39×
0.39 times the national share — cited less often here than elsewhere.
Share of Florida citations0.10%
Of every deficiency written in Florida in 2025, this is the portion that was F838.
Florida0.10%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F838 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.
D · No harm, potential for more than minimal, isolatedJuly 22, 2026
Based on interviews and record review the facility failed to ensure its facility-wide assessment was updated and included staff competencies and training needed to care for residents with different acuity levels including those with behavioral needs, specific staffing needs for each shift, recruitment and retention strategies, or input from direct care staff for one of one facility assessment. The incomplete assessment limited the facility's ability to identify the resources needed to provide care safely and respond effectively to care needs.Findings Included: Review of the facility assessment dated [DATE] revealed the facility did not include an emergency plan, a hazard vulnerability assessment, or recruitment and retention strategies. …
B · No harm, potential for minimal, patternMay 8, 2025
Based on interviews and record reviews, the facility failed to review and update the Facility Assessment accurately and in a timely manner.
The findings included:
During the entrance conference for the annual recertification survey, on 05/05/25 at 8:41 AM, with the Administrator, the Surveyor requested a copy of the Facility Assessment. The Administrator retrieved a copy of the assessment from a binder and handed it to the Surveyor and confirmed that it was the most recent copy.
The Facility Assessment provided by the Administrator documented:
Requirement:
Nursing facilities will conduct, document, and annually review a facility-wide assessment which includes their resident population and the resources the facility needs to care for their residents. …
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