Based on interview and record review, the facility failed to ensure the licensure qualifications for third party contracted staff presenting to the facility through identification verification when an unidentified third party contracted individual presented to the facility and without being identified, the facility could not verify the individual was licensed and had an eligible level II background screening. Findings include: Review of the facility roster for the agency staff working at the facility documented the name [Staff A's name], previously a person of interest, who worked on [DATE] at 2:45 PM through [DATE] at 7:15 AM. …
F839 citations in Florida
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Florida cites F839 less often than its own record predicts
0.48 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2024, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F839 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 interview and record review, the facility failed to ensure a Licensed Practical Nurse (LPN) with an expired license did not provide care to residents, for 1 out of 5 nurses selected for employee record review, (LPN A). Findings: Review of employee records revealed LPN A was hired by the facility on [DATE]. Review of the Nursing Homes Federal Reporting revealed the Immediate Report was submitted to the Agency for Health Care Administration (AHCA) on [DATE] and listed the event occurred on [DATE] at 10:00 AM. The AHCA report was completed by the Director of Nursing (DON). The Background Information section included the facility had self-reported from an audit conducted on [DATE] to [DATE] where it was discovered LPN A's nursing license status was delinquent. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 0.98× |
| 2024 | 0.03% | 0.48× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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