Based on record review and interview the facility failed to designate a member of the interdisciplinary team (IDT) who was responsible for working with the hospice representatives to mutually coordinate care & services to attain/maintain the resident's highest practicable wellbeing for 1 of 9 sampled residents, (#307). The facility's failure resulted in an Immediate Jeopardy, in which, resident #307 did not receive cardio-pulmonary resuscitation immediately after his respirations and heartbeat ceased. The facility was determined to be in Immediate Jeopardy beginning on [DATE] that was corrected by [DATE]. Findings: The resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The resident had been at the facility for two years and his heath declined. …
F849 citations in Florida
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F849 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F849.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F849 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 observation, record review, staff and family interview, the facility failed to establish a communication process between the nursing facility, the hospice provider, and the responsible party to ensure the resident needs are met for 1 resident (#1) of 3 residents reviewed who are currently receiving hospice services. Hospice is a specialized form of medical care that provides comfort and quality of life while facing a life limiting or terminal condition. Coordination of care between facility services and Hospice services is vital to ensure the highest level of comfort and care during the end of life. …
Based on record review and interview, the facility failed to communicate services between Hospice and the nursing home, related to the Do Not Resuscitate (DNR) order for 1 of 1 sampled resident, Resident #40, reviewed for Hospice.The findings included:Review of Resident #40's medical records revealed the resident was admitted to the facility on [DATE] with a diagnosis to include Pulmonary Fibrosis; Malignant Neoplasm of Bone; Malignant Neoplasm of the Prostate; Major Depressive Disorder; Generalized Anxiety, and a cancer with Metastasis to the bone. Review of the electronic medical records and the physician's orders documented this resident was a full code. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.46% | 1.47× |
| 2024 | 0.36% | 1.17× |
| 2025 | 0.23% | 0.84× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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