F867 in Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F867 more often than its own record predicts
Versus expected share6.67×
6.67 times the share F867 takes of citations nationally.
Share of Florida citations2.19%
Of every deficiency written in Florida in 2025, this is the portion that was F867.
Florida2.19%
National0.33%
Share of all citations that were F867.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F867 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 failed to develop and implement a performance improvement plan following the identification an incident occurred to 1 of 4 reviewed residents, Resident #1, when the facility staff failed to provide adequate supervision and failed to take necessary actions to meet the resident's needs. On 7/24/2026 at 11:45 AM, Resident #1 was seen with her walker heading toward the outside courtyard. At 1:55 PM, Resident #1 was found unresponsive on the bench in the courtyard. Resident #1 was brought to her room. Staff applied packed ice and cool blankets. At 2:55 PM, Emergency Medical Service (EMS) was contacted. …
Based on record review, and interview, the facility, after identifying an adverse incident, failed to initiate actions aimed at performance improvement, implement action, measure success and track performance to ensure that improvements are realized and sustained for 1 (Resident #4) of 1 resident identified with a medication error and 3 (Residents #1,# 2 and #3) of 3 residents reviewed for improper transfer.
The findings included:
1. On 8/9/24, the facility reported to the Agency for Healthcare Administration (Agency) an incident in which a Staff D Registered Nurse (RN) had falsified Resident #4's medical administration record (MAR) signing off that a controlled substance was given on 8/8/24 at 9 a.m. and 12 p.m. and controlled drug sign out sheet, when it had not been given. …
D · No harm, potential for more than minimal, isolatedAugust 11, 2026
Based on observation, interview, and record review, the facility failed to implement and sustain its Quality Assurance and Performance Improvement (QAPI) process to identify, monitor, analyze, and correct identified quality deficiencies related to staffing and wound care. This failure resulted in the facility not effectively addressing ongoing low staffing levels and deficiencies in the monitoring and treatment of residents with wounds, (#5).Findings:Cross Reference F686 and F725Resident #5, a total care resident, was admitted to the facility on [DATE] from an acute care hospital with wound care treatments for wounds to his leg, ankle, and a surgical incision on his hip. …
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