Based on observations, clinical record review, review of facility's policies and procedures, and interviews, the facility failed to establish and implement a water management program to mitigate the risk of Legionella (waterborne disease-causing bacteria) exposure. The facility failed to minimize the risk of ongoing exposure to Legionella from potentially contaminated water sources in response to a resident's confirmed diagnosis of Legionnaire's disease (potentially fatal form of pneumonia caused by Legionella bacteria) that may have been acquired at the facility.The findings included:Refer to F835Review of the facility's Water Management Program (WMP) revealed, Legionnaires' disease is a serious type of pneumonia caused by bacteria called Legionella which live in water. …
F880 citations in Florida
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F880 more often than its own record predicts
1.10 times the share F880 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F880 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 observations, interviews and record reviews, the facility failed to maintain an infection prevention and control program to provide a safe and sanitary environment to prevent the development and transmission of communicable diseases. The facility failed to 1) ensure staff donned personal protective equipment and performed hand hygiene prior to entering and exiting an isolation area for 1 of 1 isolation areas. 2) The facility failed to follow the Center for Disease Control Prevention (CDC) guidelines to contact their local health department when a resident presented with signs and symptoms of COVID-19 and did not follow their facility policy for monitoring and detection, triage and isolation of potentially infectious residents that could have prevented unnecessary exposure among… …
Number of residents sampled: Number of residents cited: Findings include: During an observation on 9/1/2026 at 12:57 PM Resident #68 door was closed. The door had an enhanced barrier sign and personal protective equipment bag hanging on the door. When surveyor knocked and open the door Staff H Certified Nursing Assistant was standing at the bedside and stated she was providing patient care. Staff H CNA was only wearing gloves and no gown. At 1:01 PM Staff H CNA stated she was finishing and only had to empty the urinary catheter only wearing gloves and no gown. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 3.89% | 0.76× |
| 2024 | 5.77% | 1.03× |
| 2025 | 6.80% | 1.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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