Based on interviews and record review the facility failed to demonstrate the facility conducts testing of residents and staff based on the identification of an individual diagnosed with COVID-19 in the facility in a manner that is consistent with current standards of practice for conducting COVID-19 testing. The findings included: Review of staff covid testing from 11/01/22 to 04/10/23 revealed the facility was only able to locate testing of staff on 03/29/23, 03/31/23 and 04/03/23. During a review of facility staff testing for covid on 03/29/23 it was revealed that 40 out of 85 staff members were tested . Also revealed was 1 of the 40 staff members tested had no indication of test results. …
F886 citations in Florida
Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Florida cites F886 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2023, this is the portion that was F886.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F886 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 for each instance of resident COVID-19 testing, that all testing results were maintained in the resident record. The findings included: During an interview on 02/13/23 at 1:40 PM, the Staff Developer/Interim Infection Control Preventionist (ICP) explained they were able to do contact tracing testing for the past two outbreaks, one in December 2022 that encompassed the 3S unit, and one in February 2023 that encompassed the 3N unit. When asked where in the resident record the COVID-19 results were maintained, the Interim ICP explained, if a resident was positive, a progress note would be in the Electronic Medical Record (EMR) and the actual test results are all stored together, but not in the resident's medical record. …
What else Florida surveyors cite →
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