Based on interview, and record review, the facility failed to effectively implement its compliance and ethics program by failing to promote ethical conduct related to reporting resident incidents and allegations of abuse, failing to provide effective oversight by high-level personnel to ensure adherence to ethical standards, and failing to maintain effective lines of communication that encouraged staff and residents to report concerns without fear of retaliation.Findings: On 7/08/26 at 2:50 PM, resident #4 stated the Director of Nursing (DON) yells at everybody and has nurses here crying. She stated a visitor had reported the DON to Corporate because the DON discussed other residents in front of residents and visitors. …
F895 citations in Florida
Administration Deficiencies
Have a Compliance and Ethics Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F895 more often than its own record predicts
15.75 times the share F895 takes of citations nationally.
Of every deficiency written in Florida in 2025, this is the portion that was F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F895 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.
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.04% | 2.24× |
| 2024 | 0.06% | 4.46× |
| 2025 | 0.13% | 15.75× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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