Cross Reference F689 Based on observations, interviews and record reviews, the facility failed to provide a safe environment, free from flooring hazards for staff, the public, and 19 ambulatory residents in the facility's secure memory care unit. One (Resident #6) of the 19 ambulatory residents fell on [DATE], sustained a fracture to the right femoral head (top of thigh bone), required a transfer to a higher level of care, and surgical intervention due to a floor repair that was not completed by the facility. The injuries to Resident #6 caused a significant decline in her ability to ambulate and complete activities of daily living (ADLs) at her prior functional level. …
F921 citations in Florida
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F921 less often than its own record predicts
0.58 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F921 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, record reviews, and interviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for the residents in 7 of 60 rooms. (rooms 341, 342, 343, 344, 345, 346, 347) The findings Include: On 08/10/2026 at 12:25 PM, during an observation of the 300 Hall, the resident bathrooms for Rooms 341-347 were observed to have black and dark-colored filmy growth on multiple surfaces, including the bathroom ceilings, walls, doors, and door frames. The bathroom environments were observed to be warm and had a musty and foul odor. …
Based on observation, interview and review of policy and procedure, the facility failed to ensure that it maintained clean and sanitary dryer drums in the laundry area for 2 of 3 dryers observed. The findings included: Review of the facility policy and procedure on 01/10/23 at 2 PM, titled, Healthcare Services Group, Inc., Laundry In-Service provided by the Director of Housekeeping reviewed 01/01/20 documented in the Policy Statement: Care of Equipment. Purpose: To review the use and care of all equipment used by the Laundry Department to perform their daily duties. Care of Equipment: Laundry Departments work with two (2) types of equipment: -Large pieces (washers/dryers, etc.) Larger equipment must be maintained on a regular basis. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 0.36× |
| 2024 | 0.80% | 1.00× |
| 2025 | 0.49% | 0.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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