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F-tags by state · Puerto Rico
Most common nursing home citations in Puerto Rico
379 health citations were recorded at 9 of 6 rated nursing homes in Puerto Rico over the last three inspection cycles, about 63.2 per facility. Here is what surveyors cite most, how that compares with the rest of the country, and where the harm-level findings cluster.
Citations37963.2 per rated facility
Facilities cited9of 6 rated
Actual harm (G–I)10% of citations
Immediate jeopardy (J–L)41% of citations
Top 25 F-tags in Puerto Rico
"State share" is the percentage of rated Puerto Rico nursing homes cited at least once for the tag; "U.S. share" is the same figure nationally. A big gap shows a state-specific survey focus.
| # | Tag | Requirement | Category | Citations | State share | U.S. share |
|---|---|---|---|---|---|---|
| 1 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition & dietary | 19 | 133% | 76% |
| 2 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Resident rights | 18 | 133% | 39% |
| 3 | F880 | Provide and implement an infection prevention and control program. | Infection control | 14 | 133% | 81% |
| 4 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Assessment & care planning | 11 | 117% | 19% |
| 5 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Environment & safety | 10 | 100% | 17% |
| 6 | F908 | Keep all essential equipment working safely. | Environment & safety | 10 | 117% | 11% |
| 7 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Nutrition & dietary | 8 | 100% | 21% |
| 8 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Nutrition & dietary | 8 | 100% | 5% |
| 9 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Environment & safety | 8 | 100% | 10% |
| 10 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Resident rights | 7 | 100% | 25% |
| 11 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Administration | 7 | 117% | 7% |
| 12 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Assessment & care planning | 6 | 83% | 58% |
| 13 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Nutrition & dietary | 5 | 83% | 4% |
| 14 | F741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Quality of life & care | 5 | 83% | 1% |
| 15 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Nutrition & dietary | 5 | 67% | 10% |
| 16 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident rights | 5 | 83% | 43% |
| 17 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Quality of life & care | 5 | 83% | 7% |
| 18 | F583 | Keep residents' personal and medical records private and confidential. | Resident rights | 4 | 67% | 15% |
| 19 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Administration | 4 | 67% | 5% |
| 20 | F924 | Put firmly secured handrails on each side of hallways. | Environment & safety | 4 | 50% | 1% |
| 21 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Nutrition & dietary | 4 | 67% | 17% |
| 22 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Pharmacy services | 4 | 50% | 23% |
| 23 | F558 | Reasonably accommodate the needs and preferences of each resident. | Resident rights | 4 | 67% | 23% |
| 24 | F732 | Post nurse staffing information every day. | Nursing & physician services | 4 | 50% | 17% |
| 25 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Resident rights | 4 | 67% | 6% |
Citations by category
Citations by survey year
Partial years reflect the rolling three-cycle window.
Check a specific Puerto Rico nursing home
The report card lists every citation for one facility with the severity decoded, and ranks it against the other 6 rated facilities in the state.
How this works
Source and method
CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles for every Medicare- and Medicaid-certified nursing home in Puerto Rico. Tags are matched to citations by CMS's standardized description. Tags with at least 50 national citations link to a detail page.
Counts describe survey findings, not a ranking of facilities. Facilities can dispute citations through CMS's IDR and IIDR processes.
Frequently asked questions
What is the most common nursing home citation in Puerto Rico?
F812 (Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.) is the most-cited F-tag in Puerto Rico, with 19 citations at 8 facilities, or 133% of the state's rated nursing homes, compared with 76% nationally.
How many nursing home citations are there in Puerto Rico?
379 health citations across 9 of 6 rated nursing homes in the last three inspection cycles, about 63.2 per facility. 1 involved actual harm and 4 were immediate jeopardy.
Why do citation patterns differ by state?
Each state survey agency inspects on behalf of CMS with its own staffing, training, and priorities, and state licensing rules layer on top of the federal requirements. Compare a facility with others in the same state rather than with the national average.
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