Based on review of policy and procedure with the institutional program director (employee #6), it was determined that facility failed to establish the structure to comply with resident right and exercise of right which can affect all admitted residents. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: During the survey process it was requested to the facility the resident right manual and the personnel in charge to monitor compliance with resident rights and it was found the following: 1. No personnel were assigned to be in charge or monitor compliance of facility with resident rights. 2. …
F550 citations in Puerto Rico
Resident rights and dignity · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F550 more often than its own record predicts
1.17 times the share F550 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F550.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F550 findings written in Puerto Rico, 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 the observations made through the initial pool process and the request for policies and procedures to the administrative staff conducted on 03/24/2025 through 03/26/2025 from 8:00 AM to 3:30 PM, it was determined that the facility failed to provide a respectable service where the residents' dignity was maintained. This deficiency was identified in 1 out of 24 cases reviewed during the initial pool process (Resident #265). 1. Resident #265 is an [AGE] year-old female admitted on [DATE] with a diagnosis of decondition. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2024 | 1.41% | 0.64× |
| 2025 | 2.50% | 1.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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