Based on the review of the Skilled Nursing Facility (SNF) Beneficiary Notification of four (4) resident discharge, it was determined that the facility failed to ensure to inform each Medicare-eligible resident, in writing, at 48 hours previous to be discharge the Notice Medicare Non- Coverage in 1 out of 4 supplemental sample Resident (R) #38. Findings include: 1. Resident # 38 is a [AGE] year-old male admitted to the facility on [DATE] with a diagnosis of Deconditioning, the resident was oriented related to the important messages of Medicare on 10/24/2025 at 20:13 pm, resident was discharged home on [DATE] and the Notice Medicare Non- Coverage was not provided to the resident due to the resident was a Medicare Advantage. 2. …
F582 citations in Puerto Rico
Medicare and Medicaid notices · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F582 more often than its own record predicts
1.34 times the share F582 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F582.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F582 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 initial survey, review of Skilled Nursing Facility (SNF) Beneficiary Notification and interview with Medical Director (employee#9) and Social Worker ( employee#6) performed on 01/25/2022 through 01/27/2022 from, 8:00 AM through 3:00 PM, it was determined that facility failed to comply with requirements established under 42 CFR Part 405.1200-1204 and 1879 ( a) ( 1) of the Social Security Act. Findings include: A mechanism to ensure that facility promote the right and protection related to financial liability and the right to appeal a denial of Medicare services under the Fee for Services (Original) Medicare Program were not planned to be performed as required, accordingly with the following findings: 1. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 5.10× |
| 2024 | 0.70% | 1.34× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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