Based on review of policy and procedure with the insititutional program director (employee #6), it was determined that facility failed to establish the structure to comply with the resident right to grievances. Findings include: During the survey process it was request 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 was assigned to be in charge or monitor compliance of facility with resident rights. 2. The resident right facility policy and procedure reviewed on 09/10/2024 at 10:00 AM with the insititutional program director (employee #6) provide evidence that this policy was hospital based and had the logo of the policy from the Episcopal Hospital San [NAME] Metro. 3. …
F585 citations in Puerto Rico
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F585 more often than its own record predicts
1.11 times the share F585 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F585 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.
What else Puerto Rico surveyors cite →
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