Based on recertification [NAME] survey, observations interview with the MDS coordinator on 07/15/2021 at 11:20 AM it was identified that the facility failed to promote the right of the resident to be free of restrain for 3 out 13 admitted resident. The facility failed to ensure that the bed rails did not put the resident in a risk of injury from falls for 3 out of 13 admitted resident and this result in and Immediate Jeopardy. Findings include: 1. During the initial tour performed on 07/15/2021 on 9:00 AM, it was identified that 3 out 13 residents were with the 4 side rails up. 2. …
F604 citations in Puerto Rico
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F604 more often than its own record predicts
2.88 times the share F604 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F604 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 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 the resident right to be free from physical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. 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. …
What else Puerto Rico surveyors cite →
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