Based on Credential file Review (CFR) and interviews with the Associate Director of Nurse (DON) employee #1, it was determined that the facility failed to ensure that the abuse and neglect training and the Hand in Hand training was provided to all employees of the Skilled Nursing Facility (SNF) and ensure employees are knowledgeable to react and respond appropriately to protect the resident's right to be free from mental abuse. Findings include: During the review of SNF employee Abuse and neglected training and the Hand in Hand Training on 10/30/2024 at 1:00 pm, the following was found: 1.Review of 22 Credential file Review (CFR) on 10/30/2024 at 2:00 PM it was found that 7 out of 22 (31.8%) of nursing personnel working in the SNF did not complete the hand in hand training. …
F607 citations in Puerto Rico
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F607 more often than its own record predicts
1.40 times the share F607 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F607 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 a recertification survey, observations, staff interviews and review of credential files it was determined that facility failed to implement written policies related with abuse and neglect protocols. This deficient practice had the potential to affect 23 out of 23 admitted residents, visitors and other facility staff. Findings include: A mechanism to ensure that facility implement all provisions established in the abuse and neglect protocol related with personnel screening process was not promoted accordingly with the following findings identified during survey procedures on 06/06/21 through 06/09/21: On 06/06/21 at 11:55 AM staffing pattern calculation was requested to Director of Nursing (DON) employee # 8. …
What else Puerto Rico surveyors cite →
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