Based on interview and review of documents during initial pool on 5/20/26 at 9:10 am and further investigation on 5/21/26 at 8:55 am, it was identified facility failed to document a smoking plan of care for a resident who was receiving services and smokes in 1 out of 1 resident. (RR#19)Findings include:1.Resident #19 is an [AGE] year-old male resident admitted on [DATE] with a diagnosis of ulcer on right foot. He said he was admitted to receiving local care and intravenous antibiotic therapy for an ulcer that he develops in right foot.Resident stated in an interview on 5/20/2026 at 9:10 am that he is a smoker and smokes cigar every day during afternoon. …
F656 citations in Puerto Rico
Comprehensive care plan · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F656 less often than its own record predicts
0.73 times the national share — cited less often here than elsewhere.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F656 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.
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 0.77× |
| 2024 | 0.70% | 0.21× |
| 2025 | 2.50% | 0.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction