Based on medical records reviewed (RR) and staff interviews, it was determined that the facility failed to ensure that facility personnel developed within 7 days after completion of the comprehensive assessment and reviewed and revised by the interdisciplinary team after each assessment according with resident needs for 5 out of 14 records review (R.R #1, #3, #11, #33 and #34). Findings include: 1. Resident #1 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Hypertension, Diabetes Mellitus, Right Hip Infection and Lumbar Osteomyelitis. …
F657 citations in Puerto Rico
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F657 more often than its own record predicts
1.34 times the share F657 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F657 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% | 1.30× |
| 2025 | 2.50% | 1.34× |
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