F658 in Puerto Rico. Pick another state for the same tag.
No F658 citations were recorded in Puerto Rico for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Puerto Rico surveyors wrote
F658 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.
D · No harm, potential for more than minimal, isolatedMay 21, 2026
Based on records reviewed and observation, it was determined that the facility failed to meet professional quality standards to 1 out 1 resident. (RR#25) Findings include:1. RR#25 observation on May 21, 2026, at 9:55 AM: the resident had a wound on the left foot.2. RR#25 on May 21, 2026, at 10:52 AM: the doctor changed the prescription on May 17, 2026, from 1 tablet to 2 tablets of Ultracet, but did not provide justification for this change in the assessment.On the visitor's pass for May 17, 2026, the resident asked the doctor and the nursing supervisor if they could increase the medication. The doctor agreed and ordered the change but did not write a progress note for it.3. …
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