Based on recertification survey, interviews, and initial tour from 05/16/2022 to 05/19/2022 from 8:00 AM to 3:30 PM, it was identified that the facility does not ensure that the resident receives the necessary services to maintain good personal hygiene. This deficient practice affects 1 out of every 17 residents (R) at the center. (R #111) Findings include: Resident #111 is a male admitted on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] On 05/16/22 at 11:17 AM Resident #111 refer I have trouble changing my disposable diaper. 3 days ago, during the night shift I spent the night calling because I need help to change my diapers and no one came. …
F677 citations in Puerto Rico
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F677 less often than its own record predicts
0.14 times the national share — cited less often here than elsewhere.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F677 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 dining observations and record reviewed (RR) performed on 05/16/2024 through 05/18/2024 to from 8:30 AM through 4:30 PM, it was determined that the facility failed to provide the necessary care and services to ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain grooming, and personal care. This deficiency was identified in 1 out of 19 cases reviewed during initial pool process (Resident #9). Findings include: 1. Resident #9 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Fracture of Left Femur. During the R.R. performed on 5/16/2024 at 10:12 AM it was found that resident was presenting periods of disorientation and had urine incontinence. 2. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 1.00× |
| 2024 | 0.35% | 0.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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