Based on review of policies and procedures with the Nursing Supervisor (employee #15) on 09/09/2024 at 10:00 AM, it was determined that the facility failed to ensure have a policy and procedure so that residents receive care consistent with the standard of professional practice, necessary care and treatment including medical and nursing care and services when they need a urostomy. Findings include: 1. During the review of the procedure's manual, the policy and procedure with professional standards of Urostomy practice. The Nursing Supervisor (employee #15) was interviewed to see if they could find it in the manual. …
F691 citations in Puerto Rico
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F691 more often than its own record predicts
8.84 times the share F691 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F691.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F691 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 review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 1:50 PM, it was determined that the facility failed to ensure have a policy and procedure so that residents receive care consistent with the standard of professional practice, necessary care and treatment including medical and nursing care and services when they need a urostomy. Findings include: 1. During the review of the procedure's manual, the policy and procedure with professional standards of Urostomy practice. The Compliance Officer (employee #2) was interviewed to see if they could find it in the manual. …
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