Based on observations, twelve records reviewed (RR) and interviews with the Director of Respiratory Therapy (employee #1) and the Supervisor of Respiratory Therapy (employee #9), it was determined that facility failed to have the capability to provide needed respiratory care/services to residents with respiratory diagnosis that requires specialized respiratory care and/or services. This deficient practice affects 1 out of 14 sample cases (SC) receiving services. (SC#513) Findings include: 1. During initial pool on 03/27/2025 at 8:30 AM resident 513 is visited who is a female admitted on [DATE] for left artificial knee replacement and a Continuous Positive Airway Pressure (CPAP) machine is observed in the room. …
F695 citations in Puerto Rico
Respiratory care · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F695 more often than its own record predicts
1.13 times the share F695 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F695.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F695 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 1:55 PM, it was determined that the facility failed to ensure have a policy and procedure so that residents receive care consistent with the respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences. Findings include: 1. During the review of the procedure's manual, the policy and procedure with professional standards of respiratory care practice. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2024 | 0.35% | 0.16× |
| 2025 | 2.50% | 1.13× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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