Based on a recertification survey, observations, review of staffing pattern, documents and interviews from 05/16/2022 through 05/19/2022 from 8:00 AM through 3:30 PM, it was determined that facility failed to ensure to have sufficient and competent nursing staff personnel to provide nursing and related services to residents. This deficient practice has the potential to affect 17 out of 17 admitted residents. Findings include: During the investigation process it was identified that the facility has a total of 5 License Practical Nurses-(LPN's) and 11 Registered Nurses- (RNs) for the seven days a week and the 3 shifts. All RN and LPN are working [NAME] shift. …
F725 citations in Puerto Rico
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F725 less often than its own record predicts
0.88 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 F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F725 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 the responsibilities assigned to the Charge Nurse position and staff interview , on 03/04/2026 at 1:22 PM, it was determined that the facility failed to ensure that the Charge Nurse performed all the responsibilities assigned during each shift. Findings include: On 03/04/2026 at 1:22 PM, during an interview with the Nursing Supervisor (employee #2), stated that the facility assigns a Nurse leader on each shift. The nursing staff are not formally designated as nurse leaders, and the facility have not ensured that these nurses perform all the responsibilities associated with the nurse leader position. …
Based on interview with director of nursing (employee # 8) and document review performed on 3/27/2026 at 10:20 AM, it was determined that the facility failed to ensure the designation of a charge nurse in each shift to perform the specific responsibilities designated by the facility. Findings include:During an interview with the director of nursing DON (employee # 8) on 3/27/2026 at 10:20 AM, she stated that facility general supervisor acts as the charge nurse in each working shift. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 3.46× |
| 2024 | 0.70% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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