Based on staff interview and review of staff competency practice, it was determined that the facility failed to ensure that the per diem nursing staff assigned to the skilled nursing facility completed annual competency evaluation.Findings include: On 03/05/2026 at 9:51 AM, during an interview with the Nursing Supervisor (employee #2), stated that per diem nursing is hired by the hospital. The supervisor further indicated that competency evaluations for per diem staff were conducted only at the time of initial hiring.The facility failed to ensure that all staff who provide direct care to residents must maintain current competencies that are evaluated on a periodic basis, including per diem staff.
F726 citations in Puerto Rico
Competent nursing staff · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F726 less often than its own record predicts
0.54 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 F726.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F726 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.
What else Puerto Rico surveyors cite →
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