Based on review of policies and procedures with the Nursing Supervisor (employee #15), Acting Manager (employee # 18) was interviewed on 09/09/2024 at 9:00 AM through 9:45 AM, it was determined that the facility failed to secure itself by failing to appoint the services of a full-time Director of Nursing. The deficient practice can affect all residents admitted at the facility. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: 1. During the interview with the Nursing Supervisor (employee # 15) at 9:30 AM, he stated that they did not have a nursing director, but they did have an acting manager. …
F727 citations in Puerto Rico
Registered nurse coverage · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F727 more often than its own record predicts
5.83 times the share F727 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F727.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F727 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 staff interviews and documents reviewed, it was determined that the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis. 51629 Findings include: 1. During an interview with the facility administrator (employee # 1) on 04/29/2025 at 10:00 AM, it was informed that the previous director of nursing (DON) resigns on March 1, 2025 and that he was acting both as an acting director of nursing (DON) and as the Minimum Data Set (MDS) coordinator. Also, employee # 1 explained that the facility hired a new Minimum Data Set (MDS) coordinator on 04/28/2025, expecting to be appointed as well as the new director of nursing (DON) after completing the training in the first role (MDS coordinator). 2. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2024 | 0.70% | 1.31× |
| 2025 | 2.50% | 5.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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