Based on records review (RR) and staff interview, the facility failed to ensure documentation of education regarding the risk and benefits of antipsychotic medication and documentation of informed consent for its use for 1 out 1 resident reviewed for psychotropic medications (RR #28).Findings include:1.R.R #28 is a 61 years-old female who was admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement, Major Depression, Schizophrenia, and Bipolar Disorder. During the (RR) performed on 05/21/2026 at 10:51 AM it was observed that the pharmacist completed the medication regimen review on 05/14/2026. …
F757 citations in Puerto Rico
Unnecessary drugs · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F757 more often than its own record predicts
3.14 times the share F757 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F757 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 observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that each resident's drug regimen is free from unnecessary drugs. This deficient practice is identified in 4 out of 8 residents (R) receiving services at the facility (R #51, # 52, #101, and #201). Findings include: 1. A mechanism to ensure that facility provide oversight of each resident medication regimen review to ensure resident's drug regimen is free from unnecessary drugs: a.Resident #101 is [AGE] years old female resident was admitted on [DATE] with a diagnosis of Right Ischemic Cerebrovascular Accident. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2024 | 0.35% | 0.50× |
| 2025 | 2.50% | 3.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
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