Based on observation, record review, staff interview, and facility documentation review, the facility failed to ensure food was stored, handled, and maintained under sanitary conditions by failing to maintain the dietary department walk-in freezer in operational condition. The deficient practice resulted in unsafe food storage temperatures and unsanitary environmental conditions within the dietary department, creating a likelihood that residents would be exposed to contaminated or temperature-abused food products. This failure placed residents at risk for serious adverse outcomes, including foodborne illness, infection, hospitalization, or death. …
F812 citations in Puerto Rico
Food safety and sanitation · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F812 more often than its own record predicts
2.24 times the share F812 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F812.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F812 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 observation, interviews, and food temperature measurements, it was determined that the facility failed to maintain proper food handling practices for disease prevention and food safety which can affect 13 out of 13 residents admitted . Findings include:Observations made on 05/21/2026 at 11:00 AM In the production process, the proximity of the [NAME] table when placing cold foods affects them and they presented a temperature of 46 degrees Fahrenheit. It affects food safety.In the dry storage area, the following were observed: Dust particles and poor organization are identified in the dry warehouse. In an interview conducted on May 20, 2026, at 2:28 PM with the clinical dietitian (employee #8), the possibility of relocating the production area was discussed. …
Based on recertification survey, performed on 04/26/23 through 04/28/23 from 8;00 AM till 4:30 PM observations and interview with the cook (employee #2), it was identified that facility failed to follows proper management of kitchen cooking trays to prevent the outbreak of foodborne illness. This deficient practice had the potential to affect 19 out of 19 admitted residents receiving services. Findings include: 1. During initial brief tour to the kitchen on 05/04/2023 at 9:40 AM the following was observed: a. Three Cooking trays were observed stacked while still wet in the pots and pans storage area. b. Stack trays while still wet prevent them from drying and create conditions that are ripe for microorganisms to grow. c. …
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 8.33% | 1.66× |
| 2024 | 3.52% | 0.78× |
| 2025 | 10.00% | 2.24× |
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