Deficiency Index

F851 citations in Puerto Rico

Staffing data submission · Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

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F851 in Puerto Rico. Pick another state for the same tag.

Against expectation — 2024

Puerto Rico cites F851 more often than its own record predicts

Versus expected share4.82×

4.82 times the share F851 takes of citations nationally.

Share of Puerto Rico citations1.41%

Of every deficiency written in Puerto Rico in 2024, this is the portion that was F851.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Puerto Rico surveyors wrote

F851 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.

F · No harm, potential for more than minimal, widespreadMarch 27, 2026

Based on interview with Clinical Manager (employee # 1) and document review performed on 3/27/2026 at 10:00 AM, it was determined that the facility failed to ensure proper transmission of Payroll Based Journal-PBJ data. 1.During an interview performed on 3/27/2026, 10:00 AM with Clinical Manager (employee # 1), she stated that she submitted all quarterly reports as requested and that the system return a confirmation report with status submission as completed. She provided a document named Submission List (see attachment), which indicates that on 10/17/2025 at 11:08 AM a report was received, identified by the clinical manager as the fourth quarterly report of 2025 and on 02/09/2026 at 9:16 AM as the first quarterly report of 2026.2. …

Centro de Cuidado Prolongado San Lucas

C · No harm, potential for minimal, widespreadSeptember 25, 2024

Based on review of the policy and procedures manual with the Nursing Supervisor (employee #6) on 09/25/2024, it was determined that the facility failed to have policies and procedures in place regarding the electronic reporting and submission of the Payroll Based Journal to CMS. Findings include: 1. During an interview with the nursing supervisor (employee #6) on 09/25/2024 at 1:08 PM, stated that she did not have a Payroll Based Journal policy available.

Multy Medical Skilled Nursing Facility

What else Puerto Rico surveyors cite →

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