F895 in Puerto Rico. Pick another state for the same tag.
Against expectation — 2024
Puerto Rico cites F895 more often than its own record predicts
Versus expected share57.16×
57.16 times the share F895 takes of citations nationally.
Share of Puerto Rico citations0.70%
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F895.
Puerto Rico0.70%
National0.01%
Share of all citations that were F895.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F895 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, widespreadOctober 2, 2024
Based on interview with administrator (employee #10) and review of facility policies and procedures, it was determined that facility failed to develop and implement a compliance and ethics program, with respect to a facility.
Findings include:
1. Facility administrator (employee #10) was interview on on 09/10/2024 at 11:35 AM and it was requested information in relation of the implementation of the compliance and ethics program at the facility.
2. Facility administrator (employee #10) stated on interview on 09/10/2024 at 11:39 AM that facility had not designed, implement, a compliance and ethics program, with respect to a facility.
C · No harm, potential for minimal, widespreadSeptember 25, 2024
Based on interview with the compliance officer (employee #2) and review of facility policies and procedures, it was determined that facility failed to develop and implement a compliance and ethics program, with respect to a facility.
Findings include:
1. Facility compliance officer (employee #2) was interviewed on 09/25/2024 at 11:45 AM and information in relation to policies and procedures was requested and the implementation of the compliance and ethics program at the facility.
2. Facility compliance officer (employee #2) stated on interview on 09/10/2024 at 11:55 AM that facility provide the training's required to comply with the ethics program.
3. …
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