Based on the observations and interviews conducted, it was determined that the facility failed to provide a safe environment, specifically regarding the bathrooms in the residents' rooms. This deficiency was observed in 5 of the 16 residents interviewed.Findings include: During the initial pool interviews 5 residents were interviewed (75, 76, 77, 78 and 79) and the 5 residents stated that the water came out of the bathroom when they were showering. Also, they state that the nursing staff instructed all the resident to put the bed sheets on the bathroom floor when they are going to take a shower, so the water does not go out of the bathroom.The resident #76 was visited on 03/25/2026 at 9:15AM and it was noted that she just came out of the shower and there was water under the bed that came… …
F921 citations in Puerto Rico
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Puerto Rico cites F921 more often than its own record predicts
8.85 times the share F921 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2025, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F921 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.
The short window
Recent years
| Year | Share of Puerto Rico citations | vs expected |
|---|---|---|
| 2023 | 2.78% | 3.24× |
| 2024 | 1.76% | 2.21× |
| 2025 | 7.50% | 8.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Puerto Rico surveyors cite →
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