Based on Credential files Reviewed (CFR) and interviews with the Associate Director of Nurse (DON) employee #1, it was determined that the facility failed to ensure that the abuse and neglect training and the Hand in Hand training was provided to all employees of the Skilled Nursing Facility (SNF) and ensure employees are knowledgeable to react and respond appropriately to protect the resident's right to be free from mental abuse. Findings include: During the review of SNF employee Abuse and neglected training and the Hand in Hand Training on 10/30/2024 at 1:00 pm, the following was found: 1.Review of 22 Credential file Review (CFR) on 10/30/2024 at 2:00 PM it was found that 7 out of 22 (31.8%) of nursing personnel working in the SNF did not complete the hand in hand training. …
F940 citations in Puerto Rico
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F940 more often than its own record predicts
3.73 times the share F940 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F940 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.
What else Puerto Rico surveyors cite →
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