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 to him 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.
F946 citations in Puerto Rico
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Puerto Rico cites F946 more often than its own record predicts
7.66 times the share F946 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Puerto Rico surveyors wrote
F946 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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