Deficiency Index

Centro de Cuidado Prolongado San Lucas

Rio Piedras, Puerto Rico · CCN 405033

2 surveys since 2024, 4 of them producing a finding at harm level or worse.

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

Citations on record
86
Surveys
2
Harm or worse
4
Immediate jeopardy
4
The record, 2024–2026
’24’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy4

Findings at the most serious level CMS records.

Citations on record86

Across 2 surveys carrying at least one finding.

The facility

Certified beds
25
Ownership
Non profit - Church related
Chain
Independent
County
San Juan
Medicare-certified since
2024

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
—

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: peer group too small (n=0, floor 15).

Last survey on record

Mar 27, 2026

227 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L44.7%
Actual harmG—H—I—
No harm, potential for more than minimalD44.7%E44.7%F7283.7%
No harm, potential for minimalA—B—C22.3%
CMS’s current file: 86 of the 86 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5822×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F8512×

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

  • F8682×

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

In the surveyor’s words

From the most serious findings on record at Centro de Cuidado Prolongado San Lucas, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF550Oct 2, 2024

    Based on review of policy and procedure with the institutional program director (employee #6), it was determined that facility failed to establish the structure to comply with resident right and exercise of right which can affect all admitted residents. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: During the survey process it was requested to the facility the resident right manual and the personnel in charge to monitor compliance with resident rights and it was found the following: 1. No personnel were assigned to be in charge or monitor compliance of facility with resident rights. 2. […]

  • Immediate jeopardy, widespreadF727Oct 2, 2024

    Based on review of policies and procedures with the Nursing Supervisor (employee #15), Acting Manager (employee # 18) was interviewed on 09/09/2024 at 9:00 AM through 9:45 AM, it was determined that the facility failed to secure itself by failing to appoint the services of a full-time Director of Nursing. The deficient practice can affect all residents admitted at the facility. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: 1. During the interview with the Nursing Supervisor (employee # 15) at 9:30 AM, he stated that they did not have a nursing director, but they did have an acting manager. […]

  • Immediate jeopardy, widespreadF835Oct 2, 2024

    Based on interview with the facility human resources personnel (employee #11), it was determined that facility failed to demonstrate is being managed in a manner that enables it to use resources effectively and efficiently. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: 1. Credential file of the administrator was reviewed on 09/10/2024 at 11:00 AM. It was identified on this credential file that he was appointed as administrator of the hospital on June 21, 2024. This facility requests initial survey to become a Medicare provider as is a facility located in a hospital. 2. […]

  • Immediate jeopardy, widespreadF837Oct 2, 2024

    Based on review of governing body rules and regulations and committee meetings, it was determined that facility failed to demonstrate that had a governing body, or designated persons functioning as a governing body, legally responsible for establishing and implementing policies regarding the management and operation of the facility. This Constituted and Immediate Jeopardy to the health and safety for residents. Findings include: 1. Governing body rules and regulations and committee meetings administrator was reviewed on 09/10/2024 at 11:30 AM. It was identified on that hospital governing body had meetings on November 29, 2023, September 06, 2023, June 21, 2024, and March 06, 2024. 2. […]

  • No harm, potential for more than minimal, widespreadF802Mar 27, 2026

    Based on observation and interview the facility failed to provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. This affected all residents.Findings include: No dietary manager was available at the moment of survey, when questioned clinical dietician stated that the dietary manager came sometimes for a couple of hours, some days. The day of the survey a kitchen employee came to work and had to leave because he was sick, this delayed breakfast serving and lunch serving, for this reason clinical dietician had to help in kitchen. This affected all residents.

Read 20 findings in full →The most serious and the most recent: 20 of 86 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 27, 2026Standard13 findings
  • Oct 2, 2024Standard73 findings · 4 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction