F
26/100MULTY MEDICAL SKILLED NURSING FACILITY Inspection Report, Violations & Safety Grade (RIO PIEDRAS, Puerto Rico)
AMERICO MIRANDA AVE ENTRADA PRINCIPAL CENTRO, RIO PIEDRAS, Puerto Rico 00935
Phone: 7877540194
CMS Overall:1/5
Overview & Bed Count
Certified Beds
35
Avg Residents/Day
58.8
Ownership
For profit - Corporation
Provider Type
Medicare
County
San Juan
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No
CMS Star Ratings
Overall1/5
Health1/5
Staffing1/5
QualityN/A
Nurse Staffing Check
| Metric | This Facility | Puerto Rico Avg | Difference |
|---|---|---|---|
| RN Hours per Resident per Day | 1.40 | 3.51 | -2.11 |
| Total Nurse Hours per Resident per Day | 1.57 | 4.43 | -2.86 |
| CMS Staffing Rating | 1/5 | 4/5 | - |
| Nursing Staff Turnover | N/A | 36.7% | - |
Health Citation History
77 health citations on record
| Date | Category | Description | Severity |
|---|---|---|---|
| 2026-03-26 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F – Moderate Harm Potential |
| 2026-03-26 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F – Moderate Harm Potential |
| 2026-03-26 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F – Moderate Harm Potential |
| 2026-03-26 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F – Moderate Harm Potential |
| 2026-03-26 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F – Moderate Harm Potential |
| 2026-03-26 | Environmental Deficiencies | Put firmly secured handrails on each side of hallways. | F – Moderate Harm Potential |
| 2026-03-26 | Resident Rights Deficiencies | 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. | D – Moderate Harm Potential |
| 2026-03-26 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C – Minimal Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Provide immediate access to any resident. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Honor the resident's right to manage his or her financial affairs. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Provide information about how to apply for and use Medicare and Medicaid benefits. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | 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. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F – Moderate Harm Potential |
| 2024-09-25 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | F – Moderate Harm Potential |
| 2024-09-25 | Resident Rights Deficiencies | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | F – Moderate Harm Potential |
| 2024-09-25 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F – Moderate Harm Potential |
| 2024-09-25 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | F – Moderate Harm Potential |
| 2024-09-25 | Quality of Life and Care Deficiencies | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | F – Moderate Harm Potential |
| 2024-09-25 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F – Moderate Harm Potential |
| 2024-09-25 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F – Moderate Harm Potential |
| 2024-09-25 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F – Moderate Harm Potential |
Showing 50 of 77 citations.
Fire Safety Citation History
16 fire safety citations on record
| Date | Category | Description | Severity |
|---|---|---|---|
| 2026-03-26 | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. | F – Moderate Harm Potential |
| 2026-03-26 | Smoke Deficiencies | Properly select, install, inspect, or maintain portable fire extinguishes. | E – Moderate Harm Potential |
| 2026-03-26 | Smoke Deficiencies | Provide properly protected cooking facilities. | D – Moderate Harm Potential |
| 2026-03-26 | Smoke Deficiencies | Install a fire alarm system that can be heard throughout the facility. | D – Moderate Harm Potential |
| 2026-03-26 | Smoke Deficiencies | Install smoke barrier doors that can resist smoke for at least 20 minutes. | D – Moderate Harm Potential |
| 2024-09-25 | Emergency Preparedness Deficiencies | Establish policies and procedures for sheltering. | E – Moderate Harm Potential |
| 2024-09-25 | Emergency Preparedness Deficiencies | Establish policies and procedures for medical documentation. | E – Moderate Harm Potential |
| 2024-09-25 | Emergency Preparedness Deficiencies | Establish policies and procedures for volunteers. | E – Moderate Harm Potential |
| 2024-09-25 | Emergency Preparedness Deficiencies | Establish staff and initial training requirements. | E – Moderate Harm Potential |
| 2024-09-25 | Egress Deficiencies | Have properly spaced exits within rooms. | E – Moderate Harm Potential |
| 2024-09-25 | Egress Deficiencies | Install proper backup exit lighting. | E – Moderate Harm Potential |
| 2024-09-25 | Egress Deficiencies | Have properly located and lighted "Exit" signs. | E – Moderate Harm Potential |
| 2024-09-25 | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. | E – Moderate Harm Potential |
| 2024-09-25 | Smoke Deficiencies | Install smoke barrier doors that can resist smoke for at least 20 minutes. | E – Moderate Harm Potential |
| 2024-09-25 | Miscellaneous Deficiencies | Have restrictions on the use of flammable curtains. | E – Moderate Harm Potential |
| 2024-09-25 | Emergency Preparedness Deficiencies | Establish methods for sharing information. | D – Moderate Harm Potential |
Total Penalties & Fines
$41,321
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
| Date | Type | Fine Amount | Payment Denial |
|---|---|---|---|
| 2026-05-19 | Fine | $41,321 | - |
Need Help Finding Safe Care?
Our family advisors can help you find vetted, top-rated facilities in the RIO PIEDRAS area at no cost.
Find Safe, Vetted Facilities Near RIO PIEDRAS
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)
Advisor service is free for families. We may receive referral compensation.
Need Help Finding Safe Care?
Our family advisors can help you find vetted, top-rated facilities in the RIO PIEDRAS area at no cost.
Find Safe, Vetted Facilities Near RIO PIEDRAS
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)
(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)
Advisor service is free for families. We may receive referral compensation.