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CENTRO MEDICO WILMA N VAZQUEZ SNF Inspection Report, Violations & Safety Grade (VEGA BAJA, Puerto Rico)

ROAD 2 KM 39. 5 BO ALGARROBO, VEGA BAJA, Puerto Rico 00693

Phone: 7878581580

CMS Overall:3/5

Overview & Bed Count

Certified Beds
45
Avg Residents/Day
22.2
Ownership
For profit - Corporation
Provider Type
Medicare
County
Vega Baja
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health2/5
Staffing5/5
QualityN/A

Nurse Staffing Check

MetricThis FacilityPuerto Rico AvgDifference
RN Hours per Resident per Day3.713.51+0.21
Total Nurse Hours per Resident per Day4.824.43+0.39
CMS Staffing Rating5/54/5-
Nursing Staff Turnover30.8%36.7%-

Health Citation History

35 health citations on record

DateCategoryDescriptionSeverity
2026-05-21Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.L – Immediate Jeopardy
2026-05-21Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.I – Actual Harm
2026-05-21Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F – Moderate Harm Potential
2026-05-21Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F – Moderate Harm Potential
2026-05-21Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-05-21Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2026-05-21Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2026-05-21Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E – Moderate Harm Potential
2026-05-21Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-12-06Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.F – Moderate Harm Potential
2024-12-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-12-06Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-12-06Environmental DeficienciesKeep all essential equipment working safely.F – Moderate Harm Potential
2024-12-06Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-12-06Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2024-12-06Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2024-12-06Nutrition and Dietary DeficienciesHave a policy regarding use and storage of foods brought to residents by family and other visitors.D – Moderate Harm Potential
2024-04-09Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2024-04-09Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.F – Moderate Harm Potential
2024-04-09Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2024-04-09Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F – Moderate Harm Potential
2024-04-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-04-09Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F – Moderate Harm Potential
2024-04-09Administration DeficienciesHave a plan that describes the process for conducting QAPI and QAA activities.F – Moderate Harm Potential
2024-04-09Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F – Moderate Harm Potential
2024-04-09Administration DeficienciesHave the Quality Assessment and Assurance group have the required members and meet at least quarterlyF – Moderate Harm Potential
2024-04-09Environmental DeficienciesPut firmly secured handrails on each side of hallways.F – Moderate Harm Potential
2024-04-09Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.F – Moderate Harm Potential
2024-04-09Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E – Moderate Harm Potential
2024-04-09Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-04-09Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2024-04-09Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-04-09Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.C – Minimal Harm Potential
2024-04-09Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.C – Minimal Harm Potential
2024-04-09Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.C – Minimal Harm Potential

Fire Safety Citation History

71 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-21Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2026-05-21Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2026-05-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-05-21Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure medical gas and vacuum systems have documented maintenance programs.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesHave power receptacles that are properly grounded.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2026-05-21Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2026-05-21Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.D – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesDevelop a communication plan.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesList the names and contact information of those in the facility.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesProvide emergency officials' contact information.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesProvide primary/alternate means for communication.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish methods for sharing information.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesProvide family notifications of emergency plan.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish emergency prep training and testing.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesEstablish staff and initial training requirements.E – Moderate Harm Potential
2024-12-06Emergency Preparedness DeficienciesConduct testing and exercise requirements.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2024-12-06Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2024-12-06Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.E – Moderate Harm Potential
2024-12-06Gas, Vacuum, and Electrical Systems DeficienciesEnsure gas and vacuum systems are inspected and tested as part of a maintenance program.E – Moderate Harm Potential
2024-04-09Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.L – Immediate Jeopardy
2024-04-09Emergency Preparedness DeficienciesDevelop and maintain an Emergency Preparedness Program (EP).F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesDevelop Emergency Preparedness policies and procedures.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesEstablish policies and procedures for medical documentation.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesCreate arrangements with other facilities to receive patients.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesDevelop a communication plan.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesList the names and contact information of those in the facility.F – Moderate Harm Potential
2024-04-09Emergency Preparedness DeficienciesProvide emergency officials' contact information.F – Moderate Harm Potential

Showing 50 of 71 citations.

Total Penalties & Fines

$29,997
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-04-09Fine$29,997-

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