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F0727
F

Failure to Designate Full-Time Director of Nursing

Rio Piedras, PR Survey Completed on 05-01-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to designate a registered nurse to serve as the director of nursing (DON) on a full-time basis for a period of two months. The previous DON submitted a resignation letter on March 1, 2025, with an effective date of March 14, 2025, but left the facility immediately upon submitting the letter. During this period, the facility administrator assumed the roles of both acting DON and Minimum Data Set (MDS) coordinator. A new MDS coordinator was hired on April 28, 2025, but was not appointed as the DON and was expected to complete training in the MDS role before any further appointment. Interviews with staff confirmed that no one was designated as acting DON, and documentation reviewed showed that the new hire was only assigned the MDS coordinator position. As a result, the facility did not have a full-time DON in place and had no expected date to fill the position.

See complete original report
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