Home / Puerto Rico / Rio Piedras
Multy Medical Skilled Nursing Facility
Americo Miranda Ave Entrada Principal Centro, Rio Piedras, PR 00935 · San Juan County · (787) 754-0194
35 certified beds, about 47 residents a day · For profit - Corporation · Medicare since 2024
Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
Not rated
CMS note: Not enough data available to calculate a star rating.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 405034 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 8 health deficiencies (the Puerto Rico average is 7.3, the national average 9.2).
None of its 77 health citations since September 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 1.89 hours per resident per day, against 3.80 across Puerto Rico and 3.86 nationally. Registered nurses accounted for 1.89 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
6909/24
803/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 77 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
54F
Potential for minimal harm
0A
0B
19C
March 26, 2026Standard inspection · 8 citations
- F 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.
Inspectors wroteBased on observations, review of logs, policies and procedures and interview, it was determined that the facility failed to ensure that the medication room conserves adequate temperature levels and relative humidity. This deficiency affects 17 out of 17 residents in the facility.
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on staff interview, it was determined that the facility failed to ensure the submission if Payroll-Based Journal (PBJ) data to CMS.
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on review of Quality Assessment Performance Improvement- QAPI and interview with facility compliance officer (employee #2 ) on 03/26/2026, it was determined that the facility failed to consider residents feedback as quantifiable data to enhance care and ensure safety.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on review of Quality Assessment Performance Improvement- QAPI and interview with facility compliance officer (employee #2 ) on 03/26/2026, it was determined that the facility failed to maintain a QAPI committee with the participation of administrator, owner, a board member or other individual in a leadership role; in each committee meeting.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on the observations and interviews conducted, it was determined that the facility failed to provide a safe environment, specifically regarding the bathrooms in the residents' rooms. This deficiency was observed in 5 of the 16 residents interviewed.
- F Put firmly secured handrails on each side of hallways.
Inspectors wroteBased on observation and interview, the facility failed to maintain the physical environment in a safe and functional manner to ensure resident safety. Specifically, handrails were not maintained in good repair. Findings Include:During a tour of the facility on 03/26/2026, observation of handrails located in corridors revealed the following:Handrails with loose corner sectionsHandrails with uneven surfaces, creating irregular gripping areasThese conditions were observed in the following locations: Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room [ROOM NUMBER]Next to room men visitors bathroomInterview with the engineer (employee #3) confirmed that the handrails were not in good repair and no immediate corrective action had been taken at the time of survey. [...]
- D 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.
Inspectors wroteBased on resident interview, record review, and staff report, it was determined that the facility failed to ensure a safe, comfortable, and adequately accessible bathroom environment for 1 out of 1 sampled resident (resident #88).
- C Post nurse staffing information every day.
Inspectors wroteBased on staff interview, it was determined that the family failed to maintain posted daily nurse staffing information for the required retention period of at least 18 months.
September 25, 2024Standard inspection · 69 citations
- F Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with resident right and Exercise of right.
- F Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to be informed of and participate in his or her treatment.
- F Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents' right to self-administer medications if the interdisciplinary team has determined that this practice is clinically appropriate.
- F Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences.
- F Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents' right to share a room with his or her spouse, share a room with his or her roommate of choice when practicable and receive written notice, including the reason for the change, before the resident's room or roommate in the facility is changed.
- F Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Inspectors wroteBased on review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident rights to refuse to transfer to another room in the facility.
- F Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to comply with the resident right promote and facilitate resident self-determination through support of resident choice.
- F Provide immediate access to any resident.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to immediate access to any representative of the State, to resident's individual physician, to any representative of the protection and advocacy systems.
- F Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that the facility failed to establish the structure to comply with the resident right to receive visitors of his or her choosing at the time of his or her choosing
- F Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to be informed of his or her visitation rights and equal visitation privileges.
- F Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to organize and participate in resident groups in the facility.
- F 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to choose or refuse to perform services for the facility.
- F Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to manage his or her financial affairs.
- F Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to be informed of his or her rights and of all rules and regulations governing resident conduct and responsibilities during his or her stay in the facility.
- F Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to access personal and medical records pertaining to him or herself.
- F The resident has the right to receive notices in a format and a language he or she understands.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to receive notices orally (meaning spoken) and in writing (including Braille) in a format and a language he or she understands.
- F 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.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right that the facility post, in a form and manner accessible and understandable to residents, at list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups.
- F Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility.
- F Provide information about how to apply for and use Medicare and Medicaid benefits.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident has the right to display in the facility written information, and provide to residents and applicants for admission, oral and written information about how to apply for and use Medicare and Medicaid benefits, and how to receive refunds for previous payments covered by such benefits
- F Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents has the right to notify changes.
- F Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents has the right to be Inform in writing, at the time of admission to the nursing facility and when the resident becomes eligible for Medicaid.
- F 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.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents has the right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the residents have the right to contact with external entities.
- F Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to be free from Abuse, Neglect.
- F Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to be free from Abuse, Neglect, misappropriation of resident property, and exploitation.
- F Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident right to be free from Abuse, Neglect, misappropriation of resident property, and exploitation or involuntary seclusion.
- F Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident's right to be free from physical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms.
- F Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the resident's right to be free from chemicals restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms that can affect 8 out of 8 admitted residents.
- F Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that the facility failed to develop and implement written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property, including training to the personnel.
- F Respond appropriately to all alleged violations.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to ensure that all alleged violations are thoroughly investigated, and prevent further potential abuse, neglect, exploitation, or mistreatment while the investigation is in progress and report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident
- F 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.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Admissions policy.
- F 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.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Transfer and discharge.
- F Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Notice before transfer.
- F Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Orientation for transfer or discharge.
- F 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.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Notice of bed-hold policy and return.
- F Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to establish the structure to comply with the Permitting residents to return to facility.
- F 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.
Inspectors wroteBased on interviews with the Director of Nursing (DON) (employee #6) and Human Resources Officer (employee #5), on 09/24/2024 through 09/25/2024 at 9:00 AM through 4:00 PM, it was determined that the facility failed to ensure to appoint the services of a full-time Director of Nursing.
- F Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 thru 09/25/2024 from 8:30 AM thru 4:30 PM, it was determined that the facility failed to demonstrate that has an organized behavioral health care and services program, to promote the maintenance of highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care to residents with mental and substance use disorders.
- F Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 thru 09/25/2024 from 8:30 AM thru 4:30 PM, it was determined that the facility failed to demonstrate that has an organized program with sufficient staff assigned to provide direct services to residents to promote the maintenance of highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care to resident's with mental and substance use disorders.
- F Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wrote2. R.R #52 is a [AGE] year-old female admitted on [DATE] for Left total hip replacement. Review record on 09/24/2024 at 9:03 AM, it was found that he is using Elequis 2.5 mg one tablet twice daily (BID) per physician's order. The medication regimen documented by the pharmacy staff was not found in the medical record. 3. R.R # 102 is a [AGE] year-old female admitted on [DATE]f for Right total replacement. Review record on 09/24/2024 at 10:08 AM, it was found that the medication regiment documented by the pharmacy staff was not found in the medical record. The facility failed to ensure that the pharmacy staff performed the medication regimen with the objective of minimizing adverse consequences and potential risks associated with the medications. 4. Resident #51 is a [AGE] years old female admitted to the facility on [DATE] with a diagnosis of Lumbar interbody Fusion. [...]
- F Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on an observational tour of the facility's kitchen performed from 09/24/2024 through 09/25/2024, from 8:30 AM through 4:30 PM and interview with Administrator (employee #3) , it was identified that the facility failed to maintain kitchen production area in good condition in order to promote sanitary conditions and the prevention of foodborne illness. This deficient practice has the potential to affect 8 out of 8 admitted residents. (R#1 through #8).
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 thru 09/25/2024 from 8:30 AM thru 4:30 PM, it was determined that the facility failed to ensure that food and drink are in an appetizing temperature.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations of the Kitchen, review of policies procedures and facility staff interview performed on 08/24/2024 from 8:00 AM through 4:00 PM, it was determined that the facility failed to comply with the required sink compartment sanitations.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased upon a Physical Environment survey performed on 09/24/24 at 8:00 AM through 4:00 AM, to evaluate facility, it was determined that the facility failed to dispose of garbage and refuse properly.
- F Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Inspectors wroteBased on medical records obtained on [DATE], it was determined that the facility failed to secure designate a physician to serve as medical director.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews and review of policies and procedures performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM it was determined that the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.
- F Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on observations, review of policies procedures and interview with infection control officer (employee # 1), performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM, it was determined that facility failed to develop and implement policies, procedures, structure and requirements related to comply with COVID-19 immunizations.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased upon a Physical Environment survey performed on 09/24/24 at 8:00 AM through 4:00 AM, to evaluate facility, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. This deficient practice can affect 8 out of 8 residents and visitors.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on observations, review of policies procedures and interview with infection control officer (employee # 1), performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM , it was determined that facility failed to develop and implement policies, procedures and structure to comply with Influenza and pneumococcal immunizations.
- D Honor 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.
Inspectors wroteBased on nine records reviewed on 09/24/2024 at 9:00 AM to 12:00 PM, it was determined that the facility failed to ensure the right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive 1 out of 9 records reviewed. (R.R # 102).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observations, records reviewed (RR), staff interview and review of policies and procedures performed during the survey process from 09/24/2024 thru 09/25/2024 from 8:30 AM thru 4:30 PM, it was determined that the facility failed to provide the resident and their representative with a summary of the baseline care plan within 48 hours of the resident's admission This deficient practice was identified in 1 out of 8 residents receiving services at the facility (RR #51).
- C Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on the review of policy and procedure with the facility Administrator (employee #3), it was determined that facility failed to ensure that alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported.
- C Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on an interview with the Compliance Office (employee #2) on 09/24/2024 at 1:50 PM, it was determined that the facility failed to ensure it had a policy and procedure that the residents received appropriate treatment and assistive devices to maintain their visual and hearing abilities.
- C Provide appropriate foot care.
Inspectors wroteBased on interview with the Compliance Office (employee #2) on 09/24/2024 at 1:56 PM, it was determined that the facility failed to ensure that residents receive proper treatment and care to maintain mobility and good foot health in accordance with professional standards of practice.
- C Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 1:50 PM, it was determined that the facility failed to ensure have a policy and procedure so that residents receive care consistent with the standard of professional practice, necessary care and treatment including medical and nursing care and services when they need a urostomy.
- C Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 1:55 PM, it was determined that the facility failed to ensure have a policy and procedure so that residents receive care consistent with the respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences.
- C Provide appropriate care/assistance for a resident with a prosthesis.
Inspectors wroteBased on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 at 1:12 PM, it was determined that the facility failed to ensure that residents who have a prosthetic device receive care and assistance in the resident's goals and preferences in accordance with the comprehensive plan of care for wearing and using the prosthesis.
- C Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 at 1:17 PM, it was determined that the facility failed to ensure that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences.
- C Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on reviwe of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 at 1:21 PM, it was determined that the facility failed to ensure that trauma-survivor residents receive competent, trauma-informed care in accordance with professional standards and mitigate triggers that may re-traumatize the resident.
- C Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on review of policies and procedures with the Compliance Officer (employee #2) on 09/24/2024 at 1:28 PM, it was determined that the facility failed to ensure the risks and benefits of bedrails for residents. The facility must ensure the proper installation, use and maintenance of bedrails.
- C Post nurse staffing information every day.
Inspectors wroteBased on reviewed of policy and procedure (P&P) on 09/25/2024 at 1:49 PM, it was determined that the facility failed to establish retention of daily nurse staffing data for a minimum of 18 months.
- C Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM, it was determined that the facility failed to ensure that each resident's drug regimen is free from unnecessary drugs. This deficient practice is identified in 4 out of 8 residents (R) receiving services at the facility (R #51, # 52, #101, and #201).
- C Provide routine and 24-hour emergency dental care for each resident.
Inspectors wroteBased on interviews with administrator (employee #3) and review of facility policies and procedures, it was determined that facility failed to determine if they are going to have a relationship with any dental services in obtaining routine and 24-hour emergency dental care (by contract) in order to provide those services at the facility.
- C Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM it was determined that the facility failed to provide evidence of a process to estimate staffing needs in the kitchen through a kitchen staffing pattern. This deficient practice had the potential to affect 8 out of 8 residents admitted receiving at the facility.
- C Conduct 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.
Inspectors wroteBased on observations, staff interview and review of policies and procedures performed during the survey process from 09/24/2024 through 09/25/2024 from 8:30 AM through 4:30 PM it was determined that the facility failed to a required Facility Assessment. This deficient practice had the potential to affect 8 of 8 residents in the facility.
- C Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on review of the policy and procedures manual with the Nursing Supervisor (employee #6) on 09/25/2024, it was determined that the facility failed to have policies and procedures in place regarding the electronic reporting and submission of the Payroll Based Journal to CMS.
- C Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on reviewed of the quality assessment performance improvement (QAPI) program conducted on 09/24/2024 through 09/25/2024 and interview with Compliance Officer (employee #2), it was determined that the facility did not demonstrate Nursing Director and Infection Control participation in its quality assurance committee.
- C Have a Compliance and Ethics Program.
Inspectors wroteBased on interview with the compliance officer (employee #2) 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.
- C Keep all essential equipment working safely.
Inspectors wroteBased on observations made at the nurse's station with Nursing Supervisor (employee #6) on 09/25/2024, it was determined that the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition.
Fire safety inspections
16 fire safety citations on file: 5 on March 26, 2026, 11 on September 25, 2024.
Every fire safety citation16 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- D Provide properly protected cooking facilities.
- D Install a fire alarm system that can be heard throughout the facility.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Establish policies and procedures for sheltering.
- E Establish policies and procedures for medical documentation.
- E Establish policies and procedures for volunteers.
- E Establish staff and initial training requirements.
- E Have properly spaced exits within rooms.
- E Install proper backup exit lighting.
- E Have properly located and lighted "Exit" signs.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have restrictions on the use of flammable curtains.
- D Establish methods for sharing information.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Puerto Rico | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 1.89 | 3.80 | 3.86 |
| Registered nurses | 1.89 | 3.01 | 0.69 |
| All nursing staff on weekends | 1.53 | 3.03 | 3.42 |
| Nurse aides | 0.00 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 35.7% | 45.8% |
| Registered nurse turnover | not reported | 35.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.45 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.04 on weekdays and 1.53 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 1.89 | 1.89 | 2.04 | 1.53 | 0.0% | 0 of 90 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Puerto Rico, Jan to Mar 2026 | 3.47 | 2.82 | 3.76 | 2.77 | 5.2% | 1.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Puerto Rico | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 1.6 |
Owners and operators
Legal business name: MULTY MEDICAL FACILITIES CORP.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Conde Sterling, Tania | 5% or greater direct ownership interest | Individual | 100% | 09/01/2016 |
| Sepulveda-Irizarry, Fernando | Corporate director | Individual | 10/28/2018 | |
| Conde Sterling, Tania | Corporate officer | Individual | 09/01/2016 | |
| Conde Sterling, Tania | Operational/managerial control | Individual | 09/01/2016 | |
| Conde Sterling, Tania | Adp of the SNF | Individual | 09/01/2016 | |
| Sepulveda-Irizarry, Fernando | Adp of the SNF | Individual | 10/28/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 31 problems in this area, most recently on March 26, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on September 25, 2024: "Ensure each resident must receive and the facility must provide necessary behavioral health care and services."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 8 problems in this area, most recently on September 25, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 7 problems in this area, most recently on March 26, 2026: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 1.53 hours per resident per day, below the Puerto Rico average of 3.03.
Other nursing homes nearby
- Centro De Cuidado Prolongado San Lucas Rio Piedras, 1.2 mi · 1 of 5 stars · 86 citations
- Alternative Healthcare Solutions LLC San Juan, 2.3 mi · 4 of 5 stars · 28 citations
- Millennium Institute for Advance Nursing Care Inc Rio Piedras, 2.6 mi · 5 of 5 stars · 19 citations
- Centro Medico Wilma N Vazquez SNF Vega Baja, 21.9 mi · 3 of 5 stars · 35 citations
- Ryder Memorial Hospital Inc Humacao, 23.8 mi · 3 of 5 stars · 41 citations
Puerto Rico contacts for a concern about a nursing home
These are the official offices in Puerto Rico. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Departamento de Salud de Puerto Rico, Secretaria Auxiliar para la Regulacion de la Salud Publica (Division de Medicare), the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Programa Estatal del Procurador de Cuidado de Larga Duracion (Ombudsman CLD), Oficina del Procurador de las Personas de Edad Avanzada, (787) 721-6121. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Multy Medical Skilled Nursing Facility's Medicare star rating?
- CMS rates Multy Medical Skilled Nursing Facility 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and no for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Multy Medical Skilled Nursing Facility get at its last inspection?
- 8 health deficiencies at the standard inspection on March 26, 2026. The Puerto Rico average is 7.3.
- Has Multy Medical Skilled Nursing Facility been fined?
- CMS lists no fines in the last three years.
- Does Multy Medical Skilled Nursing Facility accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Multy Medical Skilled Nursing Facility?
- CMS lists 6 owners and managers. Legal business name: MULTY MEDICAL FACILITIES CORP.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.