Puerto Rico ›Rio Piedras

Centro de Cuidado Prolongado San Lucas

Carr 844 Km 0 5 Cupey, Rio Piedras, PR 00928 · San Juan County · 25 certified beds · avg 4 residents/day · certified since Oct 22, 2024

1/5
Health inspection rating (on-site)
4
Serious findings on record
$0
Fines, last 3 years
0.00
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, facility-wide · Oct 2, 2024 · F-0550

The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.

Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Oct 22, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, facility-wide · Oct 2, 2024 · F-0727

The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.

Why it matters: Registered nurses handle the most complex care decisions — without enough RN coverage, serious health changes can be missed.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Oct 22, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, facility-wide · Oct 2, 2024 · F-0835

The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.

Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Oct 22, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, facility-wide · Oct 2, 2024 · F-0837

The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.

Why it matters: Weak leadership and accountability at the top often show up as problems in residents' daily care.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Oct 22, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (86)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 27, 2026F · Potential for harm, facility-wideThe facility did not have enough support staff to safely and effectively run its food and nutrition service.
Mar 27, 2026F · Potential for harm, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Mar 27, 2026F · Potential for harm, facility-wideThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Mar 27, 2026E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 27, 2026E · Potential for harm, repeatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 27, 2026E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 27, 2026E · Potential for harm, repeatedThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 27, 2026D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 27, 2026D · Potential for harm, one-offThe facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Mar 27, 2026D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 27, 2026D · Potential for harm, one-offThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Mar 27, 2026C · Minimal risk, facility-wideThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care.
Mar 27, 2026C · Minimal risk, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Oct 2, 2024▲ L · Immediate jeopardy, facility-wideThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 2, 2024▲ L · Immediate jeopardy, facility-wideThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Oct 2, 2024▲ L · Immediate jeopardy, facility-wideThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Oct 2, 2024▲ L · Immediate jeopardy, facility-wideThe facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not follow the rules about resident work. Residents must never be forced to work for the nursing home, but those who want to work must be allowed to.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to manage their own money and financial affairs.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not properly protect the personal money residents deposited with it for safekeeping.
Oct 2, 2024F · Potential for harm, facility-wideThe facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not let a resident or their legal representative see or buy copies of the resident's own records.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not give residents information about how to apply for and use Medicare and Medicaid benefits.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not keep residents' personal and medical information private and confidential.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Oct 2, 2024F · Potential for harm, facility-wideThe facility prohibited or discouraged residents from communicating with federal, state, or local officials.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment.
Oct 2, 2024F · Potential for harm, facility-wideThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Oct 2, 2024F · Potential for harm, facility-wideThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Oct 2, 2024F · Potential for harm, facility-wideThe facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Oct 2, 2024F · Potential for harm, facility-wideThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide timely, quality laboratory tests to meet residents' needs.
Oct 2, 2024F · Potential for harm, facility-wideThe facility's on-site laboratory, blood bank, or transfusion services did not meet the requirements for certified laboratories.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide routine dental care and 24-hour emergency dental care for residents.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Oct 2, 2024F · Potential for harm, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not have a compliance and ethics program — an internal system designed to prevent and catch violations of the law and ethical standards.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not have firmly secured handrails on both sides of its hallways.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Oct 2, 2024F · Potential for harm, facility-wideThe facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (73 → 13).

YearCitationsSerious (G–L)Worst severity that year
2024734L ▲
2026130F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityPuerto Rico avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)0.004.073.95—
Registered Nurse hours0.003.220.69—
Weekend total nurse staffing0.003.243.50—
Weekend RN hours (not acuity-adjusted)0.002.290.48—
Total nursing staff turnover (%)0.035.745.8—
RN turnover (%)0.035.842.9—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 0.00, RN 0.00, weekend 0.00. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Who owns this facility

Non profit - Church related

Owner / managerTypeRoleStakeSince
Iglesia Episcopal Puertorriquena, INCOrganization5% or Greater Indirect Ownership Interest—02/26/2021
Servicios de Salud Episcopales, INC.Organization5% or Greater Indirect Ownership Interest—02/26/2021
Cantero Frau, RamonIndividualCorporate DirectorNOT APPLICABLE07/15/2022
Cantero Frau, RamonIndividualOperational/Managerial ControlNOT APPLICABLE07/15/2022
Cruz Ortiz, AntonioIndividualCorporate DirectorNOT APPLICABLE07/15/2022
Cruz Ortiz, AntonioIndividualADP of the SNFNOT APPLICABLE11/01/2023
De la Cruz Severino, RosemaryIndividualCorporate OfficerNOT APPLICABLE01/01/2018
De la Cruz Severino, RosemaryIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2018
De la Cruz Severino, RosemaryIndividualADP of the SNFNOT APPLICABLE01/01/2018
Figueroa, JoseIndividualCorporate DirectorNOT APPLICABLE11/01/2023
Figueroa, JoseIndividualADP of the SNFNOT APPLICABLE11/01/2023
Gonzalez, JoseIndividualCorporate DirectorNOT APPLICABLE06/24/2024
Gonzalez, JoseIndividualOperational/Managerial ControlNOT APPLICABLE06/24/2024
Gonzalez, JoseIndividualADP of the SNFNOT APPLICABLE06/24/2024
Lucena Quiles, YelitzaIndividualCorporate DirectorNOT APPLICABLE11/09/2022
Morales Maldonado, RafaelIndividualCorporate DirectorNOT APPLICABLE07/15/2022
Morales Maldonado, RafaelIndividualOperational/Managerial ControlNOT APPLICABLE07/15/2022
Morales Vega, EmiliaIndividualCorporate DirectorNOT APPLICABLE07/15/2022
Rivera Rodriguez, AngelIndividualCorporate DirectorNOT APPLICABLE07/15/2022
Rodriguez Martes, MelisaIndividualCorporate DirectorNOT APPLICABLE07/15/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Multy Medical Skilled Nursing Facility1.2 miRio Piedras, PR★☆☆☆☆1/5
Millennium Institute for Advance Nursing Care INC1.3 miRio Piedras, PR★★★★★5/5
Alternative Healthcare Solutions LLC3.5 miSan Juan, PR★★★★☆3/5

Compare this facility with the 3 closest →

All facilities in Rio Piedras →

Facility data as of CMS processing date 2026-08-01. CCN 405033.