Safety Report: Centro De Cuidado Prolongado San Lucas
How to read this report. Every nursing home receives some citations. One citation does not mean a facility is unsafe. Look at how serious the findings were, whether the same problems keep coming back, and whether things are getting better or worse. Learn how inspections work.
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
4Immediate jeopardy citations (severity J–L)
0Actual harm citations (severity G–I)
6Requirements cited on more than one inspection
L
Government finding: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Tag F837
L
Government finding: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F835
L
Government finding: 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.
Nursing and Physician Services Deficiencies · Tag F727
L
Government finding: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F550
Citations by topic
9Abuse, neglect & exploitation
1Infection control
1Medications & pharmacy
0Accidents & supervision
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (13) than in the cycle before (73).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Keep all essential equipment working safely. (F908) | 2 | March 27, 2026; October 2, 2024 |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F851) | 2 | March 27, 2026; October 2, 2024 |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (F655) | 2 | March 27, 2026; October 2, 2024 |
| 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. (F584) | 2 | March 27, 2026; October 2, 2024 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F582) | 2 | March 27, 2026; October 2, 2024 |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (F868) | 2 | March 27, 2026; October 2, 2024 |
Fines and enforcement
No federal fines or payment denials in the last three years.
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
March 27, 2026 — 13 citations
F
Keep all essential equipment working safely.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F908 · corrected June 9, 2026
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F851 · corrected June 9, 2026
F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F802 · corrected June 9, 2026
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, but potential for more than minimal harm · Pattern · Resident Assessment and Care Planning Deficiencies · F657 · corrected June 9, 2026
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, but potential for more than minimal harm · Pattern · Resident Assessment and Care Planning Deficiencies · F656 · corrected June 9, 2026
E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, but potential for more than minimal harm · Pattern · Resident Assessment and Care Planning Deficiencies · F655 · corrected June 9, 2026
E
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.
No actual harm, but potential for more than minimal harm · Pattern · Resident Rights Deficiencies · F584 · corrected June 9, 2026
D
Ensure 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.
No actual harm, but potential for more than minimal harm · Isolated · Nutrition and Dietary Deficiencies · F803 · corrected June 9, 2026
D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, but potential for more than minimal harm · Isolated · Pharmacy Service Deficiencies · F756 · corrected June 9, 2026
D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
No actual harm, but potential for more than minimal harm · Isolated · Nursing and Physician Services Deficiencies · F711 · corrected June 9, 2026
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, but potential for more than minimal harm · Isolated · Resident Rights Deficiencies · F582 · corrected June 9, 2026
C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for minimal harm · Widespread · Administration Deficiencies · F868 · corrected June 9, 2026
C
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for minimal harm · Widespread · Nursing and Physician Services Deficiencies · F725 · corrected June 9, 2026
October 2, 2024 — 73 citations (includes serious)
L
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Immediate jeopardy to resident health or safety · Widespread · Administration Deficiencies · F837 · corrected October 22, 2024
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Immediate jeopardy to resident health or safety · Widespread · Administration Deficiencies · F835 · corrected October 22, 2024
L
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.
Immediate jeopardy to resident health or safety · Widespread · Nursing and Physician Services Deficiencies · F727 · corrected October 22, 2024
L
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Immediate jeopardy to resident health or safety · Widespread · Resident Rights Deficiencies · F550 · corrected October 22, 2024
F
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F949 · corrected October 22, 2024
F
Provide training in compliance and ethics.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F946 · corrected October 22, 2024
F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F925 · corrected October 22, 2024
F
Put firmly secured handrails on each side of hallways.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F924 · corrected October 22, 2024
F
Keep all essential equipment working safely.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F908 · corrected October 22, 2024
F
Have a Compliance and Ethics Program.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F895 · corrected October 22, 2024
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.
No actual harm, but potential for more than minimal harm · Widespread · Infection Control Deficiencies · F887 · corrected October 22, 2024
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F868 · corrected October 22, 2024
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F851 · corrected October 22, 2024
F
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F849 · corrected October 22, 2024
F
Provide or get specialized rehabilitative services as required for a resident.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F825 · corrected October 22, 2024
F
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F813 · corrected October 22, 2024
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F812 · corrected October 22, 2024
F
Provide routine and 24-hour emergency dental care for each resident.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F790 · corrected October 22, 2024
F
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F776 · corrected October 22, 2024
F
Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F771 · corrected October 22, 2024
F
Provide timely, quality laboratory services/tests to meet the needs of residents.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F770 · corrected October 22, 2024
F
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F741 · corrected October 22, 2024
F
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F740 · corrected October 22, 2024
F
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.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F700 · corrected October 22, 2024
F
Provide care or services that was trauma informed and/or culturally competent.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F699 · corrected October 22, 2024
F
Provide appropriate care/assistance for a resident with a prosthesis.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F696 · corrected October 22, 2024
F
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F691 · corrected October 22, 2024
F
Assist a resident in gaining access to vision and hearing services.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F685 · corrected October 22, 2024
F
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, but potential for more than minimal harm · Widespread · Resident Assessment and Care Planning Deficiencies · F655 · corrected October 22, 2024
F
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
No actual harm, but potential for more than minimal harm · Widespread · Resident Assessment and Care Planning Deficiencies · F640 · corrected October 22, 2024
F
Respond appropriately to all alleged violations.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F610 · corrected October 22, 2024
F
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F609 · corrected October 22, 2024
F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F607 · corrected October 22, 2024
F
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F606 · corrected October 22, 2024
F
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F605 · corrected October 22, 2024
F
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F604 · corrected October 22, 2024
F
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F603 · corrected October 22, 2024
F
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F602 · corrected October 22, 2024
F
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F600 · corrected October 22, 2024
F
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F586 · corrected October 22, 2024
F
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F585 · corrected October 22, 2024
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.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F584 · corrected October 22, 2024
F
Keep residents' personal and medical records private and confidential.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F583 · corrected October 22, 2024
F
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F582 · corrected October 22, 2024
F
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F580 · corrected October 22, 2024
F
Provide information about how to apply for and use Medicare and Medicaid benefits.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F579 · corrected October 22, 2024
F
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.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F578 · corrected October 22, 2024
F
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F577 · corrected October 22, 2024
F
Ensure residents have reasonable access to and privacy in their use of communication methods.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F576 · corrected October 22, 2024
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.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F575 · corrected October 22, 2024
F
The resident has the right to receive notices in a format and a language he or she understands.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F574 · corrected October 22, 2024
F
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F573 · corrected October 22, 2024
F
Give residents a notice of rights, rules, services and charges.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F572 · corrected October 22, 2024
F
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F571 · corrected October 22, 2024
F
Assure the security of all personal funds of residents deposited with the facility.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F570 · corrected October 22, 2024
F
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F569 · corrected October 22, 2024
F
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F568 · corrected October 22, 2024
F
Honor the resident's right to manage his or her financial affairs.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F567 · corrected October 22, 2024
F
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F566 · corrected October 22, 2024
F
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F565 · corrected October 22, 2024
F
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F564 · corrected October 22, 2024
F
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F563 · corrected October 22, 2024
F
Provide immediate access to any resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F562 · corrected October 22, 2024
F
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F561 · corrected October 22, 2024
F
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F560 · corrected October 22, 2024
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.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F559 · corrected October 2, 2024
F
Reasonably accommodate the needs and preferences of each resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F558 · corrected October 22, 2024
F
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F557 · corrected October 22, 2024
F
Honor the resident's right to choose his or her attending physician.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F555 · corrected October 22, 2024
F
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F554 · corrected October 22, 2024
F
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F553 · corrected October 22, 2024
F
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F552 · corrected October 22, 2024
F
Give the resident's representative the ability to exercise the resident's rights.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F551 · corrected October 22, 2024
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare