The Vardell Report.Multy Medical Skilled Nursing Facility

Across 2 inspections from September 2024 to March 2026, state surveyors documented 77 findings at Multy Medical Skilled Nursing Facility; 77 have a recorded correction; CMS lists 1 enforcement action in the window.

Inspections

2

2024–2026, standard

Findings

77

Deficiencies cited by state inspectors

Corrected

77

Of 77 findings, with a recorded correction date

Penalties

1

1 fine; payment not published

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

1. Mar 262026

   Standard health inspection

   8 findings

   • F761Ensure 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.Level FNo actual harm, potential for moreCorrected May 12, 2026
   • F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Level FNo actual harm, potential for moreCorrected May 12, 2026
   • F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Level FNo actual harm, potential for moreCorrected May 12, 2026
   • F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyLevel FNo actual harm, potential for moreCorrected May 12, 2026
   • F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Level FNo actual harm, potential for moreCorrected May 12, 2026
   • F924Put firmly secured handrails on each side of hallways.Level FNo actual harm, potential for moreCorrected May 12, 2026
   • F584Honor 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.Level DNo actual harm, potential for moreCorrected May 12, 2026
   • F732Post nurse staffing information every day.Level CPotential for minimal harmCorrected May 12, 2026

   Enforcement Action

   Civil money penalty, $41,321 imposed May 19, 2026. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 26, 2026, the nearest before the penalty date.

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

2. Sep 252024

   Standard health inspection

   69 findings

   • F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F554Allow residents to self-administer drugs if determined clinically appropriate.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F558Reasonably accommodate the needs and preferences of each resident.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F562Provide immediate access to any resident.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F565Honor the resident's right to organize and participate in resident/family groups in the facility.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F5661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F567Honor the resident's right to manage his or her financial affairs.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F572Give residents a notice of rights, rules, services and charges.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F574The resident has the right to receive notices in a format and a language he or she understands.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F575Post 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.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F579Provide information about how to apply for and use Medicare and Medicaid benefits.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F584Honor 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.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F602Protect each resident from the wrongful use of the resident's belongings or money.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F610Respond appropriately to all alleged violations.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F620Not 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.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F624Prepare residents for a safe transfer or discharge from the nursing home.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F625Notify 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.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F727Have 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.Level FNo actual harm, potential for moreCorrected Nov 20, 2024
   • F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Level FNo actual harm, potential for moreCorrected Oct 29, 2024
   • F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Level FNo actual harm, potential for moreCorrected Nov 4, 2024
   • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level FNo actual harm, potential for moreCorrected Oct 26, 2024
   • F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Level FNo actual harm, potential for moreCorrected Oct 1, 2024
   • F814Dispose of garbage and refuse properly.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.Level FNo actual harm, potential for moreCorrected Nov 20, 2024
   • F880Provide and implement an infection prevention and control program.Level FNo actual harm, potential for moreCorrected Oct 20, 2024
   • F887Educate 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.Level FNo actual harm, potential for moreCorrected Sep 30, 2024
   • F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Level FNo actual harm, potential for moreCorrected Nov 9, 2024
   • F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Level ENo actual harm, potential for moreCorrected Oct 25, 2024
   • F578Honor 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.Level DNo actual harm, potential for moreCorrected Oct 3, 2024
   • F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedLevel DNo actual harm, potential for moreCorrected Sep 25, 2024
   • F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F685Assist a resident in gaining access to vision and hearing services.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F687Provide appropriate foot care.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F695Provide safe and appropriate respiratory care for a resident when needed.Level CPotential for minimal harmCorrected Nov 14, 2024
   • F696Provide appropriate care/assistance for a resident with a prosthesis.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F699Provide care or services that was trauma informed and/or culturally competent.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F700Try 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.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F732Post nurse staffing information every day.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Level CPotential for minimal harmCorrected Oct 29, 2024
   • F790Provide routine and 24-hour emergency dental care for each resident.Level CPotential for minimal harmCorrected Nov 4, 2024
   • F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Level CPotential for minimal harmCorrected Oct 1, 2024
   • F838Conduct 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.Level CPotential for minimal harmCorrected Oct 31, 2024
   • F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyLevel CPotential for minimal harmCorrected Oct 1, 2024
   • F895Have a Compliance and Ethics Program.Level CPotential for minimal harmCorrected Sep 30, 2024
   • F908Keep all essential equipment working safely.Level CPotential for minimal harmCorrected Sep 25, 2024

   Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1. 1

   A Clean, Homelike Setting, Cited in Two Inspections

   Inspectors cited F584 in September 2024 and March 2026. This citation covers whether rooms and shared spaces are kept safe, clean, comfortable and homelike. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2426F584 across all 2 inspections, oldest to newest
2. 2

   Post nurse staffing information every day, Cited in Two Inspections

   Inspectors cited F732 in September 2024 and March 2026. The agency describes it this way: Post nurse staffing information every day. None rose above level C (potential for minimal harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2426F732 across all 2 inspections, oldest to newest
3. 3

   Citation F851, Cited in Two Inspections

   Inspectors cited F851 in September 2024 and March 2026. The agency describes it this way: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2426F851 across all 2 inspections, oldest to newest
4. 4

   Citation F868, Cited in Two Inspections

   Inspectors cited F868 in September 2024 and March 2026. The agency describes it this way: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2426F868 across all 2 inspections, oldest to newest
5. 5

   Citation F921, Cited in Two Inspections

   Inspectors cited F921 in September 2024 and March 2026. The agency describes it this way: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

   2426F921 across all 2 inspections, oldest to newest

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

1. 01

   What was done about the cleanliness citation, and how are rooms and shared spaces checked now?

   A Clean, Homelike Setting: cited in two inspections, most seriously at level F.

2. 02

   What changed after F732 was cited, and how do you check it now?

   Post nurse staffing information every day: cited in two inspections, most seriously at level C.

3. 03

   What changed after F851 was cited, and how do you check it now?

   Citation F851: cited in two inspections, most seriously at level F.

4. 04

   What changed after F868 was cited, and how do you check it now?

   Citation F868: cited in two inspections, most seriously at level F.

5. 05

   What changed after F921 was cited, and how do you check it now?

   Citation F921: cited in two inspections, most seriously at level F.

6. 06

   How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?

   No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.

7. 07

   What led to the 2026 fine, and has it been paid?

   A $41,321 civil money penalty was imposed May 19, 2026. CMS publishes the fine, not whether it has been paid.

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Puerto Rico state survey agency.

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Puerto Rico state survey agency

  Inspection Sep 25, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  Puerto Rico state survey agency

  Inspection Mar 26, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

• Penalties, Provider Data Catalog

  Centers for Medicare & Medicaid Services

  Published Oct 1, 2026 · Retrieved Nov 1, 2026

  View Dataset ↗
• Provider Information, Provider Data Catalog

  Centers for Medicare & Medicaid Services · 405034

  Published Oct 1, 2026 · Retrieved Nov 1, 2026

  View Dataset ↗

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.