diff --git a/android/engine/src/main/java/org/smartregister/fhircore/engine/util/extension/QuestionnaireResponseExtension.kt b/android/engine/src/main/java/org/smartregister/fhircore/engine/util/extension/QuestionnaireResponseExtension.kt
index 7f606a66e6..0e26849dbd 100644
--- a/android/engine/src/main/java/org/smartregister/fhircore/engine/util/extension/QuestionnaireResponseExtension.kt
+++ b/android/engine/src/main/java/org/smartregister/fhircore/engine/util/extension/QuestionnaireResponseExtension.kt
@@ -33,3 +33,31 @@ private fun List<QuestionnaireResponseItemComponent>.clearText() {
     }
   }
 }
+
+/** Borrows from: https://github.com/google/android-fhir/pull/1936 */
+fun QuestionnaireResponse.packRepeatedGroups() {
+  item = item.packRepeatedGroups()
+}
+
+private fun List<QuestionnaireResponse.QuestionnaireResponseItemComponent>.packRepeatedGroups():
+  List<QuestionnaireResponse.QuestionnaireResponseItemComponent> {
+  forEach { it ->
+    it.item = it.item.packRepeatedGroups()
+    it.answer.forEach { it.item = it.item.packRepeatedGroups() }
+  }
+  val linkIdToPackedResponseItems =
+    groupBy { it.linkId }
+      .mapValues { (linkId, questionnaireResponseItems) ->
+        questionnaireResponseItems.singleOrNull()
+          ?: QuestionnaireResponse.QuestionnaireResponseItemComponent().apply {
+            this.linkId = linkId
+            answer =
+              questionnaireResponseItems.map {
+                QuestionnaireResponse.QuestionnaireResponseItemAnswerComponent().apply {
+                  item = it.item
+                }
+              }
+          }
+      }
+  return map { it.linkId }.distinct().map { linkIdToPackedResponseItems[it]!! }
+}
diff --git a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModel.kt b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModel.kt
index 391edaa178..f94cb2b998 100644
--- a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModel.kt
+++ b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModel.kt
@@ -90,6 +90,7 @@ import org.smartregister.fhircore.engine.util.extension.extractLogicalIdUuid
 import org.smartregister.fhircore.engine.util.extension.find
 import org.smartregister.fhircore.engine.util.extension.generateMissingId
 import org.smartregister.fhircore.engine.util.extension.isIn
+import org.smartregister.fhircore.engine.util.extension.packRepeatedGroups
 import org.smartregister.fhircore.engine.util.extension.prePopulateInitialValues
 import org.smartregister.fhircore.engine.util.extension.prepareQuestionsForEditing
 import org.smartregister.fhircore.engine.util.extension.prepareQuestionsForReadingOrEditing
@@ -675,7 +676,10 @@ constructor(
     return QuestionnaireResponseValidator.validateQuestionnaireResponse(
         questionnaire = Questionnaire().apply { item = validQuestionnaireItems },
         questionnaireResponse =
-          QuestionnaireResponse().apply { item = validQuestionnaireResponseItems },
+          QuestionnaireResponse().apply {
+            item = validQuestionnaireResponseItems
+            packRepeatedGroups()
+          },
         context = context,
       )
       .values
diff --git a/android/quest/src/test/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModelTest.kt b/android/quest/src/test/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModelTest.kt
index 4f24ee3175..ca422badd5 100644
--- a/android/quest/src/test/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModelTest.kt
+++ b/android/quest/src/test/java/org/smartregister/fhircore/quest/ui/questionnaire/QuestionnaireViewModelTest.kt
@@ -706,6 +706,226 @@ class QuestionnaireViewModelTest : RobolectricTest() {
     }
   }
 
+  @Test
+  fun testValidateQuestionnaireResponseWithRepeatsGroup() = runTest {
+    val questionnaireString =
+      """
+      {
+        "resourceType": "Questionnaire",
+        "item": [
+              {
+                "linkId": "systolic-bp",
+                "type": "integer",
+                "required": true
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "type": "group",
+                "required": false,
+                "repeats": true,
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "type": "integer",
+                    "required": true
+                  }
+                ]
+              }
+            ]
+      }
+        """
+        .trimIndent()
+    val questionnaireResponseString =
+      """
+      {
+        "resourceType": "QuestionnaireResponse",
+        "item": [
+              {
+                "linkId": "systolic-bp",
+                "answer": [
+                  {
+                    "valueInteger": 123
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 124
+                      }
+                    ]
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 125
+                      }
+                    ]
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 126
+                      }
+                    ]
+                  }
+                ]
+              }
+            ]
+      }
+        """
+        .trimIndent()
+    val questionnaire = parser.parseResource(questionnaireString) as Questionnaire
+    val questionnaireResponse =
+      parser.parseResource(questionnaireResponseString) as QuestionnaireResponse
+    val result =
+      questionnaireViewModel.validateQuestionnaireResponse(
+        questionnaire,
+        questionnaireResponse,
+        context,
+      )
+    Assert.assertTrue(result)
+  }
+
+  @Test
+  fun testValidateQuestionnaireResponseWithNestedRepeatsGroup() = runTest {
+    val questionnaireString =
+      """
+      {
+        "resourceType": "Questionnaire",
+        "item": [
+          {
+            "extension": [
+              {
+                "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
+                "valueCodeableConcept": {
+                  "coding": [
+                    {
+                      "system": "http://hl7.org/fhir/questionnaire-item-control",
+                      "code": "page",
+                      "display": "Page 1"
+                    }
+                  ],
+                  "text": "Page 1"
+                }
+              }
+            ],
+            "linkId": "page-1",
+            "type": "group",
+            "item": [
+              {
+                "linkId": "systolic-bp",
+                "type": "integer",
+                "required": true
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "type": "group",
+                "required": false,
+                "repeats": true,
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "type": "integer",
+                    "required": true
+                  }
+                ]
+              }
+            ]
+          }
+        ]
+      }
+        """
+        .trimIndent()
+    val questionnaireResponseString =
+      """
+      {
+        "resourceType": "QuestionnaireResponse",
+        "item": [
+          {
+            "linkId": "page-1",
+            "item": [
+              {
+                "linkId": "systolic-bp",
+                "answer": [
+                  {
+                    "valueInteger": 123
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 124
+                      }
+                    ]
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 125
+                      }
+                    ]
+                  }
+                ]
+              },
+              {
+                "linkId": "blood-pressure-repeating-group",
+                "item": [
+                  {
+                    "linkId": "systolic-bp",
+                    "answer": [
+                      {
+                        "valueInteger": 126
+                      }
+                    ]
+                  }
+                ]
+              }
+            ]
+          }
+        ]
+      }
+        """
+        .trimIndent()
+    val questionnaire = parser.parseResource(questionnaireString) as Questionnaire
+    val questionnaireResponse =
+      parser.parseResource(questionnaireResponseString) as QuestionnaireResponse
+    val result =
+      questionnaireViewModel.validateQuestionnaireResponse(
+        questionnaire,
+        questionnaireResponse,
+        context,
+      )
+    Assert.assertTrue(result)
+  }
+
   @Test
   fun testExecuteCqlShouldInvokeRunCqlLibrary() = runTest {
     val bundle =