nursing home in San Juan, PR
Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital, San Juan, PR 00910 · (787) 999-2959
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★5
- Quality measuresNot rated
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Alternative Healthcare Solutions LLC at a glance
Alternative Healthcare Solutions LLC is a 22-bed for-profit nursing home in San Juan, Puerto Rico (San Juan County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Puerto Rico average of 3.
Residents receive about 4.5 hours of nursing care per day (4 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (May 21, 2026) found 11 health citations. The Puerto Rico average is 7.3.
It has not received a federal fine in the past three years.
Nursing staff turnover is 31.8% per year (state average 35.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 22
- Certified for
- Medicare
- Medicare-certified since
- April 4, 2022
- Resident/family council
- None
- County
- San Juan County
- CMS Certification Number
- 405000
Ratings
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
Staffing
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.54 hrs | 3.80 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 3.95 hrs | 3.01 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 0.00 hrs | 0.00 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.41 hrs | 3.03 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 31.8% | 35.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 29.4% | 35.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 0 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 133.5 | 185.1 | 80.6 | Worse |
Penalties
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $4,537 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
Size
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 22 | 33 | 107 | |
| Average residents per day | 22 | 27 | 86 | |
| Occupancy | 100% | 73.7% | 80.9% |
Short-stay residents
| Measure | This facility | Puerto Rico avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 0.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.8% | 97.9% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 98% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 29 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 2, 2025 |
| May 21, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | D Potential harm, isolated | Corrected July 1, 2026 |
| May 21, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 10, 2026 |
| May 21, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected July 10, 2026 |
| May 21, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 21, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 10, 2026 |
| May 21, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 10, 2026 |
| December 3, 2024 Fire safety | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0907 | F Potential harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected March 12, 2026 |
| December 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 2, 2025 |
| December 3, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected May 2, 2025 |
| December 3, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected June 12, 2025 |
| December 3, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 12, 2025 |
| December 3, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected January 9, 2025 |
| December 3, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected May 2, 2025 |
| December 3, 2024 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | C No harm, widespread | Corrected May 2, 2025 |
| December 3, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected May 2, 2025 |
| April 18, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 24, 2024 |
| April 18, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected May 14, 2024 |
| April 18, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected April 19, 2024 |
| April 18, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 5, 2024 |
| April 18, 2024 Fire safety | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Tag E0034 | C No harm, widespread | Corrected May 31, 2024 |
| April 18, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | C No harm, widespread | Corrected May 14, 2024 |
| April 18, 2024 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | C No harm, widespread | Corrected May 16, 2024 |
| April 18, 2024 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | C No harm, widespread | Corrected May 16, 2024 |
| April 18, 2024 Fire safety | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Tag E0022 | C No harm, widespread | Corrected May 14, 2024 |
| April 18, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | C No harm, widespread | Corrected May 15, 2024 |
| April 18, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected May 15, 2024 |
| April 18, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 13, 2024 |
| April 18, 2024 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected May 14, 2024 |
| April 18, 2024 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | F Potential harm, widespread | Corrected May 15, 2024 |
| April 18, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | F Potential harm, widespread | Corrected April 20, 2024 |
| April 18, 2024 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | E Potential harm, pattern | Corrected May 15, 2024 |
| April 18, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 13, 2024 |
| April 18, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected May 13, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
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Frequently asked questions
What is Alternative Healthcare Solutions LLC's rating?
Alternative Healthcare Solutions LLC has 4 out of 5 stars on the CMS overall star rating. The average for Puerto Rico nursing homes is 3 stars.
How many inspection citations did Alternative Healthcare Solutions LLC receive?
Its most recent standard health inspection found 11 citations, compared with a Puerto Rico average of 7.3. Every citation is listed on this page with its severity.
Does Alternative Healthcare Solutions LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Alternative Healthcare Solutions LLC?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Alternative Healthcare Solutions LLC and how do I contact it?
Alternative Healthcare Solutions LLC is at Septimo Piso Doctors Center Hospital, San Juan, PR 00910. Phone: (787) 999-2959.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.