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Nursing homes in San Juan County, Puerto Rico
There are 4 certified nursing homes in San Juan County, Puerto Rico, with 117 beds between them.
50% of them are rated 1 or 2 stars overall, a larger share than the state (33%). Inspectors recorded 210 health deficiencies over three cycles, 179.5 per 100 beds against 129.8 statewide.
No fines are listed for facilities in the county in the period covered.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | San Juan County | Puerto Rico | US |
|---|---|---|---|
| Facilities | 4 | 9 | 14690 |
| Rated 1–2 stars overall | 50% | 33% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 179.5 | 129.8 | 26.8 |
| Median nurse hours per resident day | 4.4 | 4.4 | 3.7 |
| Fines listed | $0 | $41K | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Millennium Institute For Advance Nursing Care Inc | Rio Piedras | 35 | 5 | 5 | 5 | 19 | 54.3 | — | 11 Mar 2026 |
| Alternative Healthcare Solutions LLC | San Juan | 22 | 4 | 3 | 5 | 28 | 127.3 | — | 21 May 2026 |
| Centro De Cuidado Prolongado San Lucas | Rio Piedras | 25 | 1 | 1 | 1 | 86 | 344.0 | — | 27 Mar 2026 |
| Multy Medical Skilled Nursing Facility | Rio Piedras | 35 | 1 | 1 | 2 | 77 | 220.0 | — | 26 Mar 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 8 |
| F0584 | 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. | 8 |
| F0908 | Keep all essential equipment working safely. | 6 |
| F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 6 |
| F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | 5 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
| Non profit | 1 |
Questions and answers
How many nursing homes are in San Juan County, Puerto Rico?
4 Medicare-certified nursing homes with 117 certified beds.
Which nursing homes in San Juan County have the highest CMS ratings?
Millennium Institute For Advance Nursing Care Inc (5 stars), Alternative Healthcare Solutions LLC (4 stars), Centro De Cuidado Prolongado San Lucas (1 stars)
How do San Juan County nursing homes compare with Puerto Rico?
50% are rated 1–2 stars overall against 33% statewide; citations run at 179.5 per 100 beds against 129.8 statewide.