Puerto Rico › San Juan County › San Juan
Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital, San Juan, PR 00910
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 22 beds, Alternative Healthcare Solutions LLC serves San Juan in San Juan County, Puerto Rico and has taken Medicare and Medicaid residents since 2022.
CMS gives it 4 of 5 stars overall, above the Puerto Rico median of 3; the health inspection rating is 3, staffing 5 and quality measures —.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (11, 9, 8 by cycle, most recent first), none at the actual-harm level. That is 127.3 per 100 beds, about the same as the state median of 120.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (4.0 RN), close to the Puerto Rico median of 4.4; nursing staff turnover is 31.8%.
Compared with county, state and nation
| Measure | This facility | San Juan Co. median | Puerto Rico median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 77 | 35 | 28.7 |
| Citations per 100 beds | 127.3 | 220.0 | 120.0 | 26.8 |
| Total nurse hours per resident day | 4.5 | 4.4 | 4.4 | 3.9 |
| RN hours per resident day | 4.0 | 3.7 | 3.7 | 0.7 |
| Nursing staff turnover | 31.8% | 45.8% | 31.8% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 9 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Puerto Rico average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 3 Dec 2024.
Severity mix: D ×4 E ×5 F ×17 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0761 | 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. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Jul 2026 |
| 21 May 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Jul 2026 |
| 3 Dec 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 12 Jun 2025 |
| 3 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 2 May 2025 |
| 3 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jun 2025 |
| 3 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 2 May 2025 |
| 3 Dec 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 2 May 2025 |
| 3 Dec 2024 | 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. | E | Standard survey | 9 Jan 2025 |
| 3 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 2 May 2025 |
| 3 Dec 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 2 May 2025 |
| 3 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | C | Standard survey | 2 May 2025 |
| 18 Apr 2024 | F0726 | 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. | F | Standard survey | 15 May 2024 |
| 18 Apr 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 14 May 2024 |
| 18 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 May 2024 |
| 18 Apr 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | Standard survey | 20 Apr 2024 |
| 18 Apr 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 15 May 2024 |
| 18 Apr 2024 | 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. | E | Standard survey | 13 May 2024 |
| 18 Apr 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 13 May 2024 |
| 18 Apr 2024 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 15 May 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Puerto Rico average. Turnover: nursing staff 31.8%, RNs 29.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Puerto Rico median | US median |
|---|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.0% | 1.0% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in San Juan County
| 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 |
| 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 |
All 4 facilities in San Juan County
Questions and answers
How many deficiencies has Alternative Healthcare Solutions LLC been cited for?
28 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Puerto Rico median is 35 per facility.
Has Alternative Healthcare Solutions LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Alternative Healthcare Solutions LLC compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Puerto Rico median of 4.4 and a national average of 3.9.
Who operates Alternative Healthcare Solutions LLC?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Alternative Healthcare Solutions LLC last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.