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Elder Care Record

Nursing homes in Puerto Rico

Puerto Rico has 9 certified nursing homes in 6 municipios. Select a municipio or a city to see its homes in one table.

Municipios

Municipios of Puerto Rico with a certified nursing home, in order of name
MunicipioHomesCertified bedsMedian overall ratingCitations for each 100 bedsFines
Hormigueros1203105.0$0
Humacao162366.1$0
Ponce1255120.0$10,839
San Germán1302170.0$0
San Juan41174179.5$0
Vega Baja145377.8$29,997

Citations are the health citations of the last three survey cycles. Fines are the fines in the CMS penalties file, about three years.

Cities

Cities with two or more certified nursing homes. The number is the count of homes.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed the data on .

Puerto Rico in figures

The nursing homes in Puerto Rico have 299 certified beds. They have about 241 residents on an average day. 33% of the homes have a CMS overall rating of 1 or 2 stars. In the nation, the share is 41%. 2 homes have an overall rating of 5 stars.

The homes have 129.8 health citations for each 100 certified beds in the last three survey cycles. The figure for the nation is 26.8. CMS lists 2 fines with a total of $40,836 for these homes in its penalties file. 0 homes have the CMS abuse icon.

Nursing homes in Puerto Rico by CMS overall rating
Overall ratingHomesShareUS share
5 of 5222%20%
4 of 5111%19%
3 of 5333%19%
2 of 5111%20%
1 of 5222%21%

F-tags in the state

The requirements that the citations in this state name most often.

F-tags with the most citations in Puerto Rico, three survey cycles
F-tagRequirement (CMS text)Citations
F0584Honor 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.19
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.18
F0880Provide and implement an infection prevention and control program.14
F0908Keep all essential equipment working safely.12
F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.10
F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted10
F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.9
F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.9
F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly8
F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.8
F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.6
F0578Honor 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.6

Fines by year

The CMS penalties file holds about three years. The first year and the last year are not complete.

Fines for nursing homes in Puerto Rico by year, from the CMS penalties file
YearPenaltiesFines
20242$40,836

Record by month

One page for each month: the surveys with citations, the penalties, and the changes in the CMS update of that month.

Monthly record of nursing homes in Puerto Rico, the latest month first
MonthSurveys with citationsCitationsPenaltiesFinesRecorded changes
August 2026000$00
July 2026000$00
June 2026000$00
May 20262200$00
April 2026000$00
March 20265330$00
February 2026000$00
January 2026000$00
December 2025000$00
November 2025000$00
October 2025000$00
September 2025000$00
August 2025000$00
July 2025000$00
June 2025000$00
May 2025180$00
April 2025190$00
March 20252230$00
February 2025000$00
January 2025000$00
December 20242170$00
November 2024000$00
October 20242800$00
September 202421150$00

The site has no recorded change for Puerto Rico. It records changes at each CMS update.

Questions

How many nursing homes in Puerto Rico are Special Focus Facilities?
CMS lists no home in Puerto Rico as a Special Focus Facility or as a candidate. The table of homes on each county page and city page marks these homes.
Which F-tags have the most citations in Puerto Rico?
F-tag 584 has 19 citations in the last three survey cycles. F-tag 812 has 18. F-tag 880 has 14.
What changed in Puerto Rico in the last CMS update?
The site has no recorded change for Puerto Rico. At each CMS update, the site compares the tracked values of each home.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The CSV file on this page has one row for each home in Puerto Rico.