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Servicios Integrados De Rehabilitacion (Siro)

All states › Puerto Rico › Hormigueros › Servicios Integrados De Rehabilitacion (Siro)

Calle 4-L-10 Urb Colinas Del Oeste Hormigueros, PR 00660 · Hormigueros County

(787) 849-2179

Accepts Medicare 20 certified beds For profit

CMS certification number 405029 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Servicios Integrados De Rehabilitacion (Siro) a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Servicios Integrados De Rehabilitacion (Siro) as of October 2026.

CMS rates it 4 out of 5 stars overall, above the Puerto Rico average of 3.1. Inspectors issued 21 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.64 hours per resident per day at Servicios Integrados De Rehabilitacion (Siro), about the same as the Puerto Rico median of 4.73 (US median: 3.72). About 2.34 of those hours are from registered nurses. On weekends it falls to 4.06 hours, 13% below its all-week average.

Nursing care per resident per day 4.64 hours
Below the Puerto Rico median of 4.73 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 2.34 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.06 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds20
Residents per day 18 About 88% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare
Certified sinceJuly 2006
Legal business nameSERVICIOS INTEGRADOS DE REHABILITACION DEL OESTE, INC.

Paying for care at Servicios Integrados De Rehabilitacion (Siro): Medicare and Medicaid

Servicios Integrados De Rehabilitacion (Siro) is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. Nursing homes that accept Medicaid in Puerto Rico.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on March 11, 2026 and found 6 deficiencies. In total, inspectors issued 21 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 21 citations at Servicios Integrados De Rehabilitacion (Siro) across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 17 were "potential for more than minimal harm" (D–F) and 4 were minimal (A–C). The most common areas cited were pharmacy service (5) and environmental (4). The most serious was cited under the CMS rule to "ensure each resident receives an accurate assessment" (tag F0641, level F, April 29, 2025).

March 11, 2026 · 6 citations

EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (May 8, 2026)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (May 8, 2026)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 8, 2026)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (May 8, 2026)

CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (May 8, 2026)

CProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (May 8, 2026)

April 29, 2025 · 9 citations

FEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 28, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 28, 2025)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 28, 2025)

FImplement a program that monitors antibiotic use.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0881 · Deficient, Provider has date of correction (May 7, 2025)

FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (May 30, 2025)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (May 28, 2025)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (May 7, 2025)

EImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (May 22, 2025)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (May 7, 2025)

April 23, 2024 · 6 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 15, 2024)

FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (May 23, 2024)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (May 15, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (May 17, 2024)

CHonor 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.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (May 15, 2024)

CEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (May 17, 2024)

Questions to ask on a tour of Servicios Integrados De Rehabilitacion (Siro)

  1. What do families most often ask you about before moving in?
  2. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 —
August 2026 3/5 4/5 1/5 —
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Location

Nearby nursing homes

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Damas Hospital SNF Ponce · 35.9 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 25 beds
Centro Medico Wilma N Vazquez SNF Vega Baja · 53.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 45 beds
Millennium Institute for Advance Nursing Care Rio Piedras · 72.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 35 beds
Centro De Cuidado Prolongado San Lucas Rio Piedras · 73.0 mi away ★☆☆☆☆ Inspection 1/5 · Staffing — 25 beds

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/puerto-rico/hormigueros/servicios-integrados-de-rehabilitacion-siro/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.