All states › Puerto Rico › Hormigueros › Servicios Integrados De Rehabilitacion (Siro)
Calle 4-L-10 Urb Colinas Del Oeste Hormigueros, PR 00660 · Hormigueros County
CMS certification number 405029 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
EKeep all essential equipment working safely.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 29, 2025 · 9 citations
FEnsure each resident receives an accurate assessment.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
FImplement a program that monitors antibiotic use.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
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.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
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.
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.
Questions to ask on a tour of Servicios Integrados De Rehabilitacion (Siro)
- What do families most often ask you about before moving in?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | — |
| August 2026 | 3/5 | 4/5 | 1/5 | — |
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Location
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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.