All states › Puerto Rico › Rio Piedras › Millennium Institute for Advance Nursing Care
Calle Cosme Reparto San Lucas Rio Piedras, PR 00926 · San Juan County
All 3 nursing homes in Rio Piedras, PR
CMS certification number 405030 · See this home on Medicare Care Compare
Is Millennium Institute for Advance Nursing Care 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 Millennium Institute for Advance Nursing Care as of October 2026.
CMS rates it 5 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 3.96 hours per resident per day at Millennium Institute for Advance Nursing Care, below the Puerto Rico median of 4.73 (US median: 3.72). About 3.38 of those hours are from registered nurses. On weekends it falls to 3.57 hours, 10% below its all-week average. 54.2% of nursing staff left within a year (Puerto Rico median 32%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Millennium Institute for Advance Nursing Care: Medicare and Medicaid
Millennium Institute for Advance Nursing Care 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 1 deficiency. In total, inspectors issued 19 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 19 citations at Millennium Institute for Advance Nursing Care across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 18 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were nutrition and dietary (7) and environmental (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, March 11, 2026).
March 11, 2026 · 1 citation
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 1, 2025 · 8 citations
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
April 16, 2024 · 10 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FKeep all essential equipment working safely.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CProvide and implement an infection prevention and control program.
Questions to ask on a tour of Millennium Institute for Advance Nursing Care
- Nursing staff turnover was 54.2% a year. How many of the staff come from agencies?
- 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 | 5/5 | 5/5 | 4/5 | — |
| August 2026 | 5/5 | 5/5 | 5/5 | — |
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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.