All states › Puerto Rico › San German › Hospital De La Concepcion
Carr 2 Km 173 4 Bo Cain Alto San German, PR 00683 · San German County
CMS certification number 405032 · See this home on Medicare Care Compare
Is Hospital De La Concepcion 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 Hospital De La Concepcion as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 5.05 hours per resident per day at Hospital De La Concepcion, above the Puerto Rico median of 4.73 (US median: 3.72). About 5.05 of those hours are from registered nurses. On weekends it falls to 4.26 hours, 16% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Hospital De La Concepcion: Medicare and Medicaid
Hospital De La Concepcion 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.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on March 5, 2026 and found 5 deficiencies. In total, inspectors issued 51 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 51 citations at Hospital De La Concepcion across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 48 were "potential for more than minimal harm" (D–F) and 3 were minimal (A–C). The most common areas cited were resident rights (35) and nursing and physician services (3). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level F, March 5, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.
March 5, 2026 · 5 citations
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
DProvide enough food/fluids to maintain a resident's health.
September 12, 2024 · 46 citations
FHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
FGive the resident's representative the ability to exercise the resident's rights.
FEnsure that residents are fully informed and understand their health status, care and treatments.
FAllow resident to participate in the development and implementation of his or her person-centered plan of care.
FAllow residents to self-administer drugs if determined clinically appropriate.
FHonor the resident's right to choose his or her attending physician.
FHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
FReasonably accommodate the needs and preferences of each resident.
FHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
FProtect a residents' right to refuse some types of non-requested transfers within the nursing home.
FHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
FProvide immediate access to any resident.
FHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
FInform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
FHonor the resident's right to organize and participate in resident/family groups in the facility.
F1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
FHonor the resident's right to manage his or her financial affairs.
FProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
FNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
FAssure the security of all personal funds of residents deposited with the facility.
FLimit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
FGive residents a notice of rights, rules, services and charges.
FLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
FThe resident has the right to receive notices in a format and a language he or she understands.
FPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
FEnsure residents have reasonable access to and privacy in their use of communication methods.
FAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
FHonor 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.
FProvide information about how to apply for and use Medicare and Medicaid benefits.
FImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
FKeep residents' personal and medical records private and confidential.
FHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
FNot prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
FEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
FPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
FCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
FProvide routine and 24-hour emergency dental care for each resident.
FProvide and implement an infection prevention and control program.
FProvide behavior health training consistent with the requirements and as determined by a facility assessment.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CPost nurse staffing information every day.
CEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Hospital De La Concepcion
- CMS cited the home under its abuse and neglect rules on September 12, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- 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 | 2/5 | 2/5 | 4/5 | — |
| August 2026 | 2/5 | 2/5 | 3/5 | — |
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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.