All states › Puerto Rico › San Juan › Alternative Healthcare Solutions
Septimo Piso Doctors Center Hospital San Juan, PR 00910 · San Juan County
CMS certification number 405000 · See this home on Medicare Care Compare
Is Alternative Healthcare Solutions 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 Alternative Healthcare Solutions 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 6.21 hours per resident per day at Alternative Healthcare Solutions, above the Puerto Rico median of 4.73 (US median: 3.72). About 5.22 of those hours are from registered nurses. On weekends it falls to 4.38 hours, 29% below its all-week average. Ask how weekends are staffed. 32% of nursing staff left within a year (Puerto Rico median 32%).
About this nursing home
Paying for care at Alternative Healthcare Solutions: Medicare and Medicaid
Alternative Healthcare Solutions 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 May 21, 2026 and found 11 deficiencies. In total, inspectors issued 28 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 28 citations at Alternative Healthcare Solutions across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 26 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were nutrition and dietary (9) and environmental (3). The most serious was cited under the CMS rule to "ensure 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" (tag F0761, level F, May 21, 2026).
May 21, 2026 · 11 citations
FEnsure 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.
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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FProvide and implement an infection prevention and control program.
FKeep all essential equipment working safely.
EKeep residents' personal and medical records private and confidential.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
December 3, 2024 · 9 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.
FProvide and implement an infection prevention and control program.
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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CPost nurse staffing information every day.
CDevelop and implement policies and procedures for flu and pneumonia vaccinations.
April 18, 2024 · 8 citations
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.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave a policy regarding use and storage of foods brought to residents by family and other visitors.
FKeep all essential equipment working safely.
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.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EProvide for the safe, appropriate administration of IV fluids for a resident when needed.
Questions to ask on a tour of Alternative Healthcare Solutions
- Weekend staffing is 29% 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 | 4/5 | 3/5 | 5/5 | — |
| August 2026 | 4/5 | 3/5 | 5/5 | — |
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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.