facebook tracking Alternative Healthcare Solutions, San Juan PR: CMS Ratings
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Alternative Healthcare Solutions

All states › Puerto Rico › San Juan › Alternative Healthcare Solutions

Septimo Piso Doctors Center Hospital San Juan, PR 00910 · San Juan County

(787) 999-2959

Accepts Medicare 22 certified beds For profit

CMS certification number 405000 · 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 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. Inspectors issued 28 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 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%).

Nursing care per resident per day 6.21 hours
Above the Puerto Rico median of 4.73 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 5.22 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.38 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 32% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 28.6% a year 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 beds22
Residents per day 15 About 68% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare
Certified sinceApril 2022
Legal business nameLegal Business Name Not Available

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 10, 2026)

FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jul 10, 2026)

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 (Jul 10, 2026)

FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jul 10, 2026)

FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly

Potential for more than minimal harm · Administration Deficiencies · Tag F0868 · Deficient, Provider has date of correction (Jul 10, 2026)

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 (Jul 10, 2026)

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jul 10, 2026)

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Jul 10, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 10, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jul 10, 2026)

DEnsure 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 (Jul 10, 2026)

December 3, 2024 · 9 citations

FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Deficient, Provider has date of correction (Jun 12, 2025)

FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (May 2, 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 (Jun 12, 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 2, 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 2, 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 (Jan 9, 2025)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (May 2, 2025)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (May 2, 2025)

CDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (May 2, 2025)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (May 15, 2024)

FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Deficient, Provider has date of correction (May 14, 2024)

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 13, 2024)

FHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Deficient, Provider has date of correction (Apr 20, 2024)

FKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (May 15, 2024)

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 13, 2024)

ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (May 13, 2024)

EProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (May 15, 2024)

Questions to ask on a tour of Alternative Healthcare Solutions

  1. Weekend staffing is 29% below the all-week average. Who is on duty on Saturday nights?
  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 3/5 5/5 —
August 2026 4/5 3/5 5/5 —
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Location

Nearby nursing homes

Multy Medical Skilled Nursing Facility Rio Piedras · 2.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 35 beds
Centro De Cuidado Prolongado San Lucas Rio Piedras · 3.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing — 25 beds
Millennium Institute for Advance Nursing Care Rio Piedras · 4.8 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 35 beds
Centro Medico Wilma N Vazquez SNF Vega Baja · 21.4 mi away ★★★☆☆ Inspection 2/5 · Staffing 5/5 45 beds
Ryder Memorial Hospital Humacao · 25.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 62 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/san-juan/alternative-healthcare-solutions/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.