Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital, San Juan, PR 00910
Alternative Healthcare Solutions LLC, a 22-bed for profit - limited liability company nursing facility in San Juan, PR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #3 of 9 rated homes in PR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7879992959
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #3 of 9
- In-state rank among rated PR homes
- 4.54
- Well above average · nurse hrs/day · nat'l 3.86
- 28
- Inspection findings
The verdict
Alternative Healthcare Solutions LLC, a 22-bed for profit - limited liability company nursing facility in San Juan, PR, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #3 of 9 rated homes in PR on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.
- 4 / 5
- CMS overall · national 3.0
- #3 of 9
- In-state rank among rated PR homes
- 4.54
- Nurse hrs/resident-day · national 3.86
- 28
- Inspection findings on file
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 9 PR nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 405000
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare
- Beds
- 22
- Residents
- 22
- In Hospital
- No
- County
- San Juan
- Last Inspection
- May 21, 2026
Staffing Data
How the 4.54 total nursing hours per resident-day are staffed:
- RN Hours
- 3.95 (nat'l avg: 0.69)
- LPN Hours
- 0.59
- CNA Hours
- 0.00
- Total Nursing Hours
- 4.54 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 31.8%
- RN Turnover
- 29.4%
What the CMS Record Reveals About Alternative Healthcare Solutions LLC
According to CMS Nursing Home Compare, Alternative Healthcare Solutions LLC ranks #3 of 9 rated nursing homes in PR on overall stars (tie-broken by health+staffing+quality, then fewer fines). Alternative Healthcare Solutions LLC operates 22 certified beds in San Juan, PR with approximately 22 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 5★).
The inspection file contains 28 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 4.54 total nursing hours per resident day (national average 3.86), with RN coverage at 3.95 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare" provider, Alternative Healthcare Solutions LLC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 31.8% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (28 most recent)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Jul 10, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 10, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jul 10, 2026
Keep residents' personal and medical records private and confidential.
Category: Resident Rights Deficiencies
Corrected: Jul 10, 2026
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Jul 10, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jul 10, 2026
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Jul 10, 2026
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: Jul 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 10, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Jul 10, 2026
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.
Category: Pharmacy Service Deficiencies
Corrected: Jul 10, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: May 2, 2025
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: May 2, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Category: Nutrition and Dietary Deficiencies
Corrected: May 2, 2025
Honor 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.
Category: Resident Rights Deficiencies
Corrected: Jan 9, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: May 2, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 12, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: May 2, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 12, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 13, 2024
Honor 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.
Category: Resident Rights Deficiencies
Corrected: May 13, 2024
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: May 15, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 13, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Category: Nutrition and Dietary Deficiencies
Corrected: May 14, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: May 15, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | N/A | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | N/A | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | N/A | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | N/A | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | N/A | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | N/A | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | N/A | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | N/A | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | N/A | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | N/A | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | N/A | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | N/A | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | N/A | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | N/A | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.8% | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Alternative Healthcare Solutions LLC, both outside PR so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside PR (22 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside PR (5.68 here).
Nearby Nursing Homes in PR
8 other nursing homes are on record in PR; 6 are shown here.
Centro de Cuidado Prolongado San Lucas
Rio Piedras, PR
Centro Medico Wilma N Vazquez SNF
Vega Baja, PR
Damas Hospital SNF
Ponce, PR
Hospital de la Concepcion INC
San German, PR
Millennium Institute for Advance Nursing Care INC
Rio Piedras, PR
Multy Medical Skilled Nursing Facility
Rio Piedras, PR
Understanding Nursing Home Data
What the CMS records show for Alternative Healthcare Solutions LLC
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The PR registry aggregates state averages and the highest-rated homes in this cohort. View PR registry
- Peer homes near 22 beds show how CMS stars vary at a similar scale in PR. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Alternative Healthcare Solutions LLC?
Where does Alternative Healthcare Solutions LLC rank among nursing homes in PR?
What are the staffing levels at Alternative Healthcare Solutions LLC?
How many beds does Alternative Healthcare Solutions LLC have?
Does Alternative Healthcare Solutions LLC have any deficiencies on record?
Has Alternative Healthcare Solutions LLC received any fines or penalties?
Who owns Alternative Healthcare Solutions LLC?
When was Alternative Healthcare Solutions LLC last inspected?
What quality measures are tracked for Alternative Healthcare Solutions LLC?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
