Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital · San Juan, PR · 00910 · 7879992959
22 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 5 of 5 Quality measures: not rated
| Total nurse hours / resident-day | 5.40 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 4.58 | 0.55–0.75 |
| Weekend hours / resident-day | 4.11 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (33 in the current record)
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Potential for harm · E December 3, 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.
Corrected January 9, 2025 · Resident Rights
-
Potential for harm · F December 3, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected June 12, 2025 · Nutrition and Dietary
-
Potential for harm · F December 3, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · D December 3, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected May 2, 2025 · Nutrition and Dietary
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Potential for harm · F December 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2025 · Nutrition and Dietary
-
Potential for harm · F December 3, 2024
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Potential for harm · F December 3, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 2, 2025 · Environmental
-
No harm found · C December 3, 2024
Post nurse staffing information every day.
Corrected May 2, 2025 · Nursing and Physician Services
-
No harm found · C December 3, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 2, 2025 · Infection Control
-
Potential for harm · E April 18, 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.
Corrected May 13, 2024 · Resident Rights
-
Potential for harm · E April 18, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 18, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 15, 2024 · Quality of Life and Care
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Potential for harm · F April 18, 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.
Corrected May 15, 2024 · Nursing and Physician Services
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Potential for harm · F April 18, 2024
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected May 14, 2024 · Nutrition and Dietary
-
Potential for harm · F April 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 13, 2024 · Nutrition and Dietary
-
Potential for harm · F April 18, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 20, 2024 · Nutrition and Dietary
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Potential for harm · F April 18, 2024
Keep all essential equipment working safely.
Corrected May 15, 2024 · Environmental
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Potential for harm · E May 2, 2023
Honor 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.
Corrected May 15, 2023 · Resident Rights
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Potential for harm · F May 2, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 15, 2023 · Resident Rights
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Potential for harm · E May 2, 2023
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.
Corrected May 5, 2023 · Resident Rights
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Potential for harm · F May 2, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · E May 2, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2023 · Quality of Life and Care
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Potential for harm · D May 2, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 12, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 405000 · certified since April 4, 2022. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.