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San Juan, Puerto Rico · Nursing home

Alternative Healthcare Solutions LLC

4 of 5 overall from CMS

Septimo Piso Doctors Center Hospital, San Juan, PR 00910

Call (787) 999-2959Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Alternative Healthcare Solutions LLC is a 22-bed nursing home in San Juan, Puerto Rico (San Juan). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.54 nurse staffing hours per resident per day, above the Puerto Rico average of 3.80. CMS lists no fines in the past three years.

Certified beds
22
Residents per day (average)
22.3
Certified since
2022 (4 yrs)

For profit - Limited Liability company Participates in Medicare

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Alternative Healthcare Solutions LLC

Chosen from this home's public data.

  1. CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on May 21, 2026 plus complaint and infection-control inspections); the Puerto Rico average is 7.3. Which have been corrected?Inspection results in CMS data
  2. Reported nurse staffing is 3.41 hours per resident on weekends against 4.54 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
  3. About 101.4% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Puerto Rico average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the Puerto Rico average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Puerto Rico and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homePuerto RicoU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased Too few residents or stays to report – 13.9%
Percentage of long-stay residents who lose too much weight Too few residents or stays to report – 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder Too few residents or stays to report – 0.8%
★ Percentage of long-stay residents with a urinary tract infection Too few residents or stays to report – 1.6%
Percentage of long-stay residents who have depressive symptoms Too few residents or stays to report – 12.8%
Percentage of long-stay residents who were physically restrained Too few residents or stays to report – 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury Too few residents or stays to report – 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Too few residents or stays to report – 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened Too few residents or stays to report – 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication Too few residents or stays to report – 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Too few residents or stays to report – 95.5%
★ Percentage of long-stay residents with pressure ulcers Too few residents or stays to report – 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Too few residents or stays to report – 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication Too few residents or stays to report – 15.4%
★ Number of hospitalizations per 1000 long-stay resident days Data missing or not submitted – 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days Data missing or not submitted – 1.78

Short-stay residents

MeasureThis homePuerto RicoU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.8% 98.0% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.8% 0.3% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.8% 97.9% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission Data missing or not submitted – 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit Data missing or not submitted – 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 28 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
May 21, 20261114
Dec 3, 202495
Apr 18, 2024810

Puerto Rico homes averaged 7.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (28)

  1. FPotential for more than minimal harm, widespread

    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.

    Pharmacy Service · Deficient, Provider has date of correction (Jul 10, 2026)

  2. FPotential for more than minimal harm, widespread

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

    Nutrition and Dietary · Deficient, Provider has date of correction (Jul 10, 2026)

  3. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jul 10, 2026)

  4. FPotential for more than minimal harm, widespread

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

    Administration · Deficient, Provider has date of correction (Jul 10, 2026)

  5. FPotential for more than minimal harm, widespread

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

    Administration · Deficient, Provider has date of correction (Jul 10, 2026)

Show 23 more

  1. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 10, 2026)

  2. FPotential for more than minimal harm, widespread

    Keep all essential equipment working safely.

    Environmental · Deficient, Provider has date of correction (Jul 10, 2026)

  3. EPotential for more than minimal harm, pattern

    Keep residents' personal and medical records private and confidential.

    Resident Rights · Deficient, Provider has date of correction (Jul 10, 2026)

  4. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2026)

  5. DPotential for more than minimal harm, isolated

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2026)

  6. DPotential for more than minimal harm, isolated

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Jul 10, 2026)

  7. FPotential for more than minimal harm, widespread

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

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 12, 2025)

  8. FPotential for more than minimal harm, widespread

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

    Nutrition and Dietary · Deficient, Provider has date of correction (May 2, 2025)

  9. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 12, 2025)

  10. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (May 2, 2025)

  11. FPotential for more than minimal harm, widespread

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental · Deficient, Provider has date of correction (May 2, 2025)

  12. EPotential for more than minimal harm, pattern

    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.

    Resident Rights · Deficient, Provider has date of correction (Jan 9, 2025)

  13. DPotential for more than minimal harm, isolated

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

    Nutrition and Dietary · Deficient, Provider has date of correction (May 2, 2025)

  14. CPotential for minimal harm, widespread

    Post nurse staffing information every day.

    Nursing and Physician Services · Deficient, Provider has date of correction (May 2, 2025)

  15. CPotential for minimal harm, widespread

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

    Infection Control · Deficient, Provider has date of correction (May 2, 2025)

  16. FPotential for more than minimal harm, widespread

    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.

    Nursing and Physician Services · Deficient, Provider has date of correction (May 15, 2024)

  17. FPotential for more than minimal harm, widespread

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

    Nutrition and Dietary · Deficient, Provider has date of correction (May 14, 2024)

  18. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (May 13, 2024)

  19. FPotential for more than minimal harm, widespread

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

    Nutrition and Dietary · Deficient, Provider has date of correction (Apr 20, 2024)

  20. FPotential for more than minimal harm, widespread

    Keep all essential equipment working safely.

    Environmental · Deficient, Provider has date of correction (May 15, 2024)

  21. EPotential for more than minimal harm, pattern

    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.

    Resident Rights · Deficient, Provider has date of correction (May 13, 2024)

  22. EPotential for more than minimal harm, pattern

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 13, 2024)

  23. EPotential for more than minimal harm, pattern

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

    Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2024)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

CMS lists no fines or payment denials for this home in the past three years.

Puerto Rico homes averaged 0.2 fines and $4,537 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Puerto Rico

Common questions

What is the CMS star rating for Alternative Healthcare Solutions LLC?

Alternative Healthcare Solutions LLC has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 5 and quality measures is not published.

How many beds does Alternative Healthcare Solutions LLC have?

Alternative Healthcare Solutions LLC has 22 certified beds. It averages 22.3 residents per day, about 101.4% of its certified beds.

How much nursing care do residents get at Alternative Healthcare Solutions LLC?

The home reports 4.54 hours of nurse staffing per resident per day, including 3.95 hours from registered nurses. The Puerto Rico average is 3.80 hours and 3.01 hours from registered nurses.

Has Alternative Healthcare Solutions LLC been fined?

CMS lists no fines for this home in the past three years.

Does Alternative Healthcare Solutions LLC accept Medicare or Medicaid?

CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 405000. See this home's official record on Medicare.gov

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