Hormigueros, Puerto Rico · Nursing home
Servicios Integrados de Rehabilitacion (siro) Inc
3 of 5 overall from CMS
Calle 4-L-10 Urb Colinas del Oeste, Hormigueros, PR 00660
At a glance
- Overall rating 3 of 5 Same as the state average of 3.0
- Nurse time per resident, per day 3.28 hours Below the state average of 3.80
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 21 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 106.0% of 20 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Servicios Integrados de Rehabilitacion (siro) Inc is a 20-bed nursing home in Hormigueros, Puerto Rico (Hormigueros). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.28 nurse staffing hours per resident per day, below the Puerto Rico average of 3.80. CMS lists no fines in the past three years.
- Certified beds
- 20
- Residents per day (average)
- 21.2
- Certified since
- 2006 (20 yrs)
For profit - Corporation 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 Servicios Integrados de Rehabilitacion (siro) Inc
Chosen from this home's public data.
- About 106.0% 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
- Registered nurse time is 1.54 hours per resident per day; the Puerto Rico average is 3.01. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Puerto Rico average 3.0
- Health inspections 4 of 5 Puerto Rico average 2.9
- Staffing 1 of 5 Puerto Rico average 3.2
- Quality measures Not rated
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.
- All nursing staff 3.28 h Puerto Rico average 3.80
- Nurse aides 0.00 h Puerto Rico average 0.00
- Licensed practical nurses 1.74 h Puerto Rico average 0.79
- Registered nurses 1.54 h Puerto Rico average 3.01
- All staff, weekends 2.95 h Puerto Rico average 3.03
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.
- Nursing staff turnoverNot reported
- Puerto Rico average35.7%
- Registered nurse turnoverNot reported
- Puerto Rico average35.7%
- Administrators who left1
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
| Measure | This home | Puerto Rico | U.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
| Measure | This home | Puerto Rico | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% | 98.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 0.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 97.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | – | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | – | 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 21 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 11, 2026 | 6 | 3 |
| Apr 29, 2025 | 9 | 7 |
| Apr 23, 2024 | 6 | 15 |
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 (21)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (May 8, 2026)
-
EPotential for more than minimal harm, pattern
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 (May 8, 2026)
-
EPotential for more than minimal harm, pattern
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (May 8, 2026)
-
CPotential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (May 8, 2026)
Show 16 more
-
CPotential for minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (May 8, 2026)
-
FPotential for more than minimal harm, widespread
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 28, 2025)
-
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 28, 2025)
-
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 28, 2025)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (May 7, 2025)
-
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 30, 2025)
-
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 28, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (May 7, 2025)
-
EPotential for more than minimal harm, pattern
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (May 22, 2025)
-
EPotential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · Deficient, Provider has date of correction (May 7, 2025)
-
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 15, 2024)
-
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 23, 2024)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 17, 2024)
-
CPotential for minimal harm, widespread
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 15, 2024)
-
CPotential for minimal harm, widespread
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary · Deficient, Provider has date of correction (May 17, 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
- Size9 of 9 by certified beds
- Puerto Rico average residents per day26.7
- ChainNone listed
- Resident or family councilNone
- Homes in Hormigueros1
Common questions
What is the CMS star rating for Servicios Integrados de Rehabilitacion (siro) Inc?
Servicios Integrados de Rehabilitacion (siro) Inc has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 1 and quality measures is not published.
How many beds does Servicios Integrados de Rehabilitacion (siro) Inc have?
Servicios Integrados de Rehabilitacion (siro) Inc has 20 certified beds. It averages 21.2 residents per day, about 106.0% of its certified beds.
How much nursing care do residents get at Servicios Integrados de Rehabilitacion (siro) Inc?
The home reports 3.28 hours of nurse staffing per resident per day, including 1.54 hours from registered nurses. The Puerto Rico average is 3.80 hours and 3.01 hours from registered nurses.
Has Servicios Integrados de Rehabilitacion (siro) Inc been fined?
CMS lists no fines for this home in the past three years.
Does Servicios Integrados de Rehabilitacion (siro) Inc 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
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Hospital de la Concepcion Inc 30beds 153.0%in use 3.24nurse hours a day
- 5 of 5 Damas Hospital SNF 25beds 75.2%in use 4.92nurse hours a day
- 3 of 5 Centro Medico Wilma N Vazquez SNF 45beds 48.0%in use 5.04nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hormigueros
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 405029. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.