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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomePuerto RicoAlternative Healthcare Solutions LLC

Alternative Healthcare Solutions LLC

Septimo Piso Doctors Center Hospital, San Juan, PR 009107879992959
4/5Above Average
Accepts Medicare Sprinkler System
Health
3/5
Staffing
5/5
Quality
Not Rated
N/A
Beds
22
certified
2 fine(s) totaling $9,125

Key Findings

• CMS rates this facility 4/5 stars (above average)

• Has 22 certified beds with an average of 15.1 residents per day (69% occupancy)

• Last health inspection found 9 deficiencies (inspected Dec 3, 2024)

• Has been fined a total of $9,125 across 2 fine(s)

• Total nursing staff: 6.95 hours per resident per day

• Staff turnover rate: 33.3%

Alternative Healthcare Solutions LLC is a 4-star Medicare certified nursing home in San Juan, Puerto Rico with 22 certified beds. It has been operating since 2022. The facility scored above average compared to Puerto Rico facilities.

Beds
22
Avg Residents/Day
15.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare
In Hospital
No
First Approved
Apr 4, 2022
Sprinklers
Yes
Council
None
County
San Juan
Last Inspection
Dec 3, 2024
Deficiencies (Cycle 1)
9
Weighted Score
129.5
Infection Citations
0

Deficiency Citations (33)

F0584Potential for Harm

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.

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0802Potential for Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0806Potential for Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0883Minimal Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0921Potential for Harm

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

Survey: Dec 3, 2024Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0655Potential for Harm

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

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0694Potential for Harm

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

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0802Potential for Harm

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

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0813Potential for Harm

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

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Apr 18, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: May 2, 2023Corrected: NoCycle: 3
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: May 2, 2023Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: May 2, 2023Corrected: NoCycle: 3
F0655Potential for Harm

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

Survey: May 2, 2023Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: May 2, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: May 2, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 2, 2023Corrected: NoCycle: 3
F0732Minimal Harm

Post nurse staffing information every day.

Survey: May 2, 2023Corrected: NoCycle: 3
F0740Minimal Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey: May 2, 2023Corrected: NoCycle: 3
F0741Minimal Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey: May 2, 2023Corrected: NoCycle: 3
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: May 2, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: May 2, 2023Corrected: NoCycle: 3
F0865Potential for Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey: May 2, 2023Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$9,125
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineFeb 28, 2023
$4,545
FineFeb 21, 2023
$4,580

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide0.00 hrs
National avg: 2.35 hrs
LPN0.79 hrs
National avg: 0.86 hrs
RN6.15 hrs
National avg: 0.68 hrs
Total Nursing6.95 hrs
National avg: 3.89 hrs
Weekend Total4.90 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
33.3%
RN Turnover
26.3%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Frequently Asked Questions

What is the CMS rating for Alternative Healthcare Solutions LLC?▾
Alternative Healthcare Solutions LLC has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 5/5, and quality measures rating of N/A/5. This facility is rated above average.
Has Alternative Healthcare Solutions LLC had any health inspection violations?▾
Alternative Healthcare Solutions LLC had 9 deficiency citations in its most recent health inspection (Dec 3, 2024). The facility has been fined a total of $9,125 across 2 fine(s).
What are the staffing levels at Alternative Healthcare Solutions LLC?▾
Alternative Healthcare Solutions LLC provides 6.95 total nursing staff hours per resident per day, including 6.15 RN hours, 0.79 LPN hours, and 0.00 nurse aide hours. The total staff turnover rate is 33.3%.
How many beds does Alternative Healthcare Solutions LLC have?▾
Alternative Healthcare Solutions LLC has 22 certified beds with an average of 15.1 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned.