These are the lowest-rated nursing homes in Puerto Rico based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 9 facilities have been fined a total of $40,836. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Centro De Cuidado Prolongado San Lucas | Rio Piedras | $0 | |
| 2 | Multy Medical Skilled Nursing Facility | Rio Piedras | $0 | |
| 3 | Centro Medico Wilma N Vazquez SNF | Vega Baja | $29,997 | |
| 4 | Hospital De La Concepcion INC | San German | $0 | |
| 5 | Ryder Memorial Hospital INC | Humacao | $0 | |
| 6 | Servicios Integrados De Rehabilitacion (siro) INC | Hormigueros | $0 | |
| 7 | Alternative Healthcare Solutions LLC | San Juan | $0 | |
| 8 | Damas Hospital SNF | Ponce | $10,839 | |
| 9 | Millennium Institute for Advance Nursing Care INC | Rio Piedras | $0 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.