Best-Rated Nursing Homes in Puerto Rico (2026)
The 9 highest-rated nursing homes in Puerto Rico, ranked from Medicare’s star ratings, inspections and staffing, using data as of September 2026. No home paid to be on this list.
- 1
Millennium Institute for Advance Nursing Care
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 5 for staffing and – for quality of care. Nurses and aides spend about 4 hr 25 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 2
Damas Hospital SNFInside a hospital
Medicare rates it 5 out of 5 overall, with 5 for health inspections, 5 for staffing and – for quality of care. Nurses and aides spend about 4 hr 55 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm. It was fined $10,839 in the last three years.
- 3
Alternative Healthcare Solutions
Medicare rates it 4 out of 5 overall, with 3 for health inspections, 5 for staffing and – for quality of care. Nurses and aides spend about 4 hr 32 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 4
Servicios Integrados De Rehabilitacion (siro)
Medicare rates it 3 out of 5 overall, with 4 for health inspections, 1 for staffing and – for quality of care. Nurses and aides spend about 3 hr 17 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 5
Ryder Memorial HospitalInside a hospital
Medicare rates it 3 out of 5 overall, with 3 for health inspections, 2 for staffing and – for quality of care. Nurses and aides spend about 3 hr 04 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 6
Centro Medico Wilma N Vazquez SNFInside a hospital
Medicare rates it 3 out of 5 overall, with 2 for health inspections, 5 for staffing and – for quality of care. Nurses and aides spend about 5 hr 02 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections include 2 citations for harm or immediate jeopardy; ask the home about them. It was fined $29,997 in the last three years.
- 7
Hospital De La ConcepcionInside a hospital
Medicare rates it 2 out of 5 overall, with 2 for health inspections, 3 for staffing and – for quality of care. Nurses and aides spend about 3 hr 14 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 8
Multy Medical Skilled Nursing Facility
Medicare rates it 1 out of 5 overall, with 1 for health inspections, 2 for staffing and – for quality of care. Nurses and aides spend about 1 hr 53 min a day with each resident (Puerto Rico average 3 hr 48 min). Its recent inspections found no citations for resident harm.
- 9
Centro De Cuidado Prolongado San LucasInside a hospital
Medicare rates it 1 out of 5 overall, with 1 for health inspections, 1 for staffing and – for quality of care. Its recent inspections found no citations for resident harm.
Tick “Compare” on two to four homes to see them side by side. See all nursing homes in Puerto Rico →
How we rank. Homes are ordered by Medicare’s overall star rating. When two homes tie, the one with the better health inspection rating goes first, then staffing rating, then quality rating, then fewer serious citations, then lower fines. Homes still tied are listed alphabetically.
Best-rated nursing homes by county in Puerto Rico
About nursing homes in Puerto Rico
What is the best-rated nursing home in Puerto Rico?
By Medicare’s ratings, Millennium Institute For Advance Nursing Care INC ranks first in Puerto Rico, with an overall rating of 5 out of 5. Ratings are a starting point; visit and ask about anything in a home’s inspection record.
How many nursing homes are in Puerto Rico?
9 homes in Puerto Rico qualify for this ranking: rated by Medicare and not on its Special Focus or abuse lists. See every nursing home in Puerto Rico, including homes not yet rated.
How is this list ranked?
By Medicare’s overall star rating, then its health inspection, staffing and quality ratings, then fewer serious citations and fines. Homes on Medicare’s Special Focus list or with its abuse icon are not included, nor are children’s facilities. Paid or sponsored listings never affect the order.
Medicare ratings can lag behind changes at a home. Always visit, ask about recent inspections, and confirm openings, insurance and care needs with each home. How we use Medicare data