Rio Piedras, PR · 2.7 miles away
Alternative Healthcare Solutions
⌖ San Juan, PR · San Juan County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds22
Medicare / MedicaidMedicare only
OwnershipFor-profit (limited liability company)
About Alternative Healthcare Solutions
Alternative Healthcare Solutions is a 22-bed for-profit nursing home in San Juan, PR. Medicare rates it 4 out of 5 stars overall (above average); the average in Puerto Rico is 3.0. At its last full inspection (May 2026), inspectors found 11 problems, more than the Puerto Rico average of 7.3. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 32 min a day with each resident, more than the Puerto Rico average of 3 hr 48 min. About 32% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAlternative Healthcare Solutions LLC
LocationSan Juan County, Puerto Rico
Phone(787) 999-2959
AddressSeptimo Piso Doctors Center Hospital, San Juan, PR 00910 · San Juan County
CMS provider number405000
Ownership typeFor-profit (limited liability company)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 4, 2022 (4 years)
✓ Medicare✗ Medicaid
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 strengths and 1 thing to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since May 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Nurse staffing per resident4 hr 32 min a dayPuerto Rico average: 3 hr 48 minStrength
- Registered nurse time per resident3 hr 57 min a dayPuerto Rico average: 3 hr 00 minStrength
About average
- Nursing staff turnover32% a yearPuerto Rico average: 36%About average
Things to ask about
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- Health citations at last inspection11 (May 2026)Puerto Rico average: 7.3. Most citations are minor and corrected within weeks.Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Puerto Rico average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.8%State average: 0.3%Worse than average
Physical therapist time: about 2 minutes per resident a day. That is less than the state average of 27 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Source: Medicare (CMS) quality measures, compared with the Puerto Rico average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 2 stars in July 2023. It has ranged from 2 to 4 stars and changed 6 times.
Overall rating4★
Health inspections3★
Staffing5★
Quality of care–
Nurse hours per resident per day4.5
2023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jul 2023 | 2 | 2 | – | – | – |
| Jan 2024 | 3 | 2 | 5 | – | 8.8 |
| Feb 2025 | 4 | 3 | 5 | – | 6.6 |
| Feb 2026 | 4 | 3 | 5 | – | 6.9 |
| Sep 2026 | 4 | 3 | 5 | – | 4.5 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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See all nearby homes →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.