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Alternative Healthcare Solutions
Septimo Piso Doctors Center Hospital · San Juan, PR
Ownership: For-profit (limited liability company)
Centro De Cuidado Prolongado San Lucas
Carr 844 Km 0 5 Cupey · Rio Piedras, PR
Ownership: Non-profit (church related)
Centro Medico Wilma N Vazquez SNF
Road 2 Km 39. 5 Bo Algarrobo · Vega Baja, PR
Ownership: For-profit (corporation)
Damas Hospital SNF
2213 Ponce By Pass · Ponce, PR
Ownership: Non-profit (corporation)
Hospital De La Concepcion
Carr 2 Km 173 4 Bo Cain Alto · San German, PR
Ownership: Non-profit (corporation)
Millennium Institute for Advance Nursing Care
Calle Cosme Reparto San Lucas · Rio Piedras, PR
Ownership: For-profit (corporation)
Multy Medical Skilled Nursing Facility
Americo Miranda Ave Entrada Principal Centro · Rio Piedras, PR
Ownership: For-profit (corporation)
Ryder Memorial Hospital
355 Ave Font Martelo · Humacao, PR
Ownership: Non-profit (corporation)
Servicios Integrados De Rehabilitacion (siro)
Calle 4-l-10 Urb Colinas Del Oeste · Hormigueros, PR
Ownership: For-profit (corporation)
Distance sorting uses the selected city or county's real center. CMS ratings and family reviews remain separate.
Choosing nursing home care in Puerto Rico
This directory lists 9 nursing homes in Puerto Rico, with 299 certified beds between them. Their average CMS overall rating is 3.0 stars, close to the national average of 3.0 stars: 3 homes hold four or five stars and 3 have one or two.
Among the highest-rated homes are Damas Hospital Snf (5 stars), Millennium Institute For Advance Nursing Care INC (5 stars) and Alternative Healthcare Solutions LLC (4 stars).
By ownership, 56% are for-profit and 44% non-profit. None is currently a CMS Special Focus Facility.
The most homes are in San Juan (4), Hormigueros (1) and Humacao (1).
These figures come from the CMS data behind this directory. Ratings and inspections change, so confirm current details on each home’s profile and with the home itself.
Costs and payment
Contact your shortlisted homes for a current quote and to discuss accepted payment options.
Explore payment guides →Quality and staffing
Review each home’s dated CMS ratings, inspection information and staffing details in its profile.
Understand nursing home ratings →What should I ask before choosing a home?
Ask how the home will meet your loved one’s needs, how family members receive updates, what costs to expect, and whether you can visit before deciding.
How can I broaden my search?
Use the state map search, or select a city or county above to focus on a smaller area of Puerto Rico.
Planning your search in Puerto Rico
A state-wide search can help you explore your options. Narrow the list to communities that make visits manageable for family and friends. Review each home’s information, then contact your shortlist about the care you need, payment options and next steps.
Need a hand narrowing it down?
Tell us what matters to your family and get help exploring your options.
Get help →Feel prepared for the next step
Read practical guides about tours, coverage questions and care transitions.
Explore family guides →Find nursing homes by location
See the best-rated nursing homes in Puerto Rico →
Questions about nursing homes in Puerto Rico
How many nursing homes are in Puerto Rico?
There are 9 Medicare-certified nursing homes in Puerto Rico, with 299 certified beds in total. Bed counts show capacity, not current openings.
Which nursing homes in Puerto Rico have the highest Medicare rating?
Damas Hospital Snf (5 stars), Millennium Institute For Advance Nursing Care INC (5 stars), Alternative Healthcare Solutions LLC (4 stars). See the full ranking.
What is the average Medicare rating of nursing homes in Puerto Rico?
3.0 out of 5 across 9 rated homes.
Do nursing homes in Puerto Rico accept Medicaid?
0 of the 9 homes accept Medicaid, according to Medicare’s records. Confirm with each home, since Medicaid beds can be limited.
Are any nursing homes in Puerto Rico on Medicare’s Special Focus list?
No. The Special Focus program follows homes with a history of serious quality problems. Data as of September 2026.