Alternative Healthcare Solutions LLC
Nursing Home · San Juan, PR
CMS certification number405000
Contact & location
Septimo Piso Doctors Center HospitalSan Juan, PR 00910
San Juan County
- Phone
- (787) 999-2959
- ZIP code
- 00910 – all care providers
Facility details
- Certified beds
- 22
- Residents per day
- 22.3 (101% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Legal Business Name Not Available
- Medicare certified since
- April 4, 2022
- Participates in
- Medicare
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.54 (state 3.80 · U.S. 3.86)
- Registered nurses (RN)
- 3.95 (state 3.01 · U.S. 0.69)
- Licensed practical nurses
- 0.59 (state 0.79 · U.S. 0.86)
- Nurse aides
- 0.00 (state 0.00 · U.S. 2.32)
- Weekend total
- 3.41 (state 3.03 · U.S. 3.42)
- Nursing staff turnover
- 31.8 (state 35.7 · U.S. 45.8)%
- RN turnover
- 29.4 (state 35.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 21, 2026
- Health deficiencies (last cycle)
- 11.0 (state 7.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 28 health · 29 fire safety
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-21 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-05-21 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2024-12-03 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-12 |
| 2024-12-03 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-02 |
| 2024-12-03 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-12 |
| 2024-12-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-02 |
| 2024-12-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-05-02 |
| 2024-12-03 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-09 |
| 2024-12-03 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-02 |
| 2024-12-03 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-05-02 |
| 2024-12-03 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-05-02 |
| 2024-04-18 | 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. F0726 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-15 |
| 2024-04-18 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-14 |
| 2024-04-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-13 |
| 2024-04-18 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-20 |
| 2024-04-18 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-15 |
| 2024-04-18 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-13 |
| 2024-04-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-13 |
| 2024-04-18 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ownership Data Not Available |
Frequently asked questions
What is the rating of Alternative Healthcare Solutions LLC?
Alternative Healthcare Solutions LLC has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Puerto Rico.
How many beds does Alternative Healthcare Solutions LLC have?
It has 22 certified beds and cares for about 22 residents per day.
Has Alternative Healthcare Solutions LLC been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Alternative Healthcare Solutions LLC?
(787) 999-2959. The facility is located at Septimo Piso Doctors Center Hospital, San Juan, PR 00910.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.