ALTERNATIVE HEALTHCARE SOLUTIONS LLC — Nursing Home in SAN JUAN, PR
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 22 |
|---|---|
| Average Residents/Day | 12.6 |
| CMS Certification Number | 405000 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | 7.62 HPRD |
|---|---|
| RN Staffing | 6.27 HPRD |
Health Inspection Findings & Deficiencies
ALTERNATIVE HEALTHCARE SOLUTIONS LLC had 9 health inspection deficiencies on its most recent inspection (December 3, 2024).
Inspection Findings — December 3, 2024
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Provide and implement an infection prevention and control program. (Level F)Corrected — May 2, 2025
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Develop and implement policies and procedures for flu and pneumonia vaccinations. (Level C)Corrected — May 2, 2025
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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. (Level E)Corrected — January 9, 2025
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Post nurse staffing information every day. (Level C)Corrected — May 2, 2025
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Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Level F)Corrected — June 12, 2025
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Level F)Corrected — May 2, 2025
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Level D)Corrected — May 2, 2025
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level F)Corrected — June 12, 2025
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Level F)Corrected — May 2, 2025
Alternative Healthcare Solutions LLC is a 22-bed nursing home in San Juan, Puerto Rico. It holds a 4-star CMS overall rating. Total nurse staffing is 7.6 hours per resident day, above the Puerto Rico average of 4.3. Its most recent inspection, in December 2024, cited 9 deficiencies, none of them severe.
Strong nurse staffing that exceeds the local average suggests residents are likely to get more hands‑on care and attention than at many nearby facilities. One area to clarify is how the facility has addressed the inspection findings around infection prevention and vaccination policy gaps and what they’ve done to improve food safety and the cleanliness/comfort of the environment.
Frequently Asked Questions
Is ALTERNATIVE HEALTHCARE SOLUTIONS LLC Medicare and Medicaid certified?
ALTERNATIVE HEALTHCARE SOLUTIONS LLC is Medicare certified and not Medicaid certified according to CMS data.
What is ALTERNATIVE HEALTHCARE SOLUTIONS LLC's CMS star rating?
ALTERNATIVE HEALTHCARE SOLUTIONS LLC has an overall CMS rating of 4 out of 5 stars.
How is staffing at ALTERNATIVE HEALTHCARE SOLUTIONS LLC?
ALTERNATIVE HEALTHCARE SOLUTIONS LLC reports 7.61824 total nurse hours per resident day.
Has ALTERNATIVE HEALTHCARE SOLUTIONS LLC had health inspection deficiencies?
On its most recent inspection, ALTERNATIVE HEALTHCARE SOLUTIONS LLC had 9 total deficiencies, including 0 classified as severe.
How many beds does ALTERNATIVE HEALTHCARE SOLUTIONS LLC have?
ALTERNATIVE HEALTHCARE SOLUTIONS LLC has 22 certified beds.
Nearby Nursing Homes
- MULTY MEDICAL SKILLED NURSING FACILITY — 2.3 mi
- CENTRO DE CUIDADO PROLONGADO SAN LUCAS — 3.5 mi
- MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC — 4/5 — 4.8 mi
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.