CMS Nursing Home Care Compare · Puerto Rico

Nursing homes in Puerto Rico

All 9 Medicare-certified nursing homes in Puerto Rico — the safety record CMS publishes, in one place you can sort and search.

Before the brochure: look at staffing

The single best-evidenced predictor of safe care is not the marketing — it's nurse hours per resident per day (how much hands-on nursing time each resident actually gets). CMS measures it from payroll. Researchers and CMS point to about 4.1 total nurse hours/resident/day as a staffing-adequacy reference.

In Puerto Rico, the median nursing home reports 4.46 hours/resident/day — and 50% (3 of 6 that report staffing; 3 report none) meet the 4.1-hour reference. The catch a star rating hides: 1 Puerto Rico homes rated 4–5★ overall staff below the 4.1-hour adequacy reference — they sit flagged understaffed for rating in the table below, which opens sorted by staffing, not stars.

CMS lists no Special Focus facilities or candidates in Puerto Rico in the current dataset. That is the absence of CMS's worst-performer flag — not a guarantee about any individual home.

Every nursing home in Puerto Rico

Opens sorted by nurse hours/resident/day (highest first) — the staffing measure, not the star. Click any column to re-sort. Nurse-hours cells are colored green ≥ 4.1 · grey ≥ 4.46 · red below median. understaffed for rating = 4–5★ but staffs below the 4.1-hour reference. ⚠ abuse = CMS abuse/neglect citation (a citation, not a conviction).

Facility	Overall	Health insp.	Nurse hrs/day	RN hrs/day	Flags
ALTERNATIVE HEALTHCARE SOLUTIONS LLC SAN JUAN	★★★★☆	★★★☆☆	5.40	4.58
DAMAS HOSPITAL SNF PONCE	★★★★★	★★★★★	4.76	4.06
CENTRO MEDICO WILMA N VAZQUEZ SNF VEGA BAJA	★☆☆☆☆	★☆☆☆☆	4.46	2.87
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC RIO PIEDRAS	★★★★☆	★★★★☆	3.73	3.26	understaffed for rating
RYDER MEMORIAL HOSPITAL INC HUMACAO	★★★☆☆	★★★☆☆	3.69	2.24
HOSPITAL DE LA CONCEPCION INC SAN GERMAN	—	—	2.80	2.80
SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC HORMIGUEROS	★★★☆☆	★★★★☆	—	—	no staffing data
CENTRO DE CUIDADO PROLONGADO SAN LUCAS RIO PIEDRAS	—	—	—	—	no staffing data
MULTY MEDICAL SKILLED NURSING FACILITY RIO PIEDRAS	—	—	—	—	no staffing data

What these figures mean

MODELED — the star ratings are CMS's composite model; two homes with the same stars can differ on what matters to you.
RECORDED — nurse hours/resident/day (payroll-based), the abuse citation, and the Special Focus designation are measured/recorded facts CMS publishes.
CONTEXT — the 4.1-hour staffing reference is framing to read the numbers by, not a pass/fail line.

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What this is — and is not

This is published CMS Nursing Home Care Compare data — the same facts CMS shows the public, sorted so you can compare. It informs and compares; it does not rate, rank, or recommend a home for your relative's specific needs, and no figure here is a guarantee. Shortlist a few, visit in person, ask about the most recent inspection, and call your state Long-Term Care Ombudsman.

Verify any facility at medicare.gov/care-compare.