Overview
Alternative Healthcare Solutions has a Medicare overall rating of 4 out of 5, above the Puerto Rico average of 3.1. It is the only Medicare-rated nursing home in San Juan. It scores best on staffing (5 of 5) and lowest on health inspections (3 of 5).
Residents receive about 6.2 hours of nursing care per day, more than at 100% of nursing homes in Puerto Rico (the state average is 4.4 hours). Of that, 5.2 hours come from registered nurses.
Its most recent standard inspection, on May 21, 2026, found 11 health deficiencies, more than the Puerto Rico average of 7.3. It has no fines on record for the past three years, while 33% of Puerto Rico nursing homes have been fined.
Alternative Healthcare Solutions is a for-profit facility with 22 certified beds, caring for about 15 residents on an average day. It accepts Medicare and has participated since 2022.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 45%
Top 45%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- May 21, 2026
- Health deficiencies cited
- 11
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff6.21 hrs
- Registered nurses (RN)5.22 hrs
- Licensed practical nurses (LPN)0.98 hrs
- Nurse aides0.00 hrs
- Physical therapists0.07 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 22
- Average residents per day
- 15
- Participates in
- Medicare
- Medicare/Medicaid since
- April 4, 2022
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes