Alternative Healthcare Solutions LLC
SEPTIMO PISO DOCTORS CENTER HOSPITAL, San Juan, PR 00910
San Juan, PR · CMS verdict
CMS rates Alternative Healthcare Solutions LLC at 4 of 5 stars overall, above-average on the federal scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Alternative Healthcare Solutions LLC in San Juan, PR holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 62 of 100 (grade D). The 22-bed facility. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
With 33 CMS deficiencies on file, this facility sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 62 is built
Each segment is a dimension's weighted points toward the score, summing to 62.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Alternative Healthcare Solutions LLC's heavier CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Alternative Healthcare Solutions LLC's overall quality rating at 4 out of 5 stars, a composite of three sub-ratings: health inspection (3/5), staffing (5/5), and quality measures (N/A).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in San Juan, PR, this facility operates 22 certified beds with an average daily census of roughly 15 residents - an occupancy rate of about 68%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 68% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (33 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
Facility details
| Attribute | Value |
|---|---|
| Beds | 22 |
| Residents | 15 |
| Ownership | For profit - Limited Liability company |
| County | San Juan |
| Penalties | 2 |
| Deficiencies | 33 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Alternative Healthcare Solutions LLC's inspection record
What is the quality rating for Alternative Healthcare Solutions LLC? ▾
Alternative Healthcare Solutions LLC has an overall CMS quality rating of 4 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 5/5, and quality measures rating of N/A.
What services does Alternative Healthcare Solutions LLC offer? ▾
Alternative Healthcare Solutions LLC operates as a skilled nursing facility (22 beds with approximately 15 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 33 deficiencies and 2 penalties there.
Does Alternative Healthcare Solutions LLC have any deficiencies or penalties? ▾
Alternative Healthcare Solutions LLC has multiple deficiencies (33 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
Keep reading
Also see the PR elder-care overview and highest-rated states. Provider ID: 405000.
Read our methodology - how this data is sourced, computed, and verified.