Alternative Healthcare Solutions LLC
SEPTIMO PISO DOCTORS CENTER HOSPITAL, San Juan, PR 00910
San Juan, PR · CMS verdict
CMS places Alternative Healthcare Solutions LLC in the above-average range 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). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count 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 star rating shown at the top of the page. 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) scores Alternative Healthcare Solutions LLC on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the PR average below.
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. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, 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; the counts are in Facility details below. CMS has levied 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. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the PR average in the chart on this page.
What services does Alternative Healthcare Solutions LLC offer? ▾
CMS classifies Alternative Healthcare Solutions LLC as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Alternative Healthcare Solutions LLC have any deficiencies or penalties? ▾
Alternative Healthcare Solutions LLC has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. 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.