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    Nursing home · SAN JUAN, PR

    ALTERNATIVE HEALTHCARE SOLUTIONS LLC

    SEPTIMO PISO DOCTORS CENTER HOSPITAL, SAN JUAN, PR 00910

    CMS certification number: 405000 · Updated October 1, 2026

    Request care assistance7879992959Directions

    At a glance

    Official CMS profile

    CMS overall rating

    4 / 5

    Certified beds

    22

    Residents / day

    14.9

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare
    Ownership
    For profit - Limited Liability company
    County
    San Juan
    Certified beds
    22
    Average residents per day
    14.9
    First certified
    April 4, 2022

    CMS quality ratings

    Overall
    4 / 5
    Health inspections
    3 / 5
    Staffing
    5 / 5
    Quality measures
    Not rated

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in San Juan, Puerto Rico. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    4.00
    County peers
    2.33
    n=3
    State peers
    3.00

    Nurse hours / resident / day

    This home
    6.21
    County peers
    2.77
    n=2
    State peers
    4.18
    n=7

    Weekend nurse hours / resident / day

    This home
    4.38
    County peers
    2.44
    n=2
    State peers
    3.49
    n=7

    Nursing staff turnover (%)

    This home
    32.00
    County peers
    54.20
    n=1
    State peers
    37.92
    n=4

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 29.4% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 32.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    29
    Health citations
    28
    Resident measures
    17
    Ownership records
    1
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    6.20839
    Reported RN Staffing Hours per Resident per Day
    5.22459
    Reported LPN Staffing Hours per Resident per Day
    0.98380
    Reported Nurse Aide Staffing Hours per Resident per Day
    0.00000
    Total number of nurse staff hours per resident per day on the weekend
    4.38462
    Registered Nurse hours per resident per day on the weekend
    3.41191
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06701
    Total nursing staff turnover
    32.0
    Registered Nurse turnover
    28.6
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    None
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    PR
    Urban
    Y
    Chain ID
    Not reported
    Latitude
    18.443
    Location
    SEPTIMO PISO DOCTORS CENTER HOSPITAL,SAN JUAN,PR,00910
    ZIP Code
    00910
    City/Town
    SAN JUAN
    Longitude
    -66.072
    QM Rating
    Not reported
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    San Juan
    Provider Name
    ALTERNATIVE HEALTHCARE SOLUTIONS LLC
    Provider Type
    Medicare
    Overall Rating
    4
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    SEPTIMO PISO DOCTORS CENTER HOSPITAL
    Telephone Number
    7879992959
    Geocoding Footnote
    22
    QM Rating Footnote
    2
    Legal Business Name
    Legal Business Name Not Available
    Long-Stay QM Rating
    Not reported
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.12004
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    3
    Number of Certified Beds
    22
    Provider SSA County Code
    640
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    28.6
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    2
    Nursing Case-Mix Index Ratio
    0.79421
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    32.0
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    405000
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    132
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    133.500
    With a Resident and Family Council
    None
    Average Number of Residents per Day
    14.9
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    138
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    46
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    132
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    92
    Rating Cycle 1 Standard Survey Health Date
    2026-05-21
    Rating Cycle 2 Standard Health Survey Date
    2024-12-03
    Rating Cycle 2/3 Number of Health Revisits
    2
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    6.52671
    Case-Mix RN Staffing Hours per Resident per Day
    0.54931
    Reported RN Staffing Hours per Resident per Day
    5.22459
    Adjusted LPN Staffing Hours per Resident per Day
    1.22899
    Case-Mix LPN Staffing Hours per Resident per Day
    0.68450
    Reported LPN Staffing Hours per Resident per Day
    0.98380
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    9
    Rating Cycle 1 Number of Standard Health Deficiencies
    11
    Rating Cycle 2 Number of Standard Health Deficiencies
    9
    Reported Licensed Staffing Hours per Resident per Day
    6.20839
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    0.00000
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.86430
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    0.00000
    Adjusted Total Nurse Staffing Hours per Resident per Day
    7.75570
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.09811
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    0
    Reported Total Nurse Staffing Hours per Resident per Day
    6.20839
    Registered Nurse hours per resident per day on the weekend
    3.41191
    Date First Approved to Provide Medicare and Medicaid Services
    2022-04-04
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.06701
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    5.47739
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.72656
    Total number of nurse staff hours per resident per day on the weekend
    4.38462

    COMMUNITY EXPERIENCE

    Reviews of ALTERNATIVE HEALTHCARE SOLUTIONS LLC

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026