Here are 9 Nursing Homes in Puerto Rico

Nurse hours

4.54 /day

Staff turnover

32%

Serious cites

0

Alternative Healthcare Solutions in San Juan runs a small house, 22 certified beds, and it's staffed well above what's typical nationally, at 4.54 nurse hours per resident day compared to the 3.86 average. Weekend coverage does thin out, running roughly a quarter below its own weekday level, and the 31.8% annual turnover is worth noting even though it sits below the 45.8% national figure. The tradeoff shows up in the inspection record: 33 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey from December 2024. For-profit LLC ownership, a middling 3-star inspection rating, and strong staffing together describe a home that's well-covered day to day but has accumulated paperwork-level problems over time.

Nurse hours

4.92 /day

Staff turnover

5%

Serious cites

0

Damas Hospital SNF runs a tight ship on staffing. At 4.92 nurse hours per resident day, it's well above the national average of 3.86, and a turnover rate of 4.8% is remarkable next to the 45.8% typical elsewhere. Weekend coverage does dip about 24% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is where things get complicated: 30 deficiencies, including one at the harm level and five tied to abuse, despite a perfect health inspection star rating and a recent March 2026 survey. One fine totaling $10,839 is on file. Small facility, 25 beds, nonprofit-owned, worth a visit and pointed questions about those abuse-related findings.

Nurse hours

5.04 /day

Staff turnover

27%

Serious cites

0

Centro Medico Wilma N Vazquez SNF runs on unusually strong staffing for a 45-bed for-profit home, 5.04 nurse hours per resident day, roughly 30% above the national average, with turnover at 26.9% against a national 45.8%. That consistency matters, though weekends drop about 22% below the home's own weekday coverage. The inspection record is the tension here: 35 deficiencies on file, zero at harm or jeopardy level and none abuse-related, plus one $29,997 fine and a December 2024 inspection. A 1/5 health inspection star sitting beside a 5/5 staffing star tells you the care presence is real but the paperwork and process side has repeatedly drawn federal citations.

Nurse hours

4.41 /day

Staff turnover

46%

Serious cites

0

Millennium Institute For Advance Nursing Care runs 35 certified beds in Rio Piedras under corporate for-profit ownership, and the direct-care staffing here is genuinely above average, 4.41 nurse hours per resident day against a national figure of 3.86. The catch is consistency: weekends run roughly 15 percent thinner than weekdays, so the coverage your relative gets depends on the day of the week. Staff turnover sits at 45.8 percent, almost exactly the national rate, meaning nearly half the workforce changes over in a year. Inspections are current as of March 2026 and the health inspection record is strong, but 19 deficiencies are logged against the home, none of them at harm or jeopardy level and none abuse-related.

Nurse hours

3.28 /day

Staff turnover

n/a

Serious cites

0

A small 20-bed for-profit home in Hormigueros, and its record splits sharply in two directions. Inspectors have visited recently, and the 21 deficiencies on file are all low-level, nothing involving harm or jeopardy, no abuse citations, which is why the health inspection side of its record looks strong. The staffing side does not: CMS rates it in the bottom tier nationally, and in a 20-bed building there's little cushion when aides are stretched thin. That gap between passing inspections and thin daily coverage is what pulls its overall grade down to a C. Ask how many residents each aide handles on evenings and weekends.

Nurse hours

n/a /day

Staff turnover

n/a

Serious cites

0

Centro De Cuidado Prolongado San Lucas is a small church-affiliated nonprofit in Rio Piedras, and its record is troubling. The 25-bed home carries 86 deficiencies, including four at harm or jeopardy level and nine tied to abuse, that's an unusually heavy count for a building this size. Federal data put its health inspection and staffing ratings both at the lowest rung, meaning care quality and day-to-day coverage are each well below what regulators expect. The last inspection was March 27, 2026, so the findings are current, not stale. If you're considering this home, the numbers say the problems are active and recent, and you should ask hard questions before moving anyone in.

Nurse hours

3.24 /day

Staff turnover

n/a

Serious cites

0

Hospital De La Concepcion is a small nonprofit home in San German, just 30 certified beds, and its nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average of 3.86. Weekends run about 18 percent thinner than weekdays there, so coverage depends on when you visit. The inspection record carries 51 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level; the last survey was March 5, 2026. Federal inspectors rated health inspections 2 out of 5 stars while staffing earned 3. For a 30-bed home, that many deficiencies is worth asking about directly.

Nurse hours

1.89 /day

Staff turnover

n/a

Serious cites

0

Multy Medical runs 35 certified beds in Rio Piedras under corporate for-profit ownership, and its nurse staffing sits at 1.89 hours per resident day, roughly half the national average of 3.86. Weekend coverage drops about 19% below what the home staffs on weekdays, so the thinnest shifts are also the ones families tend to visit. The inspection record shows 77 deficiencies, including eight tied to abuse, with zero at the harm or jeopardy level; the most recent inspection was March 26, 2026. A 1/5 health inspection rating and 2/5 staffing rating reflect those numbers rather than any single incident. If you're considering this home, ask directly how weekend nurse coverage is handled and how the abuse-related citations were resolved.

Nurse hours

3.07 /day

Staff turnover

69%

Serious cites

0

Ryder Memorial Hospital Inc runs 62 certified beds as a nonprofit corporation in Humacao, Puerto Rico, and the staffing numbers are the first thing that stand out. At 3.07 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 25% below its own weekday levels, so the hours are thin to begin with and thinner when families tend to visit. Annual turnover of 69.2% against a 45.8% national average suggests a workforce that doesn't stay long. Its last inspection was recent, March 2025, with 41 deficiencies on record, none at harm or jeopardy level and none abuse-related.