San Juan, PR · San Juan County
★★★★☆CMS 4/522 bedsFor-profit
- 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.
Rio Piedras, PR · San Juan County
★★★★★CMS 5/535 bedsFor-profit
- 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.
Rio Piedras, PR · San Juan County
★☆☆☆☆CMS 1/525 bedsNon-profit
- 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.
Rio Piedras, PR · San Juan County
★☆☆☆☆CMS 1/535 bedsFor-profit
- 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.