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Nursing homesPuerto Rico › Alternative Healthcare Solutions LLC

Alternative Healthcare Solutions LLC

Septimo Piso Doctors Center Hospital, San Juan, PR 00910 · 7879992959 · 22 certified beds

Overall★★★★☆ 4/5
Health inspections★★★☆☆ 3/5
Staffing★★★★★ 5/5
Quality measuresNot rated

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.

Staffing (hours per resident per day)

Total nurse staffing: 4.54 (Puerto Rico median: 4.41). RN hours: 3.95. Weekend total: 3.41. Nursing staff turnover: 32%.

Inspection deficiencies

All-time on record: 33 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2024-12-03Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. FHealthcorrected 2025-06-12
2024-12-03Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. FHealthcorrected 2025-05-02
2024-12-03Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-06-12
2024-12-03Provide and implement an infection prevention and control program. FHealthcorrected 2025-05-02
2024-12-03Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. FHealthcorrected 2025-05-02
2024-12-03Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. EHealthcorrected 2025-01-09
2024-12-03Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. DHealthcorrected 2025-05-02
2024-12-03Post nurse staffing information every day. CHealthcorrected 2025-05-02
2024-12-03Develop and implement policies and procedures for flu and pneumonia vaccinations. CHealthcorrected 2025-05-02
2024-04-18Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. FHealthcorrected 2024-05-15
2024-04-18Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. FHealthcorrected 2024-05-14
2024-04-18Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-05-13
2024-04-18Have a policy regarding use and storage of foods brought to residents by family and other visitors. FHealthcorrected 2024-04-20
2024-04-18Keep all essential equipment working safely. FHealthcorrected 2024-05-15
2024-04-18Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. EHealthcorrected 2024-05-13
2024-04-18Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted EHealthcorrected 2024-05-13
2024-04-18Provide for the safe, appropriate administration of IV fluids for a resident when needed. EHealthcorrected 2024-05-15
2023-05-02Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. FHealthcorrected 2023-05-15
2023-05-02Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted FHealthcorrected 2023-05-15
2023-05-02Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-05-26
2023-05-02Have a plan that describes the process for conducting QAPI and QAA activities. FHealthcorrected 2023-05-26
2023-05-02Have the Quality Assessment and Assurance group have the required members and meet at least quarterly FHealthcorrected 2023-05-15
2023-05-02Provide and implement an infection prevention and control program. FHealthcorrected 2023-05-15
2023-05-02Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. FHealthcorrected 2023-05-17
2023-05-02Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. EHealthcorrected 2023-05-15
2023-05-02Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. EHealthcorrected 2023-05-05
2023-05-02Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2023-05-15
2023-05-02Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-05-15
2023-05-02Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2023-05-15
2023-05-02Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2023-06-12
2023-05-02Post nurse staffing information every day. CHealthcorrected 2023-05-17
2023-05-02Ensure each resident must receive and the facility must provide necessary behavioral health care and services. CHealthcorrected 2023-05-18
2023-05-02Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. CHealthcorrected 2023-06-01

Federal penalties

No federal fines or payment denials on record.

Ownership & control records (CMS filings)

No detailed ownership records on file.

Compare nearby (San Juan County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 405000. Corrections: data@carerecords.org.