Nursing HomeInspections

Alternative Healthcare Solutions LLC

Nursing home in San Juan, PR

Medicare-certified4★ overall (CMS)

Call (787) 999-2959Send a messageMap ↗

Public-record details

Address
Septimo Piso Doctors Center Hospital, San Juan, PR 00910
Phone
(787) 999-2959
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
405000
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
5 of 5
Certified beds
22
Average residents per day
22
Ownership
For-profit, limited Liability company
Legal business name
Legal Business Name Not Available
Certified for
Medicare
First approved by Medicare/Medicaid
Apr 4, 2022
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 405000. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 21, 2026. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 18, 2024 to May 21, 2026): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 21, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 21, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
May 21, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		F
Potential for more than minimal harm, widespread
May 21, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 21, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 21, 2026Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		F
Potential for more than minimal harm, widespread
May 21, 2026Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		F
Potential for more than minimal harm, widespread
May 21, 2026Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
May 21, 2026Keep all essential equipment working safely.
Environmental		F
Potential for more than minimal harm, widespread
Dec 3, 2024Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.54 hours
Registered nurse (RN) time per resident per day
3.95 hours
Nurse aide time per resident per day
0.00 hours
Total nurse staffing on weekends
3.41 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
29%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.