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A+
Excellent

ALTERNATIVE HEALTHCARE SOLUTIONS LLC

SEPTIMO PISO DOCTORS CENTER HOSPITAL · SAN JUAN, PR 00910

7879992959 · For profit - Limited Liability company

22 beds15.1 residents35 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ALTERNATIVE HEALTHCARE SOLUTIONS LLC receives an overall staffing grade of A+ (Excellent). With 7.2422 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 3.35 HPRD above the national average.

Weekend staffing drops significantly — dropping 37.45% compared to weekdays. The facility has low agency staff usage (7.75% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 37.45% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 2.323). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
7.2422hrs/resident/day▲ 3.35
CMS benchmark: 3.48
RN HPRD
6.4113hrs/resident/day▲ 5.73
Recommended: 0.75
Weekend Drop-off
37.45%
8.0995 weekday → 5.0659 weekend
⚠ Significant weekend reduction
Agency Staff
7.75%
1.92% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
0hrs/resident/day
Direct care aides
LPN HPRD
0.8309hrs/resident/day
Licensed practical nurses
Consistency
2.323std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. San Juan County Average+2.33 HPRD
4.91
07.24 HPRD
vs. Puerto Rico State Average+3.19 HPRD
4.05
07.24 HPRD
vs. National Average+3.35 HPRD
3.90
07.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ALTERNATIVE HEALTHCARE SOLUTIONS LLC ★
SAN JUAN · This facility
—
A+
7.24226.4113★★★★☆
MULTY MEDICAL SKILLED NURSING FACILITY
RIO PIEDRAS
2.3 mi
—
00☆☆☆☆☆
CENTRO DE CUIDADO PROLONGADO SAN LUCAS
RIO PIEDRAS
3.5 mi
—
00☆☆☆☆☆
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC
RIO PIEDRAS
4.8 mi
D
2.57812.2223★★★★☆
CENTRO MEDICO WILMA N VAZQUEZ SNF
VEGA BAJA
21.4 mi
A+
5.00013.4656★☆☆☆☆
RYDER MEMORIAL HOSPITAL INC
HUMACAO
25.7 mi
F
2.0011.5622★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
33
Total Deficiencies
$9,125
Fines Assessed
Dec 3, 2024Health
9 deficiencies cited
▼
Apr 18, 2024Health
8 deficiencies cited
▼
May 2, 2023Health
16 deficiencies cited
▼

Penalty History

Feb 28, 2023Fine
$4,545
Feb 21, 2023Fine
$4,580
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.