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D
Poor

MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC

CALLE COSME REPARTO SAN LUCAS · RIO PIEDRAS, PR 00926

7877080138 · For profit - Corporation

35 beds46.8 residents47 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
A+
Excellent
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC receives an overall staffing grade of D (Poor). With 2.5781 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 1.32 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.99% compared to weekdays. The facility has low agency staff usage (3.55% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.5781 HPRD — needs 0.90 more hours per resident per day.
📊Staffing levels are highly variable day to day (consistency score: 1.0532). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.55%) — mostly permanent, familiar staff
Total Nurse HPRD
2.5781hrs/resident/day▼ 1.32
CMS benchmark: 3.48
RN HPRD
2.2223hrs/resident/day▲ 1.54
Recommended: 0.75
Weekend Drop-off
13.99%
2.6842 weekday → 2.3087 weekend
Agency Staff
3.55%
4.22% 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
0.3557hrs/resident/day
Licensed practical nurses
Consistency
1.0532std 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
02.58 HPRD
vs. Puerto Rico State Average-1.48 HPRD
4.05
02.58 HPRD
vs. National Average-1.32 HPRD
3.90
02.58 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
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC ★
RIO PIEDRAS · This facility
—
D
2.57812.2223★★★★☆
CENTRO DE CUIDADO PROLONGADO SAN LUCAS
RIO PIEDRAS
1.3 mi
—
00☆☆☆☆☆
MULTY MEDICAL SKILLED NURSING FACILITY
RIO PIEDRAS
2.5 mi
—
00☆☆☆☆☆
ALTERNATIVE HEALTHCARE SOLUTIONS LLC
SAN JUAN
4.8 mi
A+
7.24226.4113★★★★☆
RYDER MEMORIAL HOSPITAL INC
HUMACAO
21.7 mi
F
2.0011.5622★★☆☆☆
CENTRO MEDICO WILMA N VAZQUEZ SNF
VEGA BAJA
22.6 mi
A+
5.00013.4656★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
22
Total Deficiencies
$0
Fines Assessed
May 1, 2025Health
8 deficiencies cited
▼
Apr 16, 2024Health
10 deficiencies cited
▼
Apr 28, 2023Health
4 deficiencies cited
▼
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.