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Puerto Rico

Nursing Home Staffing Profile — 2025Q3

7 facilities227 residents4.05 avg HPRD

vs National Average

+0.16 HPRD

National avg: 3.90 · Puerto Rico: 4.05

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Puerto Rico ranks among the higher-performing states for nursing home staffing, with an average of 4.05 HPRD — 0.16 hours above the national average. Only 57.1% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 3.13 HPRD, with 100.0% of facilities meeting the 0.75 research recommendation.

4.05

Average Total HPRD

All nursing staff combined

▲ 0.16 vs national

3.13

Average RN HPRD

Recommended: 0.75

▲ 2.45 vs national

57.1%

Meet CMS Benchmark

4 of 7 facilities

23.0%

Avg Weekend Drop-off

Staffing reduction on Sat/Sun

2.4%

Avg Agency Staff

Contractor/temp worker hours

—

Had Zero-RN Days

Data unavailable

4.86

Median HPRD

50th percentile (less skewed by outliers)

F-Rated Facilities

Under 2.5 HPRD — critically understaffed

Grade Distribution

How Puerto Rico's 7 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

For-Profit

4.26

avg HPRD

5 facilities (71%)

Non-Profit

3.53

avg HPRD

2 facilities (29%)

▲ Best Staffed in Puerto Rico

Top 5 by total nurse HPRD

A+

ALTERNATIVE HEALTHCARE SOLUTIONS LLC

CENTRO MEDICO WILMA N VAZQUEZ SNF

VEGA BAJA

5.00 HPRD

RN: 3.47

SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC

HORMIGUEROS

4.86 HPRD

RN: 2.38

MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC

RIO PIEDRAS

2.58 HPRD

RN: 2.22

▼ Most Understaffed in Puerto Rico

Bottom 5 by total nurse HPRD

HOSPITAL DE LA CONCEPCION INC

SAN GERMAN

1.63 HPRD

RN: 1.63

RYDER MEMORIAL HOSPITAL INC

HUMACAO

2.00 HPRD

RN: 1.56

MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC

RIO PIEDRAS

2.58 HPRD

RN: 2.22

SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC

CENTRO MEDICO WILMA N VAZQUEZ SNF

VEGA BAJA

5.00 HPRD

RN: 3.47

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Compare Two Facilities Side by Side

Pick any two Puerto Rico nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Puerto Rico — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low

Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%

County	Facilities ↓	Avg HPRD	RN HPRD	Meet Benchmark	Grades
▸San Juan	2	4.91	4.32	50.0%	Mixed A+/D
▸Hormigueros	1	4.86	2.38	100.0%	Mostly A
▸Humacao	1	2.00	1.56	0.0%	Mostly F
▸Ponce	1	5.06	4.24	100.0%	Mostly A+
▸San German	1	1.63	1.63	0.0%	Mostly F
▸Vega Baja	1	5.00	3.47	100.0%	Mostly A+

HPRD Range in Puerto Rico

The spread between best and worst staffed facilities

2.29

25th pctile

4.86

Median

5.03

75th pctile

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.