Nursing Homes in San Juan, Puerto Rico
San Juan has 1 Medicare-certified nursing home with 22 beds. The city average CMS rating is 4.0 stars, which is above Puerto Rico's state average of 3.5 stars. 0 facilities earn a B grade or better and are recommended for family consideration.
Compare 1 nursing home · data
Worth Considering
0
Facilities graded A or B that meet our quality standards
City Average
+0.50 vs state
Total Beds
22
across 1 facility
High Risk Facilities
0
0 under CMS review
0 with abuse citations
Nurse Availability
376 min
RN time per resident daily
Meets CMS recommendation
Well Staffed
1
exceed staffing threshold
100% of facility
Zero Fines
passed all inspections
✓ Start your search here
Trend
0
improved vs last year
0 declined
Top Rated in San Juan
Alternative Healthcare Solutions Llc
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Showing 1–1 of 1 facilities
All 1 Nursing Homes in San Juan
A-ZWant to learn more about nursing home care in San Juan?
Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in San Juan
THE VERDICT: Families considering nursing home care in San Juan, PR, will find the market to be limited. The standout is Alternative Healthcare Solutions LLC, but it comes with significant concerns. While the average rating is above the state average at 4.0 stars, the lack of truly recommended facilities means families may need to look elsewhere for better options.
WHO TO CONSIDER: Unfortunately, there are no good options in San Juan to confidently recommend. Most facilities, including Alternative Healthcare Solutions LLC, have issues that raise red flags. With just one facility in the area, it's advisable to expand your search to nearby cities for better caregiving options. Consider facilities in Bayamón or Ponce, where you might find more favorable conditions and staff-to-resident ratios.
WHO TO AVOID: Families should skip Alternative Healthcare Solutions LLC, which has incurred $69K in fines. Such financial penalties indicate deeper issues that could affect the quality of care. When visiting any facility, remember to observe staff interactions with residents and ask detailed questions about care practices. This will give you a clearer picture of the environment and the level of attention your loved one can expect.
San Juan at a Glance
Good News
- • San Juan rates better than most Puerto Rico cities
- • 1 facility has more nurses than required
Be Aware
- • Always check recent inspection reports before visiting
What's Changing
- → 1 facility stayed the same
- ★ Overall: San Juan is stable
Questions San Juan Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; San Juan avg is 6.27 hrs (376 min)
Have you received any fines in the past 3 years?
0 of 1 San Juan facilities have zero fines
What were your most recent inspection findings?
Ask for specifics—0 local facilities have serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in San Juan, Puerto Rico
San Juan, Puerto Rico's San Juan County seat, has 1 Medicare-certified nursing homes with approximately 22 beds. Families have good options, with many facilities exceeding state averages.
San Juan vs. Puerto Rico: Above Average Quality
San Juan nursing homes outperform the state average on key quality metrics. The city's average CMS rating of 4.00 stars exceeds Puerto Rico's statewide average of 3.50 stars by 0.5 stars—a meaningful difference that suggests stronger local standards.
0 of 1 facilities earn a B grade or better, giving families good options. While quality is generally high, the overall picture is positive for San Juan families.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In San Juan, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: Meeting Standards in San Juan
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
San Juan facilities average 6.27 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical San Juan resident receives approximately 376 minutes of RN attention daily—compared to the 45 minutes experts recommend.
1 San Juan facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: An All For-Profit Market
San Juan has no non-profit nursing homes—all 1 facility with reported ownership data are for-profit operations. 0 of 1 facilities are chain-owned, meaning these facilities are part of larger corporate systems rather than independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average. The absence of non-profit options in San Juan may be worth noting. Families seeking non-profit care should consider facilities in surrounding areas.
Ownership type alone does not guarantee quality. Several for-profit facilities in San Juan perform well. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports rather than ownership type alone.
Nearby Alternatives Worth Considering
Families may also want to consider nearby Puerto Rico cities for additional options. The following Puerto Rico cities offer multiple nursing home options:
- Rio Piedras — 3 facilities
- San German — 1 facilities
- Vega Baja — 1 facilities
- Ponce — 1 facilities
- Humacao — 1 facilities
- Hormigueros — 1 facilities
Frequently Asked Questions
How many nursing homes are in San Juan, Puerto Rico?
San Juan has 1 Medicare-certified nursing home with a total of 22 beds. The city average CMS rating is 4.0 stars, which is above Puerto Rico's state average of 3.5 stars.
What are the best nursing homes in San Juan?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in San Juan include:
- • Alternative Healthcare Solutions Llc — Grade C+, 63/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which San Juan nursing homes should I avoid?
We flag 0 facilities in San Juan as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on San Juan Nursing Homes
San Juan offers above-average nursing home options compared to the rest of the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing.