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Nursing Home

Alternative Healthcare Solutions LLC

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

Septimo Piso Doctors Center Hospital, San Juan, PR 0091022 bedsLicensed & Active
4/5
Medicare
Inspection
Staffing
Alternative Healthcare Solutions LLC Nursing Home in San Juan, PR — Street View
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What this means for your family

Choosing Alternative Healthcare Solutions LLC means your loved one is in a facility that ranks well on Medicare quality measures. High RN hours correlate directly with lower rates of hospital readmission and better specialized care coordination. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
6.15hrs
OK
Registered nurses for medical care
Total Nursing
6.95hrs
OK
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)
RN Turnover
26%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 3 measures

Better Than Avg

2

measures

Mixed Results

1

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.7%
PR
97.9%
San juan
89.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
PR
97.8%
San juan
91.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Mixed vs Avgs
Here
0.8%
US
1.6%
PR
0.3%
San juan
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
Near state avg (9.5)

This facility has 59 deficiencies across four surveys, showing recurring issues in food service, fire safety, and facility maintenance that persist despite corrections. Nutrition problems appear in every recent survey, including food temperature, staffing, and meal accommodation issues. Fire safety violations also repeat across surveys, including sprinkler system problems and emergency equipment maintenance. While all violations show correction dates, the pattern suggests ongoing operational challenges with core services.

Dec 3, 2024Routine
14
0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351ModerateCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0907ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure medical gas and vacuum systems have documented maintenance programs.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0883MinorCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Apr 18, 2024Routine
18
0726ModerateCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0802ModerateCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0813ModerateCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0655ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0694ModerateCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0009MinorCorrected

Emergency Preparedness Deficiencies

Include a process for Emergency Preparedness collaboration.

0022MinorCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for sheltering.

0024MinorCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

0034MinorCorrected

Emergency Preparedness Deficiencies

Provide a means of sharing information on occupancy/needs.

0035MinorCorrected

Emergency Preparedness Deficiencies

Provide family notifications of emergency plan.

0037MinorCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

May 2, 2023Routine
16
0582ModerateCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0655ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0865ModerateCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0868ModerateCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0882ModerateCorrected

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

0578ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0756MinorCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0740MinorCorrected

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0741MinorCorrected

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Jan 27, 2022Routine
11
0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0226MinorCorrected

Egress Deficiencies

Have horizontal exits used in accordance with safety requirements.

0281MinorCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293MinorCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0345MinorCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0712MinorCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0916MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Alternative Healthcare Solutions LLC

Organization Type

for profit

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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