Nursing home
Alternative Healthcare Solutions
Septimo Piso Doctors Center Hospital, San Juan, PR 00910 · Map
For profit - Limited Liability company · 22 certified beds
Alternative Healthcare Solutions is a Medicare-certified nursing home in San Juan, Puerto Rico. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 6.95 hours per resident per day, above the Puerto Rico average of 3.77. Its most recent inspection on Dec 3, 2024 cited 9 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Alternative Healthcare Solutions compares
This facility vs. the Puerto Rico and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Puerto Rico avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 6.95 | 3.77 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 6.15 | 2.91 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 0.00 | 0.00 | 2.34 | below avg |
| Nursing staff turnover | 33.3% | 33.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 9.0 | 9.5 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Alternative Healthcare Solutions
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Dec 3, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 3, 2024 · Full report (PDF) - Minimal
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Dec 3, 2024 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 3, 2024 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Apr 18, 2024 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Apr 18, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 18, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- Septimo Piso Doctors Center Hospital
San Juan, PR 00910 - CMS certification #
- 405000
- Ownership
- For profit - Limited Liability company
- Certified beds
- 22
- Avg residents/day
- 15.1
- Provider type
- Medicare
- First certified
- 2022-04-04
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Alternative Healthcare Solutions using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Doctors' Center Hospital San Juan, Santurce. 0.2 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Multy Medical Skilled Nursing Facility, Rio Piedras. 2.3 miles away, straight line.
- Nearest home health agency office
- Best Option Healthcare Puerto Rico, San Juan. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Farmacia San Rafael. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 00910 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc San Juan, San Juan, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars)
Pure Life Renal Of San Juan, Hato Rey, 2.6 miles away, straight line (CMS rating 1 of 5 stars)
Fmc Rio Piedras, Rio Piedras, 4.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 1 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 00910.
Hospicio Gregoria Auffant Inc, office in San Juan, 1.8 miles away, straight line (CMS family survey rating 2 of 5 stars) - Nearest geriatric medicine practice
- Gilberto Ramirez Aponte, MD, San Juan. 2.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective November 18, 2009), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Nothing on record |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Alternative Healthcare Solutions a good nursing home?
CMS gives Alternative Healthcare Solutions an overall rating of 4 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Alternative Healthcare Solutions staffed?
Alternative Healthcare Solutions reports 6.95 total nurse hours per resident per day, compared with the Puerto Rico average of 3.77.
Has Alternative Healthcare Solutions had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Alternative Healthcare Solutions have?
Alternative Healthcare Solutions is certified for 22 beds.