Nursing Home

Alternative Healthcare Solutions Llc

Septimo Piso Doctors Center Hospital, San Juan, PR 00910
22 certified beds 22 residents per day on average

CMS Five-Star Quality Rating

4 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Not rated

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
4.5 hours

PR average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
4.0 hours

PR average: 3.0 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.4 hours

PR average: 3.0 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
31.8%

PR average: 35.7% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Ownership

Ownership type
For profit - Limited Liability company

CMS has not published detailed ownership records for this facility.

Inspections & Fire Safety — 11 health (PR avg 7.3) · 14 fire (PR avg 7.7) Details

28 deficiencies cited across recent inspection cycles. Most recent survey: May 21, 2026.

Most recent inspection cycle: 11 health deficiencies · PR average: 7.3 · National: 9.3

29 fire-safety deficiencies cited — most often smoke (12) and emergency preparedness (6).

Most recent fire-safety inspection (2026-05-21): 14 deficiencies · PR average: 7.7 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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