The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 802 — 42 CFR §483.60 — S/S: F
Nursing home report
ALTERNATIVE HEALTHCARE SOLUTIONS LLC
SAN JUAN, PR · Medicare-certified · 22 beds
In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall
ALTERNATIVE HEALTHCARE SOLUTIONS LLC (SAN JUAN, PR) has a 4 out of 5 star overall rating, with strong staffing (5 stars) and nurse staffing above the federal benchmark at 4.54 hours per resident per day versus 4.1. Health inspection is 3 stars, quality measures are not rated, and there were no fines in the last 24 months; recent citations were related to food and nutrition services.
Facility ratings
Health inspections
Staffing
4.5394 hrs/resident/day
Quality measures
Last inspection: December 3, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5394.
Staffing detail
- Registered nurses
- 3.95
- Licensed practical nurses
- 0.59
- Nurse aides
- 0.00
- Weekend nursing
- 3.41
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Short-stay residents newly given an antipsychotic
0.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Short-stay residents given the seasonal flu vaccine
—97.8%—
Short-stay residents given the pneumonia vaccine
99.4%100%Improving
What the inspectors found
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited December 2024 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 22.3 residents on an average day (101% of 22 beds)
- Medicare history
- Certified for 4 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.