Alternative Healthcare Solutions Llc is certified as a Medicare facility and has been approved to provide these services since 2022-04-04. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (787) 999-2959 or your local Medicaid office to verify current eligibility.

Alternative Healthcare Solutions Llc holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (N/A★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 82.3/100, placing it #2677 of 14703 facilities nationally and #1 of 9 in Puerto Rico. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Alternative Healthcare Solutions Llc receives a reported average of 6 hours 57 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 6 hours 9 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 0 minutes. On weekends, total nurse staffing is 4 hours 54 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 33.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 63 fine(s) over the 5-year period, totaling $291,720. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 129.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Alternative Healthcare Solutions Llc ranks 2677th out of 14,703 facilities (composite score: 82.3/100), placing it in the top 25% nationwide. Within PR, it ranks 1st out of 9 nursing homes. For 2026 staffing: total nurse hours rank #175 nationally and RN hours rank #8 nationally (#1 in PR). Our composite quality score of 82.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in San Juan, visit: https://nursinghomesnearme.org/puerto_rico/san-juan/