ALTERNATIVE HEALTHCARE SOLUTIONS LLC

SEPTIMO PISO DOCTORS CENTER HOSPITAL, SAN JUAN, PR 00910 · CCN 405000 · 22 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections3 of 5CMS staffing5 of 5CMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

3.59

state median 3.23

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −14%

RN hours / resident / day

3.00

registered nurses only

Contract (agency) staff

10%

share of all nursing hours

Nursing staff turnover

32%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company.

Full citation history

By severity: No harm, potential for minimal harm: 5 · Potential for more than minimal harm: 28

Survey dateTagCategorySeverityCorrected
2024-12-03F0584Resident Rights DeficienciesEnot recorded
2024-12-03F0732Nursing and Physician Services DeficienciesCnot recorded
2024-12-03F0802Nutrition and Dietary DeficienciesFnot recorded
2024-12-03F0804Nutrition and Dietary DeficienciesFnot recorded
2024-12-03F0806Nutrition and Dietary DeficienciesDnot recorded
2024-12-03F0812Nutrition and Dietary DeficienciesFnot recorded
2024-12-03F0880Infection Control DeficienciesFnot recorded
2024-12-03F0883Infection Control DeficienciesCnot recorded
2024-12-03F0921Environmental DeficienciesFnot recorded
2024-04-18F0584Resident Rights DeficienciesEnot recorded
2024-04-18F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2024-04-18F0694Quality of Life and Care DeficienciesEnot recorded
2024-04-18F0726Nursing and Physician Services DeficienciesFnot recorded
2024-04-18F0802Nutrition and Dietary DeficienciesFnot recorded
2024-04-18F0812Nutrition and Dietary DeficienciesFnot recorded
2024-04-18F0813Nutrition and Dietary DeficienciesFnot recorded
2024-04-18F0908Environmental DeficienciesFnot recorded
2023-05-02F0578Resident Rights DeficienciesEnot recorded
2023-05-02F0582Resident Rights DeficienciesFnot recorded
2023-05-02F0584Resident Rights DeficienciesEnot recorded
2023-05-02F0655Resident Assessment and Care Planning DeficienciesFnot recorded
2023-05-02F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-05-02F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2023-05-02F0677Quality of Life and Care DeficienciesDnot recorded
2023-05-02F0732Nursing and Physician Services DeficienciesCnot recorded
2023-05-02F0740Quality of Life and Care DeficienciesCnot recorded
2023-05-02F0741Quality of Life and Care DeficienciesCnot recorded
2023-05-02F0756Pharmacy Service DeficienciesDnot recorded
2023-05-02F0812Nutrition and Dietary DeficienciesFnot recorded
2023-05-02F0865Administration DeficienciesFnot recorded
2023-05-02F0868Administration DeficienciesFnot recorded
2023-05-02F0880Infection Control DeficienciesFnot recorded
2023-05-02F0882Infection Control DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “ALTERNATIVE HEALTHCARE SOLUTIONS LLC, SAN JUAN” at medicare.gov/care-compare.