Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital, San Juan, PR 00910
Alternative Healthcare Solutions LLC is a nursing home in San Juan, Puerto Rico. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 4 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- not rated by CMS CMS quality measures star rating
Facts from CMS
- Phone
- (787) 999-2959
- Last standard health inspection
- May 21, 2026 (5 months ago)
- Certified beds
- 22
- Residents per day, on average
- 14.9
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Legal Business Name Not Available
- Chain
- Not listed by CMS
- Takes part in
- Medicare
Fewer health citations than the Puerto Rico average (28 vs 43).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of July 29, 2026
Staffing
Total nurse staffing reported to CMS went from 5.4 to 4.5 hours per resident per day.
11 citations
Health inspection on May 21, 2026
CMS lists this as a standard inspection.
Citation F0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS lists it as corrected on July 10, 2026.
Citation F0804. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0804 2 times since 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0812 3 times since 2024.
Citation F0867. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on July 10, 2026.
Citation F0868. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on July 10, 2026.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0880 2 times since 2024.
Citation F0908. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0908 2 times since 2024.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on July 10, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 10, 2026.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on July 10, 2026.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on July 10, 2026.
14 citations
Fire safety inspection on May 21, 2026
CMS lists this as a standard inspection.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0355 2 times since 2024.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on July 1, 2026.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on July 1, 2026.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 1, 2026.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on July 1, 2026.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 2, 2025.
CMS has cited this home for K0324 2 times since 2024.
Citation K0351. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0351 2 times since 2024.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 1, 2026.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on July 1, 2026.
Citation K0281. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on July 1, 2026.
Citation K0341. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on July 1, 2026.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0345 2 times since 2024.
Citation K0352. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly install and monitor supervisory attachments on automatic sprinkler systems.
CMS lists it as corrected on July 1, 2026.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on July 1, 2026.
CMS has cited this home for K0918 2 times since 2024.
CMS update of April 29, 2026
Staffing
Total nurse staffing reported to CMS went from 6.9 to 5.4 hours per resident per day.
CMS update of February 25, 2026
Name
CMS lists a new legal business name for this home.
CMS update of July 30, 2025
Staffing
Total nurse staffing reported to CMS went from 9.0 to 7.4 hours per resident per day.
Fine
CMS changed the fine from October 17, 2022 from $13,739 to $13,344.
Fine
CMS changed the fine from November 7, 2022 from $4,580 to $4,545.
Fine
CMS changed the fine from November 15, 2022 from $4,580 to $4,545.
Fine
CMS changed the fine from November 21, 2022 from $4,580 to $4,545.
Fine
CMS changed the fine from November 28, 2022 from $4,580 to $4,545.
Fine
CMS changed the fine from December 5, 2022 from $4,580 to $4,545.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
Staffing
Total nurse staffing reported to CMS went from 8.7 to 6.6 hours per resident per day.
9 citations
Health inspection on December 3, 2024
CMS lists this as a standard inspection.
Citation F0802. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0802 2 times since 2024.
Citation F0804. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on May 2, 2025.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 12, 2025.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 2, 2025.
Citation F0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on May 2, 2025.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on January 9, 2025.
CMS has cited this home for F0584 2 times since 2024.
Citation F0806. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS lists it as corrected on May 2, 2025.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on May 2, 2025.
Citation F0883. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on May 2, 2025.
5 citations
Fire safety inspection on December 3, 2024
CMS lists this as a standard inspection.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 2, 2025.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on March 12, 2026.
Citation K0907. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on May 2, 2025.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 2, 2025.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on May 2, 2025.
CMS update of October 30, 2024
Staffing
Total nurse staffing reported to CMS went from 11.7 to 8.7 hours per resident per day.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 4 of 5.
CMS update of June 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Fine
CMS changed the fine from February 28, 2023 from $4,580 to $4,545.
8 citations
Health inspection on April 18, 2024
CMS lists this as a standard inspection.
Citation F0726. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS lists it as corrected on May 15, 2024.
Citation F0802. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS lists it as corrected on May 14, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 13, 2024.
Citation F0813. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS lists it as corrected on April 20, 2024.
Citation F0908. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on May 15, 2024.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on May 13, 2024.
Citation F0655. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on May 13, 2024.
Citation F0694. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS lists it as corrected on May 15, 2024.
10 citations
Fire safety inspection on April 18, 2024
CMS lists this as a standard inspection.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on May 14, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 24, 2024.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on April 19, 2024.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on May 5, 2024.
Citation E0009. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Include a process for Emergency Preparedness collaboration.
CMS lists it as corrected on May 16, 2024.
Citation E0022. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures for sheltering.
CMS lists it as corrected on May 14, 2024.
Citation E0024. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish policies and procedures for volunteers.
CMS lists it as corrected on May 16, 2024.
Citation E0034. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on May 31, 2024.
Citation E0035. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Provide family notifications of emergency plan.
CMS lists it as corrected on May 14, 2024.
Citation E0037. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on May 15, 2024.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Questions
When was Alternative Healthcare Solutions LLC last inspected?
CMS lists May 21, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Alternative Healthcare Solutions LLC have?
CMS lists 28 health citations since April 18, 2024. CMS also calls these deficiencies.
Has Alternative Healthcare Solutions LLC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Alternative Healthcare Solutions LLC?
Its CMS overall star rating is 4 of 5.
Is Alternative Healthcare Solutions LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.