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Best Nursing Homes in Puerto Rico, Graded A–F
All 7 graded Medicare-certified nursing homes in Puerto Rico, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Puerto Rico peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Puerto Rico
A0
B2
C1
D3
F1
7 facilitiesgraded in Puerto Rico · 0 earned an A
Highest in Puerto Rico 1
Damas Hospital Snf - Ponce, PR · 25 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.9 nurse hours per resident-day — top quarter in Puerto Rico
- No health deficiencies at the last standard survey — top 10%
- $10,839 in fines in 3 years
BScore 73 · GoodSee Full Grade
7878408686
Ponce, Ponce County
2
Millennium Institute For Advance Nursing Care Inc - Rio Piedras, PR · 35 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.4 nurse hours per resident-day — above median in Puerto Rico
- 1 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
- No fines or payment denials in 3 years
BScore 65 · GoodSee Full Grade
7877080138
Rio Piedras, San Juan County
3
Servicios Integrados De Rehabilitacion (Siro) Inc - Hormigueros, PR · 20 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — below median in Puerto Rico
- 6 health deficiencies at the last standard survey (CMS severity score 32) — above median
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
7878492179
Hormigueros, Hormigueros County
4
Alternative Healthcare Solutions Llc - San Juan, PR · 22 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 4.5 nurse hours per resident-day — above median in Puerto Rico
- 11 health deficiencies at the last standard survey (CMS severity score 132) — bottom quarter
- No fines or payment denials in 3 years
DScore 46 · Below averageSee Full Grade
7879992959
San Juan, San Juan County
5
Hospital De La Concepcion Inc - San German, PR · 30 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Puerto Rico
- 5 health deficiencies at the last standard survey (CMS severity score 52) — above median
- No fines or payment denials in 3 years
DScore 44 · Below averageSee Full Grade
7878921860
San German, San German County
6
Centro Medico Wilma N Vazquez Snf - Vega Baja, PR · 45 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 5.0 nurse hours per resident-day — top 10% in Puerto Rico
- 9 health deficiencies at the last standard survey (CMS severity score 279) — bottom quarter
- $29,997 in fines in 3 years
DScore 41 · Below averageSee Full Grade
7878581580
Vega Baja, Vega Baja County
7
Multy Medical Skilled Nursing Facility - Rio Piedras, PR · 35 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 1.9 nurse hours per resident-day — bottom quarter in Puerto Rico
- 8 health deficiencies at the last standard survey (CMS severity score 100) — below median
- No fines or payment denials in 3 years
FScore 28 · PoorSee Full Grade
7877540194
Rio Piedras, San Juan County
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Puerto Rico facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.