Millennium Institute for Advance Nursing Care INC
Calle Cosme Reparto San Lucas, Rio Piedras, PR 00926 · San Juan County · 35 certified beds · avg 21 residents/day · certified since Feb 12, 2015
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 11, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 16, 2024 | F · Potential for harm, facility-wide | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 16, 2024 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 16, 2024 | C · Minimal risk, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 10 | 0 | F |
| 2025 | 8 | 0 | F |
| 2026 | 1 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Puerto Rico avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.61 | 4.07 | 3.95 | top 50% in Puerto Rico; top 20% in the U.S. |
| Registered Nurse hours | 3.82 | 3.22 | 0.69 | top 38% in Puerto Rico; top 1% in the U.S. |
| Weekend total nurse staffing | 3.90 | 3.24 | 3.50 | top 25% in Puerto Rico; top 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 3.25 | 2.29 | 0.48 | top 13% in Puerto Rico; top 1% in the U.S. |
| Total nursing staff turnover (%) | 45.8 | 35.7 | 45.8 | bottom 40% in Puerto Rico; bottom 48% in the U.S. |
| RN turnover (%) | 42.1 | 35.8 | 42.9 | bottom 40% in Puerto Rico; bottom 49% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.41, RN 3.66, weekend 3.73. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Millennium Institute for Advance Nursing Care INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2001 |
| Rodriguez, Juan | Individual | 5% or Greater Direct Ownership Interest | 100% | 12/20/2000 |
| Millennium Institute for Advance Nursing Care INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2001 |
| Millennium Institute for Advance Nursing Care INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2001 |
| Ramirez-Pagan, Cindy | Individual | Corporate Director | NOT APPLICABLE | 10/01/2022 |
| Ramirez-Pagan, Cindy | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2002 |
| Rodriguez, Ana | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Rodriguez, Ana | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2019 |
| Rodriguez, Juan | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2001 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Centro de Cuidado Prolongado San Lucas | 1.3 mi | Rio Piedras, PR | ★☆☆☆☆ | 1/5 | |
| Multy Medical Skilled Nursing Facility | 2.5 mi | Rio Piedras, PR | ★☆☆☆☆ | 1/5 | |
| Alternative Healthcare Solutions LLC | 4.8 mi | San Juan, PR | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 405030.