Puerto Rico ›Rio Piedras

Multy Medical Skilled Nursing Facility

Americo Miranda Ave Entrada Principal Centro, Rio Piedras, PR 00935 · San Juan County · 35 certified beds · avg 47 residents/day · certified since Nov 20, 2024

1/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
2.10
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 (77)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Mar 26, 2026F · Potential for harm, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 26, 2026F · Potential for harm, facility-wideThe facility did not have firmly secured handrails on both sides of its hallways.
Mar 26, 2026D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 26, 2026C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to receive the visitors they choose, at the times they choose.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not follow the rules about resident work. Residents must never be forced to work for the nursing home, but those who want to work must be allowed to.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not honor residents' right to manage their own money and financial affairs.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not let a resident or their legal representative see or buy copies of the resident's own records.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give residents information about how to apply for and use Medicare and Medicaid benefits.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 25, 2024F · Potential for harm, facility-wideThe facility prohibited or discouraged residents from communicating with federal, state, or local officials.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not protect residents from being involuntarily separated — kept apart from other residents, kept out of their own room, or confined to their room. Isolating a resident this way is a form of mistreatment.
Sep 25, 2024F · Potential for harm, facility-wideThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Sep 25, 2024F · Potential for harm, facility-wideThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Sep 25, 2024F · Potential for harm, facility-wideThe facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules.
Sep 25, 2024F · Potential for harm, facility-wideThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed.
Sep 25, 2024F · Potential for harm, facility-wideThe 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.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not dispose of garbage and refuse properly.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility.
Sep 25, 2024F · Potential for harm, facility-wideThe 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.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 25, 2024F · Potential for harm, facility-wideThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Sep 25, 2024E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Sep 25, 2024D · Potential for harm, one-offThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 25, 2024D · Potential for harm, one-offThe 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.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 25, 2024C · Minimal risk, facility-wideThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not have enough support staff to safely and effectively run its food and nutrition service.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Sep 25, 2024C · Minimal risk, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not have a compliance and ethics program — an internal system designed to prevent and catch violations of the law and ethical standards.
Sep 25, 2024C · Minimal risk, facility-wideThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (69 → 8).

YearCitationsSerious (G–L)Worst severity that year
2024690F
202680F

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)

MeasureThis facilityPuerto Rico avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.104.073.95bottom 1% in Puerto Rico; bottom 1% in the U.S.
Registered Nurse hours2.103.220.69bottom 13% in Puerto Rico; top 2% in the U.S.
Weekend total nurse staffing1.693.243.50bottom 1% in Puerto Rico; bottom 1% in the U.S.
Weekend RN hours (not acuity-adjusted)1.532.290.48bottom 25% in Puerto Rico; top 2% in the U.S.
Total nursing staff turnover (%)0.035.745.8—
RN turnover (%)0.035.842.9—

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 1.89, RN 1.89, weekend 1.53. Staffing rating: 2/5.

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 / managerTypeRoleStakeSince
Conde Sterling, TaniaIndividual5% or Greater Direct Ownership Interest100%09/01/2016
Conde Sterling, TaniaIndividualCorporate OfficerNOT APPLICABLE09/01/2016
Conde Sterling, TaniaIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2016
Conde Sterling, TaniaIndividualADP of the SNFNOT APPLICABLE09/01/2016
Sepulveda-Irizarry, FernandoIndividualCorporate DirectorNOT APPLICABLE10/28/2018
Sepulveda-Irizarry, FernandoIndividualADP of the SNFNOT APPLICABLE10/28/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Centro de Cuidado Prolongado San Lucas1.2 miRio Piedras, PR★☆☆☆☆1/5
Alternative Healthcare Solutions LLC2.3 miSan Juan, PR★★★★☆3/5
Millennium Institute for Advance Nursing Care INC2.5 miRio Piedras, PR★★★★★5/5

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Facility data as of CMS processing date 2026-08-01. CCN 405034.