Servicios Integrados de Rehabilitacion (siro) INC
Calle 4-L-10 Urb Colinas Del Oeste, Hormigueros, PR 00660 · Hormigueros County · 20 certified beds · avg 21 residents/day · certified since Jul 13, 2006
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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 (21)
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 | E · Potential for harm, repeated | The 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. |
| Mar 11, 2026 | E · Potential for harm, repeated | The 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. |
| Mar 11, 2026 | E · Potential for harm, repeated | The 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 11, 2026 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Mar 11, 2026 | C · Minimal risk, facility-wide | The 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. |
| Mar 11, 2026 | C · Minimal risk, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Apr 29, 2025 | F · Potential for harm, facility-wide | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 29, 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. |
| Apr 29, 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. |
| Apr 29, 2025 | F · Potential for harm, facility-wide | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Apr 29, 2025 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Apr 29, 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. |
| Apr 29, 2025 | E · Potential for harm, repeated | The 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. |
| Apr 29, 2025 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 29, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Apr 23, 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 23, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Apr 23, 2024 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Apr 23, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 23, 2024 | C · Minimal risk, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 23, 2024 | C · Minimal risk, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | F |
| 2025 | 9 | 0 | F |
| 2026 | 6 | 0 | E |
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) | 3.50 | 4.07 | 3.95 | bottom 25% in Puerto Rico; bottom 36% in the U.S. |
| Registered Nurse hours | 1.64 | 3.22 | 0.69 | bottom 1% in Puerto Rico; top 3% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.24 | 3.50 | bottom 38% in Puerto Rico; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.22 | 2.29 | 0.48 | bottom 13% in Puerto Rico; top 3% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 35.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 35.8 | 42.9 | — |
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 3.28, RN 1.54, weekend 2.95. Staffing rating: 1/5.
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 |
|---|---|---|---|---|
| Arroyo, Jose | Individual | 5% or Greater Direct Ownership Interest | 7% | 10/23/1996 |
| Martinez, Daisy | Individual | 5% or Greater Direct Ownership Interest | 61% | 10/23/1996 |
| Martinez, Jose | Individual | 5% or Greater Direct Ownership Interest | 20% | 10/23/1996 |
| Martinez, Rigoberto | Individual | 5% or Greater Direct Ownership Interest | 7% | 03/10/2025 |
| Diaz, Carolina | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Diaz, Carolina | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Martinez, Daisy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2001 |
| Martinez, Daisy | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2001 |
| Marty, Paola | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/14/2023 |
| Marty, Paola | Individual | ADP of the SNF | NOT APPLICABLE | 02/14/2023 |
| Mas Rodriguez, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2017 |
| Mas Rodriguez, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 01/07/2017 |
| Mendoza Irizarry, Rafael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2017 |
| Mendoza Irizarry, Rafael | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2003 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Hospital de la Concepcion INC | 7.5 mi | San German, PR | ★★☆☆☆ | 2/5 |
Compare this facility with the 1 closest →
All facilities in Hormigueros →
Facility data as of CMS processing date 2026-08-01. CCN 405029.