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Servicios Integrados de Rehabilitacion (siro) INC
Calle 4-L-10 Urb Colinas Del Oeste, Hormigueros, PR 00660 (opens Google Maps) · Hormigueros County · (787) 849-2179· 20 certified beds · avg 21 residents/day · certified since Jul 13, 2006 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Mar 11, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.50
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
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. F-0756
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. F-0757
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. F-0761
View all 21 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 11, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0756 |
| Mar 11, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0757 |
| Mar 11, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Mar 11, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Mar 11, 2026 | C · Potential for minimal harm, widespread | 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. · F-0577 |
| Mar 11, 2026 | C · Potential for minimal harm, widespread | 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. · F-0725 |
| Apr 29, 2025 | F · Potential for more than minimal harm, widespread | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 29, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 29, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Apr 29, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0881 |
| Apr 29, 2025 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Apr 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 29, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0757 |
| Apr 29, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| Apr 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Apr 23, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 23, 2024 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Apr 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0640 |
| Apr 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 23, 2024 | C · Potential for minimal harm, widespread | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 23, 2024 | C · Potential for minimal harm, widespread | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 6).
All citationsSerious citations (G–L)
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 9
Serious citations (G–L): 0
2026
All citations: 6
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityPuerto Rico averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.50
Puerto Rico average: 4.07
U.S. average: 3.95
Registered Nurse hours
This facility: 1.64
Puerto Rico average: 3.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.15
Puerto Rico average: 3.24
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 (%) | — | 35.7 | 45.8 | — |
| RN turnover (%) | — | 35.8 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.28 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Servicios Integrados de Rehabilitacion (siro) INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Puerto Rico midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hospital de la Concepcion INC | 7.5 mi | San German, PR | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 405029.