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Nursing homes in Puerto Rico
Puerto Rico has 9 Medicare-certified nursing homes.0 currently carry the federal abuse flag. Average total nurse staffing is 3.80 hours per resident per day (national average 3.86, both as reported).
Health inspection ratings across Puerto Rico
This chart counts facilities by their health inspection rating — the on-site survey result, and the one component CMS grades on a curve within each state, so it compares facilities with their in-state peers. The overall CMS rating shown in the table below also folds in staffing and self-reported quality measures — how ratings really work.
Cities
Rio Piedras (3) · Hormigueros (1) · Humacao (1) · Ponce (1) · San German (1) · San Juan (1) · Vega Baja (1)
All facilities
How to read this table: "Overall" is the CMS star rating; "Inspection" is the on-site health inspection rating — the most independent signal. Click a column header to sort.
| Facility | City | Overall | Inspection | Flags | Fines (3y) |
|---|---|---|---|---|---|
| Servicios Integrados de Rehabilitacion (siro) INC | Hormigueros | ★★★☆☆ | 4/5 | no Medicaid | — |
| Ryder Memorial Hospital INC | Humacao | ★★★☆☆ | 3/5 | no Medicaid | — |
| Damas Hospital SNF | Ponce | ★★★★★ | 5/5 | no Medicaid | $10,839 |
| Centro de Cuidado Prolongado San Lucas | Rio Piedras | ★☆☆☆☆ | 1/5 | no Medicaid | — |
| Millennium Institute for Advance Nursing Care INC | Rio Piedras | ★★★★★ | 5/5 | no Medicaid | — |
| Multy Medical Skilled Nursing Facility | Rio Piedras | ★☆☆☆☆ | 1/5 | no Medicaid | — |
| Hospital de la Concepcion INC | San German | ★★☆☆☆ | 2/5 | no Medicaid | — |
| Alternative Healthcare Solutions LLC | San Juan | ★★★★☆ | 3/5 | no Medicaid | — |
| Centro Medico Wilma N Vazquez SNF | Vega Baja | ★★★☆☆ | 2/5 | no Medicaid | $29,997 |
Help and oversight in Puerto Rico
- Inspections & complaints: nursing homes in Puerto Rico are surveyed by the Departamento de Salud de Puerto Rico, Secretaría Auxiliar para la Reglamentación y Acreditación de Facilidades de Salud (SARAFS), which also takes complaints about care.
- Resident advocacy: the Long-Term Care Ombudsman program provides a free, independent advocate for residents in every state.
- Paying for care: in Puerto Rico, Medicaid is called Programa Medicaid de Puerto Rico (Plan Vital) and covers long-term nursing home care for those who qualify — see the official Programa Medicaid de Puerto Rico (Plan Vital) site and our guide to who pays for nursing home care.
- Before you tour: our visit checklist and guide to reading inspection reports.
State agency and Medicaid links compiled from official state government sites, verified 2026-08-28. If one has moved, please tell us.