Home / Puerto Rico / San German
Carr 2 Km 173 4 Bo Cain Alto, San German, PR 00683 · San German County · (787) 892-1860
30 certified beds, about 46 residents a day · Non profit - Corporation · Medicare since 2024
CMS Care Compare ratings, data as of September 1, 2026 · CCN 405032 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 5 health deficiencies (the Puerto Rico average is 7.3, the national average 9.2).
None of its 51 health citations since September 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.24 hours per resident per day, against 3.80 across Puerto Rico and 3.86 nationally. Registered nurses accounted for 3.24 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 51 health citations on file.
Inspectors wroteBased on review of the responsibilities assigned to the Charge Nurse position and staff interview , on 03/04/2026 at 1:22 PM, it was determined that the facility failed to ensure that the Charge Nurse performed all the responsibilities assigned during each shift.
Inspectors wroteBased on staff interview and review of staff competency practice, it was determined that the facility failed to ensure that the per diem nursing staff assigned to the skilled nursing facility completed annual competency evaluation.
Inspectors wroteBase on the review of the of Skilled Nursing Facility (SNF) Beneficiary Notification of three (3) resident discharge, it was determined that the facility failed to ensure to inform each Medicare-eligible resident, in writing, at the time of admission and 48 hour previous to be discharge the Important Medicare Message in 3 out of 3 supplemental sample Resident (R) # 63, #64, and #65.
Inspectors wroteBased on residents interview and environmental observation on 03/04/2026, it was determined that the facility failed to ensure a comfortable room temperature for residents 3 out of 29 residents (Residents #24, #36 and #39).
Inspectors wroteBased on medical records reviewed (RR) and staff interviews, it was determined that the facility failed to ensure that a resident's weight was monitored and documented after admission to assess the residents. This deficient practice was identified for 1 out of 29 RR (RR# 42).
Inspectors wroteBased on review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with resident right and Exercise of right.
Inspectors wroteBased on review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with resident right to designate a representative in accordance with State law and any legal surrogate so designated may exercise the resident's rights to the extent provided by state law.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to be informed of and participate in his or her treatment.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to be informed of and participate in his or her treatment.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to self-administer medications if the interdisciplinary team has determined that this practice is clinically appropriate.
Inspectors wroteBased on the review of policy and procedure with the insititutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to choose his/her attending physician.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to be treated with respect and dignity.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to share a room with his or her spouse, share a room with his or her roommate of choice when practicable and receive written notice, including the reason for the change, before the resident's room or roommate in the facility is changed.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to refuse to transfer to another room in the facility
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to Self-determination to make choices.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to have provide immediate access to any representative of the State, to resident's individual physician, to any representative of the protection and advocacy systems.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to receive visitors of his or her choosing at the time of his or her choosing, subject to the resident's right to deny visitation when applicable.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident has the right to inform visitation rights and equal visitation privileges.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that the facility failed to establish the structure to comply with the resident has the right to organize and participate in resident groups in the facility.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to choose or refuse to perform services for the facility.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that the facility failed to establish the structure to comply with the resident right to manage his or her financial affairs.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Accounting and Records of personal funds.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to notice of certain balances.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Assurance of financial security.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to not impose a charge against the personal funds of a resident for any item or service for which payment is made under Medicare.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to be informed of his or her rights and of all rules and regulations governing resident conduct and responsibilities during his or her stay.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to access personal and medical records pertaining to him or herself.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident's right to receive notices orally and in writing in a format and a language he or she understands.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to post, in a form and manner accessible and understandable to residents, a list of names, addresses (mailing and email), and telephone numbers of all pertinent State agencies and advocacy groups.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that the facility failed to establish the structure to comply with the resident right to have reasonable access to the use of a telephone, including TTY and TDD services, and a place in the facility where calls can be made without being overheard.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors and any plan of correction in effect with respect to the facility.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to display in the facility written information, and provide to residents and applicants for admission, oral and written information about how to apply for and use Medicare and Medicaid benefits, and how to receive refunds for previous payments covered by such benefits.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Notification of Changes.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Privacy and Confidentiality.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Grievances.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to Contact with External Entities.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident right to be free from physical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms.
Inspectors wroteBased on the review of policy and procedure with the institutional program director (employee #1), it was determined that facility failed to establish the structure to comply with the resident's right to be free from chemical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms.
Inspectors wroteBased on records reviewed (RR) and interview with register nurse (employee #7) and medical record personnel (employee # 6) performed on 09/11/2024 through 09/12/2024 from, 8:30 AM through 3:00 PM, it was determined that the facility failed to provide a written copy of the Baseline Care Plan developed that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care within 48 hours of a resident's admission to the facility. This deficient practice was identified in 8 out of 8 cases receiving services at the facility (RR #51, #52, #57, R#104, R#201, #202, #203, and #204).
Inspectors wroteBased on interviews with the institutional program director (employee #1), and review of facility policies and procedures, it was determined that facility failed to determine if they were going to have a relationship with any dental services in obtaining routine and 24-hour emergency dental care (by contract) in order to provide those services at the facility.
Inspectors wroteBased on infection control observation during the Drug pass performed on 09/12/2024 from 8:33 AM through 9:45 AM, it was determined that the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.
Inspectors wroteBased on the initial recertification survey, and interview with the facility institutional program director (employee #1) and director of nursing (employee #8), it was determined that facility failed to offer behavioral health training to their personnel that provide services at the facility.
Inspectors wroteBased on records reviewed (RR) performed on 09/11/2024 through 09/12/2024 from 8:30 AM through 3:00 PM and interview with register nurse (employee #7) and medical record personnel (employee # 6), it was determined that the facility failed to perform a complete and accurate comprehensive assessment of each resident admitted to the facility. This deficient practice was identified in 2 out of 8 cases receiving services at the facility (RR #51 and #57).
Inspectors wroteBased records reviewed (RR)and interviews performed on 09/11/2024 through 09/12/2024 from, 8:30 AM through 3:00 PM with register nurse (employee #7) and medical record personnel (employee # 6), it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident based on the information collected in the comprehensive assessment when admitted to the facility. This deficient practice was identified in 3 out of 8 cases receiving services at the facility. (RR #51, #57 and RR#104).
Inspectors wroteBased on initial certification survey, interview with Resident and Dietitian (employee # 12) conducted from 09/11/2024 to 09/12/2024 from 9:00 AM to 1:00 PM, it was determined that the facility failed to ensure the tastes and preferences related with food to residents 1 out of 17 (Resident# 170).
Inspectors wroteBased on an initial certification survey, interview with Resident and Nursing Supervisor (employee #9) conducted from 09/11/2024 to 09/12/2024 from 9:00 AM to 1:00 PM, it was determined that the facility failed to ensure the temperature of the food served to residents for 1 out of 17 (Resident# 204).
Inspectors wroteBased on the initial certification survey, interview with de nursing supervisor (employee #9) on 09/11/2024 through 09/12/2024 at 8:30 AM to 4:00 AM, it was determined that the facility failed to comply with nursing assignments and post nursing staff who are directly responsible for the care.
Inspectors wroteBased on initial certification survey, interview and observation with Resident and Nursing Supervisor (employee #9) conducted from 09/11/2024 to 09/12/2024 from 9:00 AM to 1:00 PM, it was determined that the facility failed to each residents receives food that accommodate residents' allergies, intolerances, and preference 1 out of 17 (Resident #204).
Inspectors wroteBased on interview with the director of nursing (employee #8) and review of Payroll Based Journal reporting system policies and procedures, it was determined that facility failed to evidence the development of a complete structure who include information on how facility is going to support PBJ electronic data transmissions and submissions as required by Center for Medicare and Medicaid (CMS).
7 fire safety citations on file: 3 on March 5, 2026, 4 on September 12, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Puerto Rico | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.24 | 3.80 | 3.86 |
| Registered nurses | 3.24 | 3.01 | 0.69 |
| All nursing staff on weekends | 2.66 | 3.03 | 3.42 |
| Nurse aides | 0.00 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 35.7% | 45.8% |
| Registered nurse turnover | not reported | 35.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.48 on weekdays and 2.66 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.45 in April to June 2025 to 3.24 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.24 | 3.24 | 3.48 | 2.66 | 9.7% | 0 of 90 | 46 |
| Oct to Dec 2025 | 2.80 | 2.80 | 2.94 | 2.44 | 8.5% | 0 of 92 | 52 |
| Jul to Sep 2025 | 1.62 | 1.62 | 1.73 | 1.35 | 5.5% | 0 of 92 | 81 |
| Apr to Jun 2025 | 2.45 | 2.45 | 2.62 | 2.03 | 4.4% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Puerto Rico, Jan to Mar 2026 | 3.47 | 2.82 | 3.76 | 2.77 | 5.2% | 1.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Puerto Rico, all employers | |||
| CNAs (nursing assistants) | $10.99 | $10.50 to $17.94 | 430 |
| LPNs and LVNs | $14.79 | $11.97 to $22.51 | 2,990 |
| Registered nurses | $19.17 | $18.35 to $23.72 | 21,270 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Puerto Rico | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 1.6 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Hospital De La Concepcion Inc's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 51.5% · Puerto Rico: 3 better, 0 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 10.7% · Puerto Rico: 0 better, 0 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024.
Not reported
CMS note: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
US median of homes 7.1% · Puerto Rico: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024.
73.3% this home
Median of homes: Puerto Rico73.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 30 residents counted.
13.3% this home
Median of homes: Puerto Rico0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 30 residents counted.
0.0% this home
Median of homes: Puerto Rico1.9% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 30 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Puerto Rico95.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HOSPITAL DE LA CONCEPCION INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hospital De La Concepcion Inc | 5% or greater direct ownership interest | Organization | 100% | 12/05/2023 |
| Calderon, Lizmari | W-2 managing employee | Individual | 12/05/2023 | |
| Cardona Rodriguez, Vanessa | W-2 managing employee | Individual | 12/05/2023 | |
| Ferrer, Marie | W-2 managing employee | Individual | 12/05/2023 | |
| Calderon, Lizmari | Corporate director | Individual | 12/05/2023 | |
| Ferrer, Marie | Corporate director | Individual | 12/05/2023 | |
| Quinones Bodega, Carlos | Corporate director | Individual | 12/05/2023 | |
| Cardona Rodriguez, Vanessa | Corporate officer | Individual | 12/05/2023 | |
| Hospital De La Concepcion Inc | Operational/managerial control | Organization | 01/17/2025 | |
| Calderon, Lizmari | Operational/managerial control | Individual | 12/05/2023 | |
| Cardona Rodriguez, Vanessa | Operational/managerial control | Individual | 12/05/2023 | |
| Ferrer, Marie | Operational/managerial control | Individual | 01/17/2025 | |
| Quinones Bodega, Carlos | Operational/managerial control | Individual | 01/17/2025 | |
| Hospital De La Concepcion Inc | Adp of the SNF | Organization | 01/17/2025 | |
| Calderon, Lizmari | Adp of the SNF | Individual | 01/17/2025 | |
| Cardona Rodriguez, Vanessa | Adp of the SNF | Individual | 01/17/2025 | |
| Ferrer, Marie | Adp of the SNF | Individual | 01/17/2025 | |
| Quinones Bodega, Carlos | Adp of the SNF | Individual | 01/17/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Puerto Rico. NursingHomeClear cannot take or act on complaints.