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Nursing homes in Puerto Rico
9 certified nursing homes with 299 beds. 2 rated 5 stars overall and 2 rated 1 star by CMS. 2 were fined in the last three years, $40,836 in all.
CMS Care Compare data as of September 1, 2026
Puerto Rico against the national average
| Measure | Puerto Rico | United States |
|---|---|---|
| Average overall stars | 3.0 | 3.0 |
| Health deficiencies at the last standard inspection | 7.3 | 9.2 |
| Nursing staff hours per resident per day | 3.80 | 3.86 |
| Registered nurse hours per resident per day | 3.01 | 0.69 |
| Weekend nursing staff hours per resident per day | 3.03 | 3.42 |
| Nursing staff turnover (%) | 35.7 | 45.8 |
| Fines per home (last 3 years) | 0.2 | 0.9 |
5 of Puerto Rico's 9 homes are for profit, and 0 belong to a group CMS tracks as a chain. 0 carry the CMS abuse icon.
Nurse staffing in Puerto Rico, quarter by quarter
Hours worked by nurses and nurse aides per resident per day, from the daily payroll records every Puerto Rico home sends CMS, added up across the state. In January to March 2026, weekend staffing ran 26% below weekdays (nationally 15%), and contract or agency staff worked 5.2% of nursing hours (nationally 5.3%).
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract share | US, all staff |
|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 2.82 | 3.76 | 2.77 | 5.2% | 3.75 |
| Oct to Dec 2025 | 3.54 | 2.76 | 3.78 | 2.92 | 4.7% | 3.76 |
| Jul to Sep 2025 | 2.89 | 2.34 | 3.09 | 2.40 | 2.9% | 3.77 |
| Apr to Jun 2025 | 3.11 | 2.39 | 3.32 | 2.58 | 2.8% | 3.78 |
These are hours across all of the state's residents, so they differ a little from the averages of homes CMS publishes in the table above. Source: CMS Payroll Based Journal Daily Nurse Staffing. Every state compared: the weekend staffing gap.
Official Puerto Rico contacts and records
- State survey agency: Departamento de Salud de Puerto Rico, Secretaria Auxiliar para la Regulacion de la Salud Publica (Division de Medicare). It inspects nursing homes for CMS (the inspections on this site are its findings) and takes complaints about care.
- Long-term care ombudsman: Programa Estatal del Procurador de Cuidado de Larga Duracion (Ombudsman CLD), Oficina del Procurador de las Personas de Edad Avanzada, (787) 721-6121. A free, confidential advocate for residents and their families, required in every state by the federal Older Americans Act.
Links taken from each office's own site and checked on October 8, 2026.
Every nursing home in Puerto Rico, by county
Hormigueros County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Servicios Integrados De Rehabilitacion (siro) Inc | Hormigueros | 3 | 21 |
Humacao County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Ryder Memorial Hospital Inc | Humacao | 3 | 41 |
Ponce County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Damas Hospital SNF | Ponce | 5 | 30 | $10,839 |
San German County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Hospital De La Concepcion Inc | San German | 2 | 51 |
San Juan County (4)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Centro De Cuidado Prolongado San Lucas | Rio Piedras | 1 | 86 | |
| Millennium Institute for Advance Nursing Care Inc | Rio Piedras | 5 | 19 | |
| Multy Medical Skilled Nursing Facility | Rio Piedras | 1 | 77 | |
| Alternative Healthcare Solutions LLC | San Juan | 4 | 28 |
Vega Baja County (1)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Centro Medico Wilma N Vazquez SNF | Vega Baja | 3 | 35 | $29,997 |