Alternative Healthcare Solutions LLC: Staffing, Turnover, and Inspection Record
Alternative Healthcare Solutions LLC is a 22-bed for-profit nursing home in San Juan, Puerto Rico. In the CMS August 2026 release it reported 0.00 nurse aide hours per resident per day, and 31.8% nursing staff turnover (Puerto Rico average 35.7%).
Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center HospitalSan Juan, PR 00910
San Juan County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Alternative Healthcare Solutions LLC, nurse aides logged 0.00 hours per resident per day. With about 22 residents a day, that works out to roughly 0 aide hours a day, or about 0 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 25% below the all-days figure.
| Hours per resident per day | This home | Puerto Rico avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 0.00 | 0.00 | 2.32 |
| Licensed practical nurses | 0.59 | 0.79 | 0.86 |
| Registered nurses | 3.95 | 3.01 | 0.69 |
| All nursing staff | 4.54 | 3.80 | 3.86 |
| All nursing staff, weekends | 3.41 | 3.03 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
31.8% of nursing staff at Alternative Healthcare Solutions LLC left over the year CMS measured, against a Puerto Rico average of 35.7% and a US average of 45.8%. Registered nurse turnover was 29.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 21, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Puerto Rico average 7.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Alternative Healthcare Solutions LLC holds 4 of 5 overall; the Puerto Rico average is 3.0.
About Alternative Healthcare Solutions LLC
- Ownership: For profit - Limited Liability company
- Legal name: Legal Business Name Not Available
- Medicare and Medicaid certified since: Apr 4, 2022
- Area: urban
Nursing homes near Alternative Healthcare Solutions LLC
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Multy Medical Skilled Nursing Facility Rio Piedras | 2.3 | 35 | 0.00 | 1.89 | — | 1 | None |
| Centro de Cuidado Prolongado San Lucas Rio Piedras · no staffing data submitted | 3.5 | 25 | — | — | — | 1 | None |
| Millennium Institute for Advance Nursing Care Inc Rio Piedras | 4.8 | 35 | 0.00 | 4.41 | 45.8% | 5 | None |
| Centro Medico Wilma N Vazquez SNF Vega Baja | 21.4 | 45 | 0.00 | 5.04 | 26.9% | 3 | $29,997 |
| Ryder Memorial Hospital Inc Humacao | 25.8 | 62 | 0.00 | 3.07 | 69.2% | 3 | None |
| Damas Hospital SNF Ponce | 46.3 | 25 | 0.00 | 4.92 | 4.8% | 5 | $10,839 |
| Hospital de la Concepcion Inc San German | 68.6 | 30 | 0.00 | 3.24 | — | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.