CCN 405000 · San Juan County, Puerto Rico
Alternative Healthcare Solutions LLC
Septimo Piso Doctors Center Hospital, San Juan, PR 00910
Alternative Healthcare Solutions LLC is a 22-bed for-profit nursing home in San Juan, Puerto Rico, first certified for Medicare or Medicaid in 2022. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 22.3 residents a day, about 101% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 22
- Average residents per day
- 22.3 (101.4% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare
- Legal business name
- Legal Business Name Not Available
- Certified since
- Apr 4, 2022
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Puerto Rico median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 2 at 1, 1 at 2, 3 at 3, 1 at 4, 2 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | not rated | ||
| Staffing | 5 of 5 | ||
| Total nurse hours per resident per day | 4.54 | 3.84 | 3.68 |
| RN hours per resident per day | 3.95 | 3.45 | 0.58 |
| Weekend nurse hours per resident per day | 3.41 | ||
| Nursing staff turnover | 31.8% | 31.8% | 44.9% |
| Occupancy (residents / beds) | 101.4% | 75.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 11 (May 21, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Alternative Healthcare Solutions LLC meets that part today: 4 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
CMS lists no 5% owners or managing organizations for this facility in its current ownership file.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.