State data · CMS September 2026
Nursing homes in Puerto Rico
Puerto Rico has 9 nursing homes certified for Medicare or Medicaid, with 299 certified beds and a median occupancy of 75.2% (US median 85.7%). 56% are for-profit, 44% nonprofit and 0% government-owned, and 0% belong to a chain or affiliated group. HUD has endorsed 0 FHA-insured Section 232 nursing home loans in Puerto Rico since fiscal 2001, totaling $0 billion in original principal, 0 of them since fiscal 2021.
- Facilities
- 9
- Certified beds
- 299
- Median occupancy
- 75.2%
- Median nurse hours / resident day
- 3.84
- HUD 232 loans since FY2001
- 0
Star ratings
CMS overall ratings for the 9 rated Puerto Rico facilities. None is on the CMS Special Focus Facility list or its candidate list.
Ownership
| Measure | Puerto Rico | Share |
|---|---|---|
| For-profit | 5 | 56% |
| Nonprofit | 4 | 44% |
| Government | 0 | 0% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 0 | 0% |
Facilities with HUD Section 232 history
None of Puerto Rico's current facilities matched a loan in HUD's healthcare endorsement database.
Largest by certified beds
- Ryder Memorial Hospital Inc, Humacao: 62 beds
- Centro Medico Wilma N Vazquez SNF, Vega Baja: 45 beds
- Millennium Institute for Advance Nursing Care Inc, Rio Piedras: 35 beds
- Multy Medical Skilled Nursing Facility, Rio Piedras: 35 beds
- Hospital de la Concepcion Inc, San German: 30 beds
- Damas Hospital SNF, Ponce: 25 beds
- Centro de Cuidado Prolongado San Lucas, Rio Piedras: 25 beds
- Alternative Healthcare Solutions LLC, San Juan: 22 beds
- Servicios Integrados de Rehabilitacion (Siro) Inc, Hormigueros: 20 beds
Every Puerto Rico facility
The full list is sorted by city, on one page.
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.
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