Best nursing homes in Puerto Rico
These are all 9 CMS-certified nursing homes in Puerto Rico, ranked best-first by the home’s CMS overall star rating, with the independent health-inspection rating as the tie-break. No Puerto Rico city has enough certified homes to be worth its own page, so we rank the whole state here — which is the comparison CMS itself makes, since it assigns the inspection star by ranking each home against others in its own state. Nothing here is sponsored: no home pays to appear or to rank higher.
Check the certification chip before anything else. Most homes here are certified for both Medicare and Medicaid, but CMS certifies some for only one — and a 5-star home that doesn’t take your programme is not an option, however it ranks. Certification is not a quality measure and we don’t rank on it; we label it, because it decides whether the rest of the row matters to you.
How to read this: a high overall star can be lifted by self-reported quality-measure and payroll-staffing scores, so we surface the inspection rating and any serious citations, fines, abuse flags or ownership changes right on the row. A lower-ranked home with a clean inspection record can be the better fit than a higher-ranked one carrying red flags — open each profile.
- 1Medicare only — no Medicaid1 serious citation$10,839 in federal fines2213 Ponce By Pass, Ponce, PR
- 2Medicare only — no MedicaidNo major red flags on recordCalle Cosme Reparto San Lucas, Rio Piedras, PR
- 3Medicare only — no MedicaidSelf-reported scores 2★ above inspectionSeptimo Piso Doctors Center Hospital, San Juan, PR
- 4Medicare only — no MedicaidNo major red flags on recordCalle 4-L-10 Urb Colinas Del Oeste, Hormigueros, PR
- 5Medicare only — no MedicaidNo major red flags on record355 Ave Font Martelo, Humacao, PR
- 6Medicare only — no Medicaid1 immediate-jeopardy citation$29,997 in federal finesSelf-reported scores 3★ above inspectionRoad 2 Km 39. 5 Bo Algarrobo, Vega Baja, PR
- 7Medicare only — no MedicaidNo major red flags on recordCarr 2 Km 173 4 Bo Cain Alto, San German, PR
- 8Medicare only — no Medicaid4 immediate-jeopardy citationsCarr 844 Km 0 5 Cupey, Rio Piedras, PR
- 9Medicare only — no MedicaidNo major red flags on recordAmerico Miranda Ave Entrada Principal Centro, Rio Piedras, PR
How we rank
We order this list strictly by each home’s CMS overall star rating — the government’s own rating, not a score of our own. When two homes carry the same overall rating we break the tie by the health-inspection rating — the domain scored by independent state surveyors rather than self-reported — and then alphabetically. Homes with no rating on file sink to the bottom.
We should be straight with you about a tension here. The CMS overall star is a blend of three domains, and elsewhere on this site we argue that blend can be misleading: the staffing and quality-measure components lean on data facilities report about themselves, and they can lift a home’s overall star above what inspectors actually found. We still sort by it, for one reason — it is the only ranking of nursing homes the government publishes, and the alternative is us deciding which domain ought to count, which is our opinion dressed up as an official rating. We won’t do that. (It is the same reason we refuse to rank assisted living at all.) So instead of quietly re-sorting to our taste, we un-blend the star on every row: the inspection rating sits next to the overall one, and serious citations, fines and abuse flags are on the row too. Where the two disagree, trust the inspection record and the citations — and treat our sort order as the government’s claim, not ours. See our methodology.
No home pays to appear here or to rank higher. There is no sponsored placement, no paid listing, and no referral fee. The page carries ordinary Google display advertising, sold against the page by Google: it cannot move a home up or down this list, and no advertiser sees who you are. The ratings, citations and fines are assigned by government inspectors (CMS), not by Eldercare Lens.
Keep looking: read the Puerto Rico state guides — nursing homes and assisted living — find the closest homes to your ZIP, filter every facility by rating, cost and inspection record, or see how Puerto Rico Medicaid pays for long-term care. Back to every state.
Ratings and citations are assigned by government inspectors (CMS), not by Eldercare Lens. The absence of a citation does not guarantee the absence of problems. Always verify with the facility and your state Long-Term Care Ombudsman.