Servicios Integrados De Rehabilitacion (siro) INC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 1.03 therapist hours per resident per day in 2026Q1 — more than 97% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 56% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.54 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 0.00 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.95 hrs/resident/day on weekends vs 3.41 on weekdays — 14% thinner on weekends. RN hours go from 1.67 to 1.22 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2026-03-11 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, it was determined that the facility failed to ensure that the pharmacist reviewed and documented the resident's medication regimen in the clinical records. This deficient practice was identified in 3 out of 8 (Residents # 25, #33, #35).Findings include: Review of the facility policy Revisión de Medicamentos Innecesarios, Intervención de Farmacéutica Procedure: Indicated that the pharmacist is responsible for conducting a medication regimen review upon a resident's admission to the facility. The policy indicated that the pharmacist utilizes the medication reconciliation, physician orders, and the medication administration record (MAR) to perform this review. The policy further indicated that the pharmacist will complete this review within approximately 72 hours [NAME] the resident is admitted to the facility, Page 1 of 3. 1.Resident #33 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement. During the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-03-11 · tag F0757 — failed to avoid unnecessary drugs — pattern
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, it was determined that the facility failed to ensure that the medication reconciliation included the pharmacist's review and signature in the resident's clinical record 2 out 8 (Resident #33, #35).Findings include:1.Resident #33 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement. During a review of the clinical reord conducted on 03/11/2026 at 11:29 AM, it was observed that the medication reconciliation form in the resident's medical record lacked documentation of the phatmacist's review and signature.2. Resident #35 is a [AGE] year-old male admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement. During a review of the clinical reord conducted on 03/11/2026 at 10:48 AM, it was observed that the medication reconciliation form in the resident's medical record lacked documentation of the phatmacist's review and signature.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview, it was determined that the facility failed that the medication carts were properly secured to prevent unauthorized access to medication.Findings include:During a tour of the medication storage area on 03/10/2026 at 9:05 AM, accompanied by a Registered Nurse (employee #6), it was observed that the medication cart drawers assigned to room # 107 B, 108 A, 108 B, and 109 could be opened even through the medication cart was in the locked position.During a staff interview om 03/10/2026, the Charge Nurse (employee #3) indicated that a defective equipment report had been completed regarding the medication cart. The Charge Nurse further indicated that a representative from Unicare visited the facility and provided a quotation for repair services.Following the observation, the medications from drawers #107 B, 108 A, 108 B, and 109 were relocated to other secured compartments of the medication cart where the drawers could not be opened and the medications remained under staff custody.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-11 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations made on 3/10/2026 through 3/11/2026 from 8:00 AM to 4:00 PM, it was identified that the facility failed to assure that all mechanical, electrical and patient care equipment is maintained in safe operating condition. Findings include:Facility policy named: Protocolo uso de equipo electrico en cuarto de los residentes (March 2024 revision) Protocol Use of Electrical Equipment in Residents Rooms, was reviewed on 3/11/2026 at 11:15 AM. The policy states that every equipment brought by the patient will be inspected by the physical plant personnel, after which a seal will be placed on it. Observations during a round performed on 3/10/2026 at 11:00 AM include:Resident # 25 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Right Total Knee Replacement. room [ROOM NUMBER]-A. During the resident interview and observation performed on 3/10/26 at 11:00 AM, it was identified an apnea machine at the head of the bed. Resident stated that she has a diagnosis of sleep apnea.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-29 · tag F0641 — widespread
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on an interview with the Minimum Data Set- (MDS) coordinator (employee #2), it was determined that the facility failed to accurately electronically transmit resident assessment instrument status correctly in 2 out of 2 closed records reviewed (RR). (Resident #1 and #2) Findings include: 1. During the records reviewed the electronic system identified resident #1 as a Hospitalization. On 04/29/24 at 10:00 AM during the record review it was found that Resident #1 was a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of Left Total Knee Replacement, in the record appears that resident #1 receive her treatment and on 03/14/2025 the resident have an appointment with the Orthopedic physician and do not want to return to the facility to completed her treatment per one day due to the physician planned to discharge on [DATE]. She requests to the facility exonerate one day on 03/14/2025 of rehabilitation, and resident was discharged to home on [DATE], with a discharge summary with Home Care,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Findings include: During observational tour of kitchen on April 28, 2025, approximately from 8:27 AM through 12:00 PM the following was identified: 1. Chicken pieces were observed in the freezer. They were found in a broken, sealed package with exposed parts outside the wrapping and covered in plastic wrap. Kitchen staff indicated that they had been received from the supplier in that condition. 2. Kitchen staff were observed using a scoop to serve rice. Staff cleaned the utensil without the proper process of letting it air dry after sanitizing. 3. The kitchen supervisor was observed near the food serving area without wearing a hairnet.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-29 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and review of policies and procedures on 04/28/2025 through 04/29/2025 at 8:12 AM through 3:30 PM, it was determined that the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Findings incliude: 1. During the round conducted in the residents' rooms, the following was observed: a. On 04/28/2025 at 9:48 AM, the physical therapy assistant (employee #4) was observed entering room [ROOM NUMBER] A without washing her hands and without wearing gloves while placing ice packs on Resident #201. The Director of Nursing (DON) (employee #1) was interviewed on 04/29/2025 at 10:45 AM, and asked for a policy and procedure for the placement of cold compresses. When the DON provided the policy, the lack of integration of hand washing and glove use into the procedure was noted. 2. During the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-29 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on an interview with the Infection Control coordinator (employee #1) on 4/29/2025, it was determined that the facility failed to ensure an antibiotic stewardship program that promoted appropriate antibiotic use and included education of nursing and medical staff. Findings include: 1. During the review and interview of the Infection Control Program's Stewardship antibiotic program, the following were identified: a. Prolonged use of antibiotics in residents without documented justification in a report sent to the Puerto Rico Department of Health on a monthly basis. The report demonstrates the monthly volume of patients using antibiotics but is not specific. b. Policies and procedures that include written stewardship material were reviewed: dosage, indication, renal adjustment, administration, precaution, monitoring, and dilution and stability of the antibiotic. Despite having them available, they do not maintain an educational program on the appropriate use of antibiotics for physicians and nursing professionals, thus impeding the appropriate use of antibiotics and their…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-04-29 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/28/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. This deficient practice had the potential to affect 18 out of 18 residents receiving services at areas where the deficient environment and items. Findings include: 1. Water damage and humidity noticed on bathroom ceiling and A bed area of room [ROOM NUMBER]. 2. Water drops caused by condensation on air conditioning vents were observed wetting the floor in front of exit door to back patio, this is a slip and fall risk.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations of the physical environment, review of policies procedures and facility staff interview performed on 04/28/2024 from 8:00 AM through 3:30 PM, it was determined that the facility failed to promote the resident right to receive services in a safe, clean, comfortable, and homelike environment. This deficient practice had the potential to affect 15 out of 15 residents receiving services. Findings include: During observational tour at approximately 10:00 AM of April 28, 2025, two dirty linen carts were observed un attended in the extrerior patio area.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

What families pay in PR