Millennium Institute For Advance Nursing Care INC
Calle Cosme Reparto San Lucas, Rio Piedras, PR 00926 · For profit - Corporation · 35 certified beds · (787) 708-0138 Medicare only — no Medicaid
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (5/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 5 of 5 |
| Quality measuresSelf-reported by the facility | Not rated |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | Not rated |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Short-stay residents who newly got an antipsychotic medication | 0.1% | 0.3% | 1.4% | better than state‡ — see note marked double-dagger below the table |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 97.9% | 79.4% | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
59.4% 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 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 1.64 therapist hours per resident per day in 2026Q1 — more than 99% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 69% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 59.4%CMS range 53.0–65.1 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.9%CMS range 6.6–16.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 35 beds and averages 21.1 residents a day — about 60% occupied, or roughly 14 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
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 4.41 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.66 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 3.73 hrs/resident/day on weekends vs 4.69 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 3.82 to 3.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.
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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · Fcited before2026-03-11 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations of the Kitchen, review of policies procedures, daily kitchens temperature logs and facility staff interview performed on 03/10/2026 through 03/11/2026 from 8:00 AM through 4:00 PM, it was determined that the facility failed to comply with the required sink compartment sanitations and refrigerator temperatures. This deficient practice could affect 22 out of 22 residents admitted receiving care at the facility.Findings include:During the review of the three-compartment sink temperature log from March 2026, performed on 03/10/2026 at 1:33 PM, it was identified that the water inside the washing sink does not reach the required temperature of 110 degrees ( ) Fahrenheit (F) indicated on the manufacturer's signs placed in front for reading listing below:03/05/2026 - the temperature log documented by the mealtime was 108 F, no corrective action was taken or documented.03/06/2026 - the temperature log documented by the lunch time was 109 F and by the mealtime was 108 F, no corrective action was taken or documented.2. During the kitchen tour performed on 03/10/2026 at…
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.
- Potential for harm · F2025-05-01 · tag F0727 — failed to provide required RN coverage — widespreadHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on staff interviews and documents reviewed, it was determined that the facility failed to designate a registered nurse to serve as the director of nursing on a full-time basis. Findings include: 1. During an interview with the facility administrator (employee # 1) on 04/29/2025 at 10:00 AM, it was informed that the previous director of nursing (DON) resigns on March 1, 2025 and that he was acting both as an acting director of nursing (DON) and as the Minimum Data Set (MDS) coordinator. Also, employee # 1 explained that the facility hired a new Minimum Data Set (MDS) coordinator on 04/28/2025, expecting to be appointed as well as the new director of nursing (DON) after completing the training in the first role (MDS coordinator). 2. Upon review of the acting director of nursing (DON) resignation letter and during interview with the associate administrator (employee # 2) on 04/30/2025 at 10:30 AM, it was informed that the previous director of nursing (DON) submitted its resignation letter on March 1, 2025 with an effective date on March 14, 2025 but the person leaves the facility…
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.
- Potential for harm · Fcited before2025-05-01 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 initial tour observation, resident interview, and policies reviewed (Recording food temperatures on the service line), it was determined that the facility failed to ensure that food and drink is palatable, attractive, and at a safe and appetizing temperature. This deficient practice was identified in 4 out of 15 residents receiving services (sample resident #55, # 203, #205 and #212). Findings include: 1.Resident #203 is a female admitted to the facility on [DATE]. During an interview on 04/29/2025 at 8:10 AM she says the food is not pleasant to the taste and there are things that she does not consume that have been brought to her and the temperature of the food has not been adequate. 2.Resident #205 is a female admitted to the facility on [DATE]. During an interview on 04/29/2025 at 8:25 AM she states that the food has come cold most of the time and she must ask the facility staff to be reheated on the microwave. 3.Resident #212 is a female admitted to the facility on [DATE]. During an interview on…
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.
- Potential for harm · Fcited before2025-05-01 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 04/29/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to comply with the required sink compartment sanitations. This deficient practice could affect 15 out of 15 residents admitted receiving care at the facility. Findings include: 1. During the observation of the preparation of the three-compartment sink, it was identified that the water inside the washing sink does not reach the required temperature of 110 degrees Fahrenheit indicated on the manufacturer's signs placed in front for reading. 2. During observation of the dry storage area, loose rice and beans were observed underneath the storage racks. 3. Insect (grasshopper) was found on the dry storage area.
- Potential for harm · Fcited before2025-05-01 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and medication drug pass performed during the survey process from 04/29/2025 through 05/01/2025 from 8:30 AM through 3:30 PM, it was determined that the facility failed to comply with accepted infection control precautions and standards of practice for hand washing during medication pass. Findings include: 1. During the medication drug pass performed on 04/30/2025 at 8:12 AM the register nurse (RN) (Employee #8) was observed accessing the gloves box without performing hand hygiene. 2. During the medication drug pass performed on 04/30/2025 at 8:33 AM the RN (Employee #7) was observed accessing the gloves box without performing hand hygiene. 3. During the medication drug pass performed on 04/30/2025 at 8:40 AM the RN (Employee #7) was observed placing the gloves on the resident's bedside table without disinfecting them to proceed to wash her hands and then put on the gloves. 4. The soiled linen room was observed on 04/30/2025 at 11:29 AM and the following were found: a. The room door was not labeled. b. The extractor fan was not working. c. There was no…
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.
- Potential for harm · Ecited before2025-05-01 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 — an excerpt from the official record, 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 04/29/2025 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. Findings include: During the observational tour of the facility on 04/29/2025 the following was noticed: 1. Mold stains due to humidity were noticed on ceiling tiles located on the Occupational Therapy room. 2. Dust clogs were observed on room [ROOM NUMBER]B 3. Medical tape observed on curtain rail on room [ROOM NUMBER]B 4. Water damage was observed on the window wall on room [ROOM NUMBER]. 5. Water damage and lifted paint was observed on the window wall and on ceiling on room [ROOM NUMBER]. 6. Loose grab bar next to toilet was observed on bath on room [ROOM NUMBER]. 7. A perforation is observed in the air conditioning pipe in…
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.
- Potential for harm · E2025-05-01 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake 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 and facility staff interview performed on 04/29/2025 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 15 out of 15 residents. Findings include: During the observation tour the following was observed: 1. It was observed that the vinyl floor had ripples, possibly due to moisture damage or an uneven platform, which could be a potential cause of falls. 2. An undetermined number of pigeons were observed nesting in and around the facility. [NAME] droppings were observed on the exterior walls and windows of rooms. 3.Exterior lights were observed covered in green mold in the entrance and parking area.
- Potential for harm · Dcited before2025-05-01 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 ten records reviewed (R.R) and resident interview performed from 04/29/2025 thru 05/01/2025, from 8:00 AM thru 3:30 PM, it was determined that the facility failed to develop and implement a complete baseline care plan within 48 hours of a resident's admission in order to promote the continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of all care and services required. This deficient practice was identified in 1 out of 12 records reviewed. (RR #203) Findings include: R.R #203 is a [AGE] year-old female resident admitted [DATE] with a diagnosis of fracture of unspecified part of neck of left femur. This resident had a diagnosis of Cerebral Palsy. Resident was admitted for rehabilitation services. During the record review performed on 04/29/205 at 10:30 AM, it was identified…
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.
- Potential for harm · D2025-05-01 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 dining observations, review of the institutional menu and residents interview performed on 04/29/2025 through 05/01/2025 from 8:00 AM through 3:30 PM, it was determined that the facility failed to ensure that each resident receives food that accommodates resident allergies, intolerances, and preferences. This deficiency was identified in 2 out of 8 residents of the sample selection (Residents #203 and #212). Findings include: 1. Resident #203 is a female admitted to the facility on [DATE]. During an interview on 04/29/2025 at 8:10 AM she refers that on several occasions they have brought her food that she does not eat and, since she does not eat it, they do not offer her alternative foods. a. During the record review performed on 04/30/2025 at 9:25 AM it was noted that the initial nutrition assessment established the foods that the resident does not consume. 2. Resident #212 is a female admitted to the facility on [DATE]. During an interview on 04/29/2025 at 8:05 AM she states that she does not drink…
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.
- Potential for harm · F2024-04-16 · tag F0802 — failed to prepare enough nourishing food — widespreadProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and interview with the Administrative Dietitian (employee #6) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to provide sufficient support for personnel safely and effectively carry out the functions of the food and nutrition service. This deficient practice had the potential to affect 22 admitted residents. Findings include: During interview with the Administrative Dietitian (employee #6) performed on 04/15/2024 she stated that the facility did not have covered the dishwasher position. The administrative Dietitian stated that this makes difficult the function of the kitchen because she must use a TSA for the dishwashing functions.
Show the remaining 9 citations
- Potential for harm · Fcited before2024-04-16 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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, and interview with the Administrative Dietitian (employee #6) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to provide food to residents in a manner that is attractive and maintain an appetizing temperature. This deficient practice had the potential to affect 22 out of 22 admitted residents. Findings include: 1. During survey procedures from 04/15/2024 through 04/16/2024, from 8:20 AM thru 4:30 PM, it was observed that resident breakfast is delivered to residents in Styrofoam trays and Styrofoam containers instead of insulated thermal food domes and trays. 2. On interview on 04/15/2024 at 9:00 AM sample selection #[AGE] years old female resident stated that since her admission on [DATE] to the facility, breakfast is served using Styrofoam trays and Styrofoam containers instead of insulated thermal food plates and trays. Case #68 also stated that breakfast could be more attractive in presentation if facility use the same…
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.
- Potential for harm · Fcited before2024-04-16 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations of the Kitchen, review of policies procedures and facility staff interview performed on 04/15/2024 to from 8:00 AM through 4:30 PM, it was determined that the facility failed to comply with the require sink compartment sanitations. Findings include: Review of facility's policy and procedure Limpieza y Desinfección en Fregadero de Tres Compartimientos , Cleaning and Disinfection of three compartment Sinks regarding the process of cleaning and sanitization of kitchen equipment was reviewed on 04/15/2024 at 11:30 AM and it says that compartment one (1) must have a temperature of 110º F, on compartment two (2) temperature must be at 110º F and on compartment three (3) temperature must be a 171º F with a sanitizing solution concentration of 200 ppm. 1. During the visual inspection and staff interview it was noticed that 3 compartment sink was not prepared as stated in the facility policies and procedures. It was observed that the staff working the sink did not have knowledge of the temperatures required in the different sinks' compartments. In turn, it was requested…
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.
- Potential for harm · F2024-04-16 · tag F0908 — failed to keep essential equipment working — widespreadKeep all essential equipment working safely.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations with the Physical Plant Supervisor (employee #4) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to maintain equipment in a safe operating condition. This could affect 22 out of 22 residents and staff Findings include: During observational tour of facility on 04/15/2024 at 9:39 AM the following was noticed: 1. Parallel bars on the Physical Therapy room were observed with rust in many of its parts. 2. [NAME] steps apparatus was found to be rough in some parts of the handrails.
- Potential for harm · F2024-04-16 · tag F0925 — failed to control pests — widespreadMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations with the Physical Plant Supervisor (employee #4) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents. Findings include: During observational tour of facility on 04/15/2024 at 9:15 AM the following was noticed: 1. Flying insects and centipedes were observed on light fixtures in the recreational room area. 2. Three cockroaches were found in the women's bathroom in the Physical Therapy room.
- Potential for harm · Ecited before2024-04-16 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 04/15/2024 through 04/16/2024 to from 8:00 AM through 5:00 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 22 out of 22 residents. Findings include: During observational tour of facility on 04/15/2024 the following was noticed: 1. Mold stains due to humidity were noticed on ceiling tiles located on the Ocupational Therapy room. 2. Mold stains due to humidity were noticed on ceiling tiles located on Medical record room. 3. [NAME] shelves on the Ocupational Therapy room were observed with water damage due to a leak on the wall it is mounted. 4. Plinth in the physical therapy area were observed loose from the wall and with exposed glue.
- Potential for harm · E2024-04-16 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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 review of sixteen records reviewed (RR), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to ensure that a comprehensive assessment of resident, is performed when resident choose to self-administer treatment and medications. This deficient practice was identified in 2 out of 16 records reviewed (RR #62 and RR #69). Findings include: 1.R.R. #69 is a [AGE] year-old male resident admitted [DATE] with a diagnosis of Left Knee Replacement. Resident was admitted for rehabilitation services. Resident #69 was interviewed on 04/16/2024 at 11:55 AM and stated that he was admitted to the facility to receive rehabilitation after a surgery on left knee, resident also stated that he has history of Asthma and require respiratory therapy for his condition. Resident stated that since his admission to the facility he is receiving respiratory therapy for his condition. When asked how…
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.
- Potential for harm · Dcited before2024-04-16 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 a recertification survey, review of sixteen records reviewed (R.R), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to develop and implement a complete baseline care plan within 48 hours of a resident's admission in order to promote the continuity of care and communication among nursing home staff, increase resident safety, and safeguard against adverse events that are most likely to occur right after admission; and to ensure the resident and representative, if applicable, are informed of the initial plan for delivery of all care and services required. This deficient practice was identified in 1 out of 16 records reviewed. (RR #68) Findings include: 1.R.R #68 is a [AGE] year-old female resident admitted [DATE] with a diagnosis of Status Post Left Knee Replacement. This resident had Neobladder reconstruction who is a surgical procedure to construct a new bladder 13…
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.
- Potential for harm · D2024-04-16 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 review of sixteen records reviewed (R.R), resident interview and interview with the Nursing Supervisor (employee #2) performed from 04/15/2024 thru 04/16/2024, from 8:20 AM thru 4:30 PM, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for each resident, that includes measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment related to did not individualized and review each plan of care. This deficient practice was identified in 1 out of 16 records reviewed. (RR #69). Findings include: 1. R.R #69 is a [AGE] year-old male resident admitted [DATE] with a diagnosis of Left Knee Replacement. Resident was admitted for rehabilitation services. Resident #69 was interviewed on 04/16/2024 at 11:55 AM and stated that he was admitted to the facility to receive rehabilitation after a surgery on left knee, resident also stated that he has history of…
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.
- No harm found · Ccited before2024-04-16 · tag F0880 — failed to prevent and control infections — widespreadProvide 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 performed on 04/15/2024 till 04/16/2024 8:00 AM till 2:30 PM and interview with the infection preventionist (employee #7), it was identified that the facility failed to ensure that infection prevention practice is perform to residents. This deficient practice affects 22 out of 22 residents. Findings include: 1. On 4/15/2024 at 8:10 AM during the initial tour the resident of (room [ROOM NUMBER]) was observed that the lights of the main entrance did not function. The borders of the faucet of the handwashing were observed with black dust. The ceiling was observed with bulky paint. 2. On 4/15/2024 at 8:05 AM during the initial tour the resident of (room [ROOM NUMBER]) was observed that the bathroom lacks crash can 3. On 4/15/2024 at 8:20 AM three metallic benches with peeling paint, mold and deteriorated material was observed in the yard. 4. On 4/15/2024 at 8:23 AM the floor of the corridor located at the left side of the physical therapy room was observed with black spots, dirty without shine,…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| RODRIGUEZ, JUAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | 100% | since 01/01/2001 |
| MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC. | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2001 |
| RAMIREZ-PAGAN, CINDY | Individual | CORPORATE DIRECTOR; ADP OF THE SNF | — | since 10/01/2002 |
| RODRIGUEZ, ANA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2019 |
CMS files one row per role, so the 9 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
What families pay in PR
CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Puerto Rico Medicaid page for homes that do.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner. The starred figure is the national median (no state figure published).
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 405030. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.