Alternative Healthcare Solutions LLC: Data Analysis and Ratings

(CMS 5-Star Rating: )

  Top 5 in the local area

SEPTIMO PISO DOCTORS CENTER HOSPITAL, SAN JUAN, PR 00910 (787-999-2959)

Click here to Get Monthly Updates for this Facility

   The Most Important Data about Alternative Healthcare Solutions LLC

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at Alternative Healthcare Solutions LLC. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (4 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Worsening

Total Nursing Hours Spent Per Resident Per Day: 8.76
(The national average is 3.78 )

The percentage of short-stay residents who were re-hospitalized after a nursing home admission is Unknown .

Best Nursing Homes in PR

According to our analysis, Alternative Healthcare Solutions LLC is ranked #3 out of 4 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Alternative Healthcare Solutions LLC.

Also, take a look at our detailed analysis of the current situation for nursing in both the state and the city.

   General Data Card

These are the basic data points for the facility.

Data date: March 01, 2024

Address: SEPTIMO PISO DOCTORS CENTER HOSPITAL, SAN JUAN, PR 00910

Phone: 787-999-2959

Click for Map Website

Ranking: Alternative Healthcare Solutions LLC is ranked #2 out of 2 facilities within a 10 mile radius and #3 out of 4 facilities within a 25 mile radius.

Medicare Provider Number: 405000

Participating in Medicare Since: April 04, 2022

No. of Certified Beds: 20

No. of Residents: 9

Occupancy: 45.00 % (as of 03/10/2024 )

Amount fined in recent period: $127,871.53

Complaints filed: 0

   What is this page all about?

Below is everything shred of information that we can find about F W Huston Medical Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

   Ratings History

   Review of Alternative Healthcare Solutions LLC Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

It has been 9 months since the most recent inspection.

Ratings

Overall Rating 4:
Health Inspection Rating 3:
Quality Rating NA
Staffing Rating 5:

Inspection Scores

Cycle 1 Score (as of May 02, 2023) 148
Cycle 2 Score NA
Cycle 3 Score NA
Weighted All Cycles Score 89

   What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the worst rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

   Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Alternative Healthcare Solutions LLC including health, fire, and inspection control inspections:

No Inspection Information is Available

   Owner and Operator Information for Alternative Healthcare Solutions LLC

Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

ALTERNATIVE HEALTHCARE SOLUTIONS LLC

Owners:

Managers and Directors:

   Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Alternative Healthcare Solutions LLC spends MORE time on average with its residents than the state average for total nursing homes spent per resident and MORE time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 6.59 3.20 / 0.65
Case Mix 0.38 0.41 / 0.38
Adjusted 6.47 NA / NA
Licensed Practical Nurse (LPN)
Hours 2.16 1.37 / 0.88
Case Mix 0.73 NA / NA
Adjusted 2.18 NA / NA
Certified Nursing Assistants (CNA)
Hours 0.00 0.00 / 2.26
Case Mix 1.81 NA / NA
Adjusted 0.00 NA / NA
Total Licensed Staff
Hours 8.76 4.57 / 1.53
Physical Therapist (PT)
Hours 0.04 0.36 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 8.76 4.57 / 3.78
Case Mix 2.93 3.10 / 3.15
Adjusted 9.43 NA / NA

   Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc./ State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of short-stay residents who had an outpatient emergency department visit (qm522)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of hospitalizations per 1000 long-stay resident days (qm551)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552)
This measure is considered when computing the 5-Star Overall Rating
Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) Not Available
Percentage of long-stay residents who lose too much weight (qm404) Not Available
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) Not Available
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) Not Available
Percentage of long-stay residents with a urinary tract infection (qm407) Not Available
Percentage of long-stay residents who have depressive symptoms (qm408) Not Available
Percentage of long-stay residents who were physically restrained (qm409) Not Available
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) Not Available
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) Not Available
Percentage of long-stay residents who received an antipsychotic medication (qm419) Not Available
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 99.5% / 95.8%
Better
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) 1.7% / 0.6%
Worse
Percentage of long-stay residents whose ability to move independently worsened (qm451) Not Available
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) Not Available
Percentage of high risk long-stay residents with pressure ulcers (qm453) Not Available
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) Not Available
Percentage of short-stay residents who made improvements in function (qm471) 88.5% / 84.0%
Better
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 100.0% / 97.2%
Better

   Hospitals Near Alternative Healthcare Solutions LLC

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Alternative Healthcare Solutions LLC.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
HIMA SAN PABLO BAYAMON
70 CALLE SANTA CRUZ
BAYAMON, PR 00961
1
SAN JUAN VA MEDICAL CENTER
10 CALLE CASIA
SAN JUAN, PR 00921
1
HIMA SAN PABLO-CAGUAS
100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
1
AUXILIO MUTUO HOSPITAL
PONCE DE LEON AVENUE STOP 37 1/2
SAN JUAN, PR 00918
2
RYDER MEMORIAL HOSPITAL INC
355 AVE FONT MARTELO
HUMACAO, PR 00791
Not Available
METROPOLITAN HOSPITAL
CARRETERA 21 1785 URB LAS LOMAS
SAN JUAN, PR 00915
Not Available
CENTRO MEDICO WILMA N VAZQUEZ
CARR. 2 KM 39.5 ROAD NUMBER 2 BO ALGARROBO
VEGA BAJA, PR 00693
Not Available
MENNONITE GENERAL HOSPITAL INC
CALLE JOSE C VASQUEZ BO. CAONILLAS
AIBONITO, PR 00705
Not Available
ASOCIACION HOSPITAL DEL MAESTRO, INC
SERGIO CUEVAS BUSTAMANTE STREET 550
SAN JUAN, PR 00936
Not Available
HOSPITAL MENONITA HUMACAO, INC
300 AVE FONT MARTELLO
HUMACAO, PR 00792
Not Available
HOSPITAL PAVIA SANTURCE
STREET PROFESOR AUGUSTO RODRIGUEZ #1462
SAN JUAN, PR 00910
Not Available
HOSPITAL MENONITA CAGUAS INC
CARR 172 EXIT 21 URB TURABO GARDENS
CAGUAS, PR 00725
Not Available
SAN JUAN MUNICIPAL HOSPITAL
BARRIO MONACILLOS,CENTRO MEDICO
RIO PIEDRAS, PR 00936
Not Available
HOSPITAL ONCOLOGICO DR ISAAC GONZALEZ MARTINEZ
BO. MONACILLOS CARR 22 CENTRO MEDICO DE PUERTO RIC
SAN JUAN, PR 00935
Not Available
HOSPITAL UNIVERSITARIO DE ADULTO
BARRIO MONACILLOS CENTROMEDICO
RIO PIEDRAS, PR 00927
Not Available
HOSPITAL SAN FRANCISCO
371 DE DIEGO AVE
SAN JUAN, PR 00923
Not Available
PRESBYTERIAN COMMUNITY HOSP
1451 ASHFORD AVENUE
SAN JUAN, PR 00907
Not Available
HIMA SAN PABLO HUMACAO
CALLE FONT MARTELO #3
HUMACAO, PR 00791
Not Available
HOSPITAL MENONITA DE CAYEY
BO. RINCON SECTOR LAS LOMAS KM.3.1 CARR 14
CAYEY, PR 00737
Not Available
DOCTORS' CENTER BAYAMON
9 J STREET EXT HERMANAS DAVILA
BAYAMON, PR 00959
Not Available

   Medical Professionals Associated with Alternative Healthcare Solutions LLC

These are the doctors who are affiliated with Alternative Healthcare Solutions LLC. The data is from the most recent period. Historical data is not available.

We did not find any medical professionals associated with Alternative Healthcare Solutions LLC.

   Other Local Nursing Homes

Below is a list of nursing homes in near Alternative Healthcare Solutions LLC (including this home). This list is ranked based on the nursing home's health inspection scores (alse referred to as the "weighted all cycles score"). We also show the home's 5-star overall rating in the list. (If a nursing home has been flaged by CMS for abuse, we will added an icon () to the home to indicate this.)

The data is based on the dataset as of March 01, 2024.

Name Overall Rating
Millennium Institute For Advance Nursing Care Inc
(RIO PIEDRAS, PR)
Centro Medico Wilma N Vazquez Snf
(VEGA BAJA, PR)
Alternative Healthcare Solutions LLC
(SAN JUAN, PR)
Ryder Memorial Hospital Inc
(HUMACAO, PR)

   Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for Alternative Healthcare Solutions LLC

Five different rating results plus detailed inspection numbers and quality measures for Alternative Healthcare Solutions LLC.

Covid Infections at Alternative Healthcare Solutions LLC

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Alternative Healthcare Solutions LLC

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for Alternative Healthcare Solutions LLC

A list of all of the registered owners for Alternative Healthcare Solutions LLC. This includes direct and indirect owners and managers.

Noted Deficiencies for Alternative Healthcare Solutions LLC

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does Alternative Healthcare Solutions LLC compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in SAN JUAN, PR

Homes that you should consider. A list ranking the best skilled nursing facilities in SAN JUAN based on their weighted inspection score as of March 01, 2024.

Worst Nursing Homes in SAN JUAN, PR

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in SAN JUAN based on their weighted inspection score as of March 01, 2024.

   Other Data Periods:

Data on Alternative Healthcare Solutions LLC is available for the following periods:

Jul 2022 Aug 2022 Sep 2022
Oct 2022 Nov 2022 Jan 2023
Feb 2023 Mar 2023 Apr 2023
May 2023 Jun 2023 Jul 2023
Aug 2023 Sep 2023 Oct 2023
Nov 2023 Jan 2024 Feb 2024
Mar 2024