Nursing homes in Puerto Rico
9 Medicare- and Medicaid-certified nursing homes, with an average CMS overall rating of 3.0/5 — +0.01 stars vs. the national average of 3.0. 33% are rated below average, and federal fines on record total $40,836.
Source: CMS Provider Data Catalog, processing date 2026-09-01. Ratings are official CMS figures, not endorsements.
Top-rated nursing homes in Puerto Rico
Sorted by CMS overall rating, then by size.
MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC
5/5Rio Piedras · 35 bedsMuch above average →DAMAS HOSPITAL SNF
5/5Ponce · 25 bedsMuch above average →ALTERNATIVE HEALTHCARE SOLUTIONS LLC
4/5San Juan · 22 bedsAbove average →RYDER MEMORIAL HOSPITAL INC
3/5Humacao · 62 bedsAverage →CENTRO MEDICO WILMA N VAZQUEZ SNF
3/5Vega Baja · 45 bedsAverage →SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC
3/5Hormigueros · 20 bedsAverage →All 9 facilities in Puerto Rico
Filter by name or minimum star rating, and click a column heading to sort.
| Facility | City | Overall | Beds | Fines |
|---|---|---|---|---|
| MILLENNIUM INSTITUTE FOR ADVANCE NURSING CARE INC | Rio Piedras, PR | 5/5 | 35 | — |
| DAMAS HOSPITAL SNF | Ponce, PR | 5/5 | 25 | $10,839 |
| ALTERNATIVE HEALTHCARE SOLUTIONS LLC | San Juan, PR | 4/5 | 22 | — |
| RYDER MEMORIAL HOSPITAL INC | Humacao, PR | 3/5 | 62 | — |
| CENTRO MEDICO WILMA N VAZQUEZ SNF | Vega Baja, PR | 3/5 | 45 | $29,997 |
| SERVICIOS INTEGRADOS DE REHABILITACION (SIRO) INC | Hormigueros, PR | 3/5 | 20 | — |
| HOSPITAL DE LA CONCEPCION INC | San German, PR | 2/5 | 30 | — |
| MULTY MEDICAL SKILLED NURSING FACILITY | Rio Piedras, PR | 1/5 | 35 | — |
| CENTRO DE CUIDADO PROLONGADO SAN LUCAS | Rio Piedras, PR | 1/5 | 25 | — |
Beds are CMS-certified beds. Fines are the total dollar value of civil money penalties on record. Abuse icon and Watch list are CMS designations explained on the national directory.
Nursing homes by city in Puerto Rico
Pick a city to compare its facilities on rating, staffing, and fines.
City pages cover the 1 cities with three or more facilities. Smaller towns appear in the full table below.
Choosing between nursing homes in Puerto Rico
The state average hides wide variation. In Puerto Rico the facilities in this directory run from one star to five, and that gap matters more than the average when you are choosing for a specific person.
Work the list in this order: filter to 4- and 5-star facilities, check the staffing and turnover numbers on each profile, then read the inspection and fine history. Distance from family, Medicaid acceptance, and the specific clinical services offered — ventilator care, dialysis, memory units — usually narrow the list faster than ratings do.
If the person needs this level of care for more than a short rehabilitation stay, ask each facility's admissions office directly how Medicaid is handled, whether they accept a pending application, and what happens if private funds run out. Those answers vary by facility, not by state, and they matter more than any published average.
How many nursing homes are there in Puerto Rico?
9 CMS-certified nursing homes, holding 299 certified beds in total.
What is the average nursing home rating in Puerto Rico?
3.0 out of 5 stars across 9 rated facilities, against a national average of 3.0.
Which nursing home in Puerto Rico has the highest rating?
CMS rates facilities, not states, and every 5-star home in the state is listed above. Compare staffing and inspection detail on the individual profiles.
Does Medicare pay for a nursing home in Puerto Rico?
Medicare Part A covers up to 100 days of skilled nursing after a qualifying hospital stay, with cost sharing after day 20. Longer stays are generally paid privately or through Medicaid.