Puerto Rico · CMS Data August 2026
Highest-Rated Nursing Homes in Puerto Rico
Where Are the Highest-Rated Nursing Homes in Puerto Rico?
CMS Care Compare lists 3 nursing homes rated 4 or 5 stars overall by CMS in Puerto Rico, out of 9 certified nursing homes (data from August 2026). The most are in Ponce (1), Rio Piedras (1) and San Juan (1). 2 hold the top rating of 5 stars.
- Matching homes
- 3
- All homes in Puerto Rico
- 9
- Rated 4 or 5 stars
- 3
- Average overall stars
- 4.7
How this list is made: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures. Homes are ordered by CMS's overall rating, then its inspection rating.
- 25 stars overall
- 24+ stars for inspections
- 34+ stars for staffing
- 2No fines or payment denials
- 1Nonprofit
All 3, by CMS Rating
| Nursing home | City | Overall | Inspections | Staffing | Quality |
|---|---|---|---|---|---|
| Damas Hospital SNF | Ponce | 5 | 5 | 5 | |
| Millennium Institute for Advance Nursing Care Inc. | Rio Piedras | 5 | 5 | 5 | |
| Alternative Healthcare Solutions LLC | San Juan | 4 | 3 | 5 |
Stars are out of 5; blank cells are ratings CMS doesn't report for that home.
Matching Homes by City
| City | Matching homes | 4 or 5 stars |
|---|---|---|
| Nursing homes in Ponce | 1 | 1 |
| Nursing homes in Rio Piedras | 1 | 1 |
| Nursing homes in San Juan | 1 | 1 |
More About This List
Read how CMS star ratings work. For assisted living and memory care rules, Medicaid limits and the ombudsman, see senior care in Puerto Rico. For local services, call the Eldercare Locator at 1-800-677-1116.
Other lists for Puerto Rico: nonprofit nursing homes in Puerto Rico.
Frequently Asked Questions
How Many Highest-Rated Nursing Homes Are in Puerto Rico?
3 of the 9 CMS-certified nursing homes in Puerto Rico meet this rule: CMS's overall star rating is 4 or 5 (out of 5). The overall rating combines health inspections, staffing and quality measures.
Which Highest-Rated Nursing Home in Puerto Rico Rates Highest?
By CMS's overall rating, then its inspection rating, Damas Hospital SNF in Ponce (5 stars), Millennium Institute for Advance Nursing Care Inc. in Rio Piedras (5 stars) and Alternative Healthcare Solutions LLC in San Juan (4 stars) rank highest. Visit and check the latest inspection report before you decide.
How Do You Check a Nursing Home in Puerto Rico?
Read its Care Compare page for the full inspection reports, visit at different times, and ask about staffing and openings. Your state's Long-Term Care Ombudsman can answer questions about residents' rights.