PR Nursing Home Rankings & Safety Report

zReports Research Institute · Updated August 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.08 Facilities analyzed9 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedAugust 2026 MethodologyConsumer Z Score™ · Database v2026.08

PR has 9 active licensed nursing homes on the state's public file. zReports analyzed CMS Nursing Home Compare data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

9active licensed nursing homes across 7 PR cities appear on the state's public file.
66.7%hold an A or B records layer grade, while 2 carry a D or F.
76.6is the statewide average records layer score across all graded nursing homes.
Rio Piedrashas the most licensed nursing homes in the state (3).
299is the combined licensed capacity across 9 facilities reporting a capacity figure.

Key statistics

StatisticValue
Active licensed nursing homes9
Cities covered7
Statewide average records layer score76.6
Grade A facilities4 (44.4%)
Grade B facilities2 (22.2%)
Grade C facilities1 (11.1%)
Grade D facilities2 (22.2%)
Facilities with a clean record (no deficiencies on file)9 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Combined licensed capacity299

By city

Rio Piedras (3)San Juan (1)Humacao (1)Ponce (1)Vega Baja (1)Hormigueros (1)San German (1)

Statewide top 25

#1 Millennium Institute For Advance Nursing Care INC Rio Piedras · A

#2 Damas Hospital Snf Ponce · A

#3 Alternative Healthcare Solutions LLC San Juan · A-

#4 Centro De Cuidado Prolongado San Lucas Rio Piedras · A-

#5 Ryder Memorial Hospital INC Humacao · B

#6 Servicios Integrados De Rehabilitacion (Siro) INC Hormigueros · B

#7 Hospital De La Concepcion INC San German · C

#8 Multy Medical Skilled Nursing Facility Rio Piedras · D

#9 Centro Medico Wilma N Vazquez Snf Vega Baja · D

Don't see a name? Search it. Every nursing home has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every nursing home in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About nursing home licensing in PR

Nursing Homes in PR are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Nursing Home Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many nursing homes are there in PR?

PR has 9 active licensed nursing homes on the state's public file, across 7 cities, with a combined licensed capacity of 299. Every one has a free records layer grade on zReports.

Which PR city has the most nursing homes?

Rio Piedras, with 3 licensed nursing homes, followed by San Juan (1) and Humacao (1).

How are PR nursing home grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Nursing Home Compare data, through one fixed rule, applied identically to every nursing home in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever PR republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of August 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.08 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: August 2026

Cite this report

APA, zReports Research Institute. (2026). PR Nursing Home Rankings & Safety Report (v2026.08). zReports.org. https://zreports.org/rankings/nursing/pr

MLA, zReports Research Institute. “PR Nursing Home Rankings & Safety Report.” zReports.org, v2026.08, August 2026, zreports.org/rankings/nursing/pr.

Plain, PR Nursing Home Rankings & Safety Report, zReports Research Institute, v2026.08, updated August 2026, zreports.org/rankings/nursing/pr

Related research

Nursing Homes in all states → Rio Piedras rankings →San Juan rankings →Humacao rankings → zReports Data Blog → How the Consumer Z Score™ works →