Federal Nursing-Home Survey Record
ALTERNATIVE HEALTHCARE SOLUTIONS LLC
Does ALTERNATIVE HEALTHCARE SOLUTIONS LLC have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), ALTERNATIVE HEALTHCARE SOLUTIONS LLC (CCN 405000), in SAN JUAN, PR, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 9 deficiencies; the most serious carries scope/severity F on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2024-12-03. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 4 · CMS state average: 3.3
Deficiency timeline — full federal history
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Provide and implement an infection prevention and control program.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Honor 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.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Post nurse staffing information every day.
24 citations from earlier inspection cycles — historical, not current (expand)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Honor 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.
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Have a plan that describes the process for conducting QAPI and QAA activities.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide and implement an infection prevention and control program.
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Honor 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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Post nurse staffing information every day.
Document what happened
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