Nursing Home Staffing in Puerto Rico
Puerto Rico's nursing homes average 3.215 registered-nurse hours per resident per day, above the national 0.685, across the 7 of 9 homes that report them. The 7 with the most RN hours are listed below.
Small sample. This average rests on 7 homes with RN hours reported, so one home moves it. The staffing rankings by state mark Puerto Rico the same way.
Puerto Rico against the nation
- Nursing homes9
- Reporting RN hours7
- Average RN hours, Puerto Rico3.215 per resident per day
- Average RN hours, U.S.0.685 per resident per day
Source: CMS nursing home file processed Jul 1, 2026; RN hours per resident per day from Payroll-Based Journal submissions.
Most RN hours per resident per day in Puerto Rico
| # | Nursing home | City | RN hours | Staffing rating | Overall rating | Beds |
|---|---|---|---|---|---|---|
| 1 | Damas Hospital Snf | Ponce | 4.17 | 5 of 5 | 5 of 5 | 25 |
| 2 | Alternative Healthcare Solutions LLC | San Juan | 3.95 | 5 of 5 | 4 of 5 | 22 |
| 3 | Centro Medico Wilma N Vazquez Snf | Vega Baja | 3.72 | 5 of 5 | 2 of 5 | 45 |
| 4 | Millennium Institute For Advance Nursing Care Inc | Rio Piedras | 3.66 | 5 of 5 | 5 of 5 | 35 |
| 5 | Hospital DE LA Concepcion Inc | San German | 3.24 | 3 of 5 | 2 of 5 | 30 |
| 6 | Multy Medical Skilled Nursing Facility | Rio Piedras | 1.89 | 2 of 5 | 1 of 5 | 35 |
| 7 | Ryder Memorial Hospital Inc | Humacao | 1.88 | 2 of 5 | 3 of 5 | 62 |
Source: CMS nursing home file processed Jul 1, 2026. Homes with no RN hours reported are left out.
How to read staffing
Registered-nurse staffing is one of the three primary components CMS uses to calculate a nursing home's Five-Star Overall Rating, and across 9 Medicare-certified facilities in Puerto Rico the 7 that report RN hours average 3.215 RN hours per resident per day, compared with a national average of 0.685. That metric - "RN hours per resident day" - is derived from Payroll-Based Journal (PBJ) submissions, a quarterly data feed that facilities are required to file and CMS audits against payroll records, so it is harder to game than the older self-reported staffing forms that the PBJ system replaced in 2016. This page uses 14,693 Medicare-certified nursing-home records from CMS Care Compare, with NPPES context where available. Every figure is traceable in the methodology.
Higher RN hours per resident per day generally correlate with better clinical outcomes, fewer pressure ulcers, lower rehospitalization rates, fewer falls, because registered nurses handle medication administration, wound care, and clinical assessments that licensed practical nurses and certified nursing aides cannot legally perform. But the ranking below should be read with context: facility acuity matters (a post-acute SNF taking hospital discharges needs more RN hours than a long-stay facility with stable residents), bed size creates measurement noise (small facilities can swing dramatically quarter-to-quarter), and weekend/holiday coverage patterns can lower the average even in otherwise well-staffed homes. The top 100 Puerto Rico facilities by RN hours appear below with their CMS Staffing Rating, Overall Rating, and bed count so you can weigh raw staffing against quality composite scores.
PBJ data is refreshed quarterly and lags the reporting quarter by roughly six months, so the table reflects the file CMS processed on Jul 1, 2026, not this week's staffing. Important: PlainDoctor presents CMS staffing figures exactly as published at data.cms.gov, with no custom weighting or editorial rankings. This table is a research starting point, not medical advice or a placement recommendation. Selecting a nursing home is a high-stakes healthcare decision, tour facilities in person, ask about nurse-to-resident ratios by shift, review the full CMS survey deficiency record alongside these staffing numbers, and consult licensed clinicians, hospital discharge planners, and elder-care advisors before committing.
Staffing in other large states
- Texas1,142
- California1,129
- Ohio903
- Florida676
- Illinois651
Common questions
What is the average RN staffing in Puerto Rico nursing homes?
Across 9 Medicare-certified facilities in Puerto Rico, the 7 that report RN hours average 3.215 RN hours per resident per day, compared to a national average of 0.685. This data comes from the CMS Payroll-Based Journal (PBJ) system.
How many nursing homes are in Puerto Rico?
Puerto Rico has 9 Medicare-certified nursing homes. The list on this page shows the top 7 ranked by RN hours per resident per day.
What does RN hours per resident per day measure?
RN hours per resident per day measures how many hours a registered nurse spends caring for each resident on average each day. Higher values generally indicate more nursing attention. The metric is derived from Payroll-Based Journal data that facilities must submit quarterly to CMS.
Should I choose a Puerto Rico nursing home based only on staffing?
No. Staffing is one important indicator, but you should also review health inspection deficiencies, quality measures, and the CMS Overall Star Rating. Tour facilities in person, ask about nurse-to-resident ratios by shift, and consult hospital discharge planners or elder-care advisors.
Source: CMS Five-Star Quality Rating System, Nursing Home Provider Information, processed Jul 1, 2026 (data.cms.gov).