Overall Score
CMS Five-Star Quality Rating- Much below average
- Below average
- Average
- Above average
- Much above average
Where it ranks
CMS has not published a rating for this facility, so there is no peer position to show.
How the rating is built
- Health inspectionsStarting point—
- StaffingCan add or remove a star—
- Quality measuresCan add or remove a star—
CMS withholds a rating when a facility is new, has too little inspection history, or is under review.
Ratings & measures
Tap a row to see what it meansHealth inspection ratingCMS stars from the last three on-site inspection cycles—No dataPR avg3.0★U.S. avg2.8★
Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.
It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.
Staffing ratingCMS stars from payroll-reported hours and turnover—No dataPR avg3.6★U.S. avg2.9★
Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.
More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.
Quality measures ratingCMS stars from clinical outcomes and resident assessments—No dataPR avg—★U.S. avg3.6★
Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.
It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.
Total nurse hoursPer resident per day, all nursing staff1.62hrsLowest tier among peersPR avg3.77Benchmark4.10
All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.
Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.
RN hoursPer resident per day, registered nurses only1.62hrsAbove only 17% of peersPR avg2.91Benchmark0.75
Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.
RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.
Nursing staff turnoverShare of nursing staff who left within a year · lower is better—No dataPR avg34%RN turnover—
The share of nursing staff who left within the past year, from the same payroll data.
High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.
Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$0Above only 38% of peersPR avg$5,551Fines · denials0 · 0
Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.
Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.
Inspection history
Last three inspection cyclesCitations by monthSep 2024
- No actual harm (D–F)
- Actual harm (G–I)
- Immediate jeopardy (J–L)
- $Fine or payment denial
Showing
Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.
Sep 12, 2024Cycle 1worst F · no actual harm
- F570Assure the security of all personal funds of residents deposited with the facility.Resident RightsF · widespreadCorrected Oct 8, 2024
- F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsF · widespreadCorrected Oct 23, 2024
- F551Give the resident's representative the ability to exercise the resident's rights.Resident RightsF · widespreadCorrected Oct 11, 2024
- F552Ensure that residents are fully informed and understand their health status, care and treatments.Resident RightsF · widespreadCorrected Oct 8, 2024
- F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Resident RightsF · widespreadCorrected Oct 8, 2024
- F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsF · widespreadCorrected Oct 8, 2024
- F555Honor the resident's right to choose his or her attending physician.Resident RightsF · widespreadCorrected Oct 8, 2024
- F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident RightsF · widespreadCorrected Oct 8, 2024
- F558Reasonably accommodate the needs and preferences of each resident.Resident RightsF · widespreadCorrected Oct 8, 2024
- F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Resident RightsF · widespreadCorrected Oct 8, 2024
- F560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.Resident RightsF · widespreadCorrected Oct 8, 2024
- F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsF · widespreadCorrected Oct 8, 2024
- F562Provide immediate access to any resident.Resident RightsF · widespreadCorrected Oct 8, 2024
- F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Resident RightsF · widespreadCorrected Oct 8, 2024
- F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.Resident RightsF · widespreadCorrected Oct 8, 2024
- F565Honor the resident's right to organize and participate in resident/family groups in the facility.Resident RightsF · widespreadCorrected Oct 8, 2024
- F5661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.Resident RightsF · widespreadCorrected Oct 8, 2024
- F567Honor the resident's right to manage his or her financial affairs.Resident RightsF · widespreadCorrected Oct 8, 2024
- F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Resident RightsF · widespreadCorrected Oct 8, 2024
- F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Resident RightsF · widespreadCorrected Oct 8, 2024
- F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.Resident RightsF · widespreadCorrected Oct 8, 2024
- F572Give residents a notice of rights, rules, services and charges.Resident RightsF · widespreadCorrected Oct 11, 2024
- F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident RightsF · widespreadCorrected Oct 8, 2024
- F574The resident has the right to receive notices in a format and a language he or she understands.Resident RightsF · widespreadCorrected Oct 8, 2024
- F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.Resident RightsF · widespreadCorrected Oct 8, 2024
- F576Ensure residents have reasonable access to and privacy in their use of communication methods.Resident RightsF · widespreadCorrected Oct 23, 2024
- F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident RightsF · widespreadCorrected Oct 11, 2024
- F578Honor 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.Resident RightsF · widespreadCorrected Oct 11, 2024
- F579Provide information about how to apply for and use Medicare and Medicaid benefits.Resident RightsF · widespreadCorrected Oct 23, 2024
- F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident RightsF · widespreadCorrected Oct 23, 2024
- F583Keep residents' personal and medical records private and confidential.Resident RightsF · widespreadCorrected Oct 8, 2024
- F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident RightsF · widespreadCorrected Oct 8, 2024
- F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.Resident RightsF · widespreadCorrected Oct 16, 2024
- F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Oct 23, 2024
- F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Oct 23, 2024
- F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care PlanningE · patternCorrected Oct 23, 2024
- F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningF · widespreadCorrected Oct 15, 2024
- F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care PlanningE · patternCorrected Oct 23, 2024
- F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected Sep 12, 2024
- F790Provide routine and 24-hour emergency dental care for each resident.Quality of Life and CareF · widespreadCorrected Sep 20, 2024
- F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Nutrition and DietaryD · isolatedCorrected Oct 3, 2024
- F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryD · isolatedCorrected Oct 23, 2024
- F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Nutrition and DietaryC · widespreadCorrected Oct 3, 2024
- F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.AdministrationC · widespreadCorrected Oct 10, 2024
- F880Provide and implement an infection prevention and control program.Infection ControlF · widespreadCorrected Oct 8, 2024
- F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.AdministrationF · widespreadCorrected Oct 23, 2024
Staffing
From quarterly payroll reportsHours per resident per day
- All nursing staffRNs, LPNs and aides combined1.62hrs
- Registered nursesRN hours only1.62hrs
- Licensed practical nursesLPN hours0.00hrs
- Nurse aidesCNA hours0.00hrs
- Weekend nursingAll staff on Saturdays and Sundays1.35hrs
- Puerto Rico average
- Research benchmark (4.10 total, 0.75 RN)
Turnover & capacity
- Nursing staff turnoverShare who left within a year · lower is better—PR avg 34%
- RN turnoverRegistered nurses only—Not ranked by CMS
- Administrators who leftIn the past year—
- Occupancy30 certified beds · ~81 residents a day125%Above 86% of peersPR avg 73%
Fines & penalties
Roughly the past three yearsEnforcement summary
- $0In fines
- 0Fines
- 0Payment denials
- $5,551PR avg in fines
Actions on record
Ownership
As filed with CMSStructure
- Ownership type
- For profit - Corporation
- Chain
- Independent
- Certification
- Medicare
- Location type
- Urban
- Ownership change
- None in the last 12 months
People and entities on file
- Hospital de LA Concepcion INC
- Hospital de LA Concepcion INC
- Lizmari Calderon
- Vanessa Cardona Rodriguez
- Marie Ferrer
- Carlos Quinones Bodega
- Lizmari Calderon
- Marie Ferrer
- Carlos Quinones Bodega
- Vanessa Cardona Rodriguez
- Lizmari Calderon
- Vanessa Cardona Rodriguez
- Marie Ferrer
Person Organization
Sources & notes
Public data, updated quarterlyData sources
- CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
- CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
- CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.
Notes
- CMS Certification Number 405032 · CARR 2 KM 173 4 BO CAIN ALTO, SAN GERMAN, PR, 00683.
- Percentiles compare this facility with every rated nursing home in Puerto Rico and San German County. Turnover and fines are inverted so a high percentile is always good.
- This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.









