Map showing the location of MULTY MEDICAL SKILLED NURSING FACILITY in RIO PIEDRAS, Puerto Rico
AMERICO MIRANDA AVE ENTRADA PRINCIPAL CENTRO, RIO PIEDRAS, PR, 00935

Overall Score

CMS Five-Star Quality Rating
Not ratedCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. 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 means
Health inspection ratingCMS stars from the last three on-site inspection cyclesNo dataPR avg3.0★U.S. avg2.8★
What is health inspection rating?

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.

Why it matters

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 turnoverNo dataPR avg3.6★U.S. avg2.9★
What is staffing rating?

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.

Why it matters

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 assessmentsNo dataPR avg—★U.S. avg3.6★
What is quality measures rating?

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.

Why it matters

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 staffhrsNo dataPR avg3.77Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

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 onlyhrsNo dataPR avg2.91Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

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 betterNo dataPR avg34%RN turnover
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

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
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
69citations
1inspection dates
0actual harm (G–I)
0immediate jeopardy (J–L)
Sep 25, 2024most recent

Citations by monthSep 2024

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Sep 25, 202469 citationsCycle 1worst F · no actual harm
  1. Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Resident RightsF · widespreadCorrected Sep 30, 2024
  2. Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceC · widespreadCorrected Oct 29, 2024
  3. F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsF · widespreadCorrected Sep 30, 2024
  4. F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Resident RightsF · widespreadCorrected Sep 30, 2024
  5. F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsF · widespreadCorrected Sep 30, 2024
  6. F558Reasonably accommodate the needs and preferences of each resident.Resident RightsF · widespreadCorrected Sep 30, 2024
  7. 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 Sep 30, 2024
  8. F560Protect a residents' right to refuse some types of non-requested transfers within the nursing home.Resident RightsF · widespreadCorrected Sep 30, 2024
  9. F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident RightsF · widespreadCorrected Sep 30, 2024
  10. F562Provide immediate access to any resident.Resident RightsF · widespreadCorrected Sep 30, 2024
  11. F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Resident RightsF · widespreadCorrected Sep 30, 2024
  12. F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.Resident RightsF · widespreadCorrected Sep 30, 2024
  13. F565Honor the resident's right to organize and participate in resident/family groups in the facility.Resident RightsF · widespreadCorrected Sep 30, 2024
  14. F5661) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.Resident RightsF · widespreadCorrected Sep 30, 2024
  15. F567Honor the resident's right to manage his or her financial affairs.Resident RightsF · widespreadCorrected Sep 30, 2024
  16. F572Give residents a notice of rights, rules, services and charges.Resident RightsF · widespreadCorrected Sep 30, 2024
  17. F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Resident RightsF · widespreadCorrected Sep 30, 2024
  18. F574The resident has the right to receive notices in a format and a language he or she understands.Resident RightsF · widespreadCorrected Sep 30, 2024
  19. 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 Sep 30, 2024
  20. F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident RightsF · widespreadCorrected Sep 30, 2024
  21. 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 RightsD · isolatedCorrected Oct 3, 2024
  22. F579Provide information about how to apply for and use Medicare and Medicaid benefits.Resident RightsF · widespreadCorrected Sep 30, 2024
  23. 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 Sep 30, 2024
  24. F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident RightsF · widespreadCorrected Sep 30, 2024
  25. F584Honor 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.Resident RightsF · widespreadCorrected Sep 30, 2024
  26. F586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.Resident RightsF · widespreadCorrected Sep 30, 2024
  27. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  28. F602Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  29. F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  30. F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  31. 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 Sep 30, 2024
  32. F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  33. F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and ExploitationC · widespreadCorrected Sep 30, 2024
  34. F610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and ExploitationF · widespreadCorrected Sep 30, 2024
  35. F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.Resident RightsF · widespreadCorrected Sep 30, 2024
  36. F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Resident RightsF · widespreadCorrected Sep 30, 2024
  37. F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident RightsF · widespreadCorrected Sep 30, 2024
  38. F624Prepare residents for a safe transfer or discharge from the nursing home.Resident RightsF · widespreadCorrected Sep 30, 2024
  39. F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Resident RightsF · widespreadCorrected Sep 30, 2024
  40. F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care PlanningD · isolatedCorrected Sep 25, 2024
  41. F685Assist a resident in gaining access to vision and hearing services.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  42. F687Provide appropriate foot care.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  43. F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  44. F695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareC · widespreadCorrected Nov 14, 2024
  45. F696Provide appropriate care/assistance for a resident with a prosthesis.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  46. F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  47. F699Provide care or services that was trauma informed and/or culturally competent.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  48. F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and CareC · widespreadCorrected Sep 30, 2024
  49. F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Nursing and Physician ServicesF · widespreadCorrected Nov 20, 2024
  50. F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected Sep 30, 2024
  51. F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Quality of Life and CareF · widespreadCorrected Sep 30, 2024
  52. F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Quality of Life and CareF · widespreadCorrected Sep 30, 2024
  53. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceF · widespreadCorrected Oct 29, 2024
  54. F790Provide routine and 24-hour emergency dental care for each resident.Quality of Life and CareC · widespreadCorrected Nov 4, 2024
  55. F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Nutrition and DietaryF · widespreadCorrected Nov 4, 2024
  56. F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nutrition and DietaryC · widespreadCorrected Oct 1, 2024
  57. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryF · widespreadCorrected Oct 26, 2024
  58. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryF · widespreadCorrected Oct 1, 2024
  59. F814Dispose of garbage and refuse properly.Nutrition and DietaryF · widespreadCorrected Sep 30, 2024
  60. F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.AdministrationC · widespreadCorrected Oct 31, 2024
  61. F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.Nursing and Physician ServicesF · widespreadCorrected Nov 20, 2024
  62. F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.AdministrationC · widespreadCorrected Sep 30, 2024
  63. F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministrationC · widespreadCorrected Oct 1, 2024
  64. F880Provide and implement an infection prevention and control program.Infection ControlF · widespreadCorrected Oct 20, 2024
  65. F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection ControlE · patternCorrected Oct 25, 2024
  66. F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Infection ControlF · widespreadCorrected Sep 30, 2024
  67. F895Have a Compliance and Ethics Program.AdministrationC · widespreadCorrected Sep 30, 2024
  68. F908Keep all essential equipment working safely.EnvironmentalC · widespreadCorrected Sep 25, 2024
  69. F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EnvironmentalF · widespreadCorrected Nov 9, 2024

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combinedhrs
  • Registered nursesRN hours onlyhrs
  • Licensed practical nursesLPN hourshrs
  • Nurse aidesCNA hourshrs
  • Weekend nursingAll staff on Saturdays and Sundayshrs
  • Puerto Rico average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is betterPR avg 34%
  • RN turnoverRegistered nurses onlyNot ranked by CMS
  • Administrators who leftIn the past year
  • Occupancy35 certified bedsPR avg 73%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $0In fines
  • 0Fines
  • 0Payment denials
  • $5,551PR avg in fines
Above only 38% of peersFewer fines than 38% of rated homes in Puerto Rico

Actions on record

No fines or payment denialsNothing on record in the current reporting window. Puerto Rico facilities average 0.7 penalties.

Ownership

As filed with CMS

Structure

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

Direct owners (5%+)
  • Tania Conde Sterling
Operational or managerial control
  • Tania Conde Sterling
Corporate directors
  • Fernando Sepulveda-Irizarry
Corporate officers
  • Tania Conde Sterling

Person Organization

Sources & notes

Public data, updated quarterly

Data 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 405034 · AMERICO MIRANDA AVE ENTRADA PRINCIPAL CENTRO, RIO PIEDRAS, PR, 00935.
  • Percentiles compare this facility with every rated nursing home in Puerto Rico and San Juan 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.

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